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Reconstruction of traumatic forefoot defects with free lateral arm flap.
[OBJECTIVES] This study aims to evaluate the results of traumatic soft tissue defects of the forefoot reconstructed using the lateral arm flap and to examine the advantages and disadvantages of this flap. [PATIENTS AND METHODS] Between Jan…
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Soft Tissue Reconstruction and Flap Considerations for Chest Wall Defects.
The goal of soft-tissue reconstruction of the chest wall is to provide durable and functional solutions over a dynamic thoracic cavity while protecting vital organs and neurovascular structures. Successful reconstruction is dependent on tho…
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Venous thromboembolism prophylaxis regimen for patients undergoing deep inferior epigastric perforator flap breast reconstruction.
[BACKGROUND] Patients undergoing deep inferior epigastric perforator (DIEP) flap breast reconstruction are at increased risk for venous thromboembolism (VTE) due to prolonged operative times, cancer-associated hypercoagulability, and postop…
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Freestyle Multiperforator Island Flap for Reconstruction of Extensive Thoracoabdominal Defects: A Case Report.
[BACKGROUND] Extensive thoracoabdominal defects after oncologic resection pose a major reconstructive challenge, particularly when durable soft-tissue coverage must be achieved over prosthetic chest wall reconstruction. Conventional pedicle…
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The distal vastus medialis artery - a novel recipient vessel in free flap reconstruction of the knee.
Free flap reconstruction around the knee is challenging given a paucity of suitable recipient vessels. Traditional recipient vessels frequently require specific positioning other than supine (limiting flap selection), have variable anatomy,…
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Innovative Approaches for Utilizing the Fibula Flap Skin Paddle in the Presence of Alternate Vessel Anatomy-A Report of Three Clinical Cases.
The fibula free flap is a versatile option for reconstructing complex defects, particularly in the head and neck region. However, variations in the vascular anatomy of the skin paddle can pose challenges during flap harvest and inset. We id…
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3D printing-guided chest wall reconstruction - a case report and literature review.
Large chest wall defects may be challenging to reconstruct and requires consideration of skeletal stabilization. Whilst use of synthetic materials has been described, the risks of infection and implant failure resulting in removal are omnip…
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Combined minimally invasive lymphatic microsurgery and aligned nanofibrillar collagen scaffold for refractory post-traumatic eyelid lymphedema: A case report.
Lymphedema arises from impaired lymphatic drainage, leading to accumulation of protein-rich fluid in the interstitium and progressive soft-tissue fibrosis. Although eyelid lymphedema is rare, it can cause marked functional and aesthetic mor…
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Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.
[PURPOSE] Trimmed proximal and distal nerve stumps should be morphometrically matching and show evidence of healthy fascicular tissue to potentiate nerve regeneration. We hypothesized that differences exist between nerve trimming instrument…
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Free flap reconstruction of a cast-related pressure ulcer in a pediatric patient with spinal muscular atrophy.
Spinal muscular atrophy (SMA) is a hereditary neuromuscular disorder characterized by progressive lower motor neuron loss, resulting in severe muscle atrophy, fatty degeneration, and impaired tissue perfusion. These changes increase suscept…
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Application of the SCIA-Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature.
Facial burns often result in cicatricial eyelid retraction, causing corneal exposure, ulceration, and vision loss. Traditional reconstructive methods, such as full-thickness skin grafts or local flaps, frequently fail in extensive burns due…
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Clinical safety of a low-modification hyaluronic acid filler (MoD 2%) for facial rejuvenation.
[BACKGROUND] The degree of modification (MoD) of hyaluronic acid (HA) fillers reflects the extent of chemical cross-linking of native HA chains. Lower MoD values correspond to reduced cross-linker content and potentially more physiological …
- Comment on "Managing Botulinum Toxin A Dosing for Laryngeal Dystonia".
- Practices, Motivations, Barriers, and Social Media Influence in Cosmetic Botulinum Toxin Use: A Cross-Sectional National Survey.
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Iatrogenic Botulism Following Botulinum Toxin Injection in a Child With Cerebral Palsy: A Case Report.
BackgroundBotulinum toxin is widely used for the treatment of spasticity in pediatric patients with cerebral palsy. Although regarded as safe, rare but severe systemic complications, such as iatrogenic botulism, may arise.Case PresentationW…
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Intra-articular therapies for synovial joint dysfunction: a comprehensive integrative review.
[OBJECTIVE] To summarize contemporary evidence for intra-articular therapies in synovial joint dysfunction-emphasizing temporomandibular joint (TMJ) osteoarthritis-across regenerative (platelet-rich plasma [PRP]/ injectable platelet-rich fi…
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Botulinum Toxin Treatment for Adductor Laryngeal Dystonia Reduces Speech-Related Cognitive Load.
[OBJECTIVES] Botulinum toxin (BTX) treatment has previously been shown to improve voice quality, quality of life, and the physical component of vocal effort in adductor laryngeal dystonia (ADLD) patients. More recently, cognitive load has b…
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Electromyography-guided botulinum toxin injections in provoked vestibulodynia: a randomized double-blind placebo-controlled clinical trial.
[BACKGROUND] Provoked vestibulodynia is a prevalent and complex disease with a major effect on women's quality of life. This condition is often associated with abnormal reflexes and muscle hypertonicity. Local injections of Onabotulinum tox…
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Hyperhidrosis: Prevalence, Diagnosis, and Stepwise Treatment.
[BACKGROUND] Hyperhidrosis, or sweating beyond the physiological amount, can be either focal or generalized and sometimes runs in families. The prevalence of primary idiopathic hyperhidrosis is 2-5%. Secondary hyperhidrosis is associated wi…
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Evaluation of the ultrasonography-guidance for botulinum toxin type a injection into lateral pterygoid muscle in patients with TMJ anterior disc displacement with reduction.
Anterior disc displacement with reduction (ADDwR) is a common temporomandibular joint disorder associated with pain, joint sounds, and limited jaw movement. Conservative treatments are considered first-line but often yield unsatisfactory re…