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Virtual surgical planning in microsurgical head and neck reconstruction: The Newcastle experience.
Head and neck microvascular reconstruction is a complex but powerful tool following immediate cancer ablation or delayed sequalae after cancer treatment. Virtual surgical planning (VSP), using computer-aided design or computer-aided manufac…
- Redefining free flap failure: A new definition for the 21st century.
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Salvage Reconstruction of Composite Defects of the Anterior Mandible, Floor of Mouth, and Lip.
Anterior mandible defects result in loss of support for the tongue, floor of the mouth and lower lip, resulting in impairment of airway, feeding, and speech. We treated four patients with these "Andy Gump" deformities. Reconstruction was pe…
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Beyond Borders: A Global Microsurgery Training and Case Exposure Survey.
[BACKGROUND] Microsurgery is essential in modern reconstructive surgery and plastic surgery training. Surgeon's proficiency and experience are crucial for effective microsurgical interventions. Despite anecdotal evidence of varying quality…
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Intraoperative Vasopressor Usage in Free Tissue Transfer: Should We Be Worried?
[BACKGROUND] The role of vasopressors has long been a subject of debate in microsurgery. Conventional wisdom dictates the avoidance of vasopressor use, due to concerns such as peripheral vasoconstriction, inducing vasospasm of the anastomo…
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Postoperative radiotherapy delay in head and neck cancer patients undergoing major resection and free flap reconstruction.
[BACKGROUND] Delays to postoperative radiotherapy (PORT) are frequent and associated with poorer oncologic outcomes in head and neck cancer (HNC) patients. Free flap patients have been suggested as the most at-risk group. Thus, PORT deliver…
- Comment on Assessing the Influence of Attending Surgeon Continuity on Free Flap Outcomes Following Unplanned Returns to the Operating Room.
- Incidental improvement of breast capsular contracture following treatment of arthritis with glucosamine and chondroitin.
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Comparison of nipple and areolar sensation after breast reduction by free nipple graft and inferior pedicle techniques.
Breast reduction with free nipple-areolar transplantation has traditionally been used for patients with gigantomastia. It is a widely held belief that there is little or no recovery of sensation in the nipple-areolar complex after this proc…