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18건 · 최신순-
Comparing Functional Outcomes Following TORS With Free Flap Reconstruction Using a Radial Forearm vs. Anterolateral Thigh Flap.
[BACKGROUND] Free flap reconstruction (FFR) following transoral robotic surgery (TORS) is commonly performed using radial forearm free flaps (RFFF). This study compares patterns of functional recovery between RFFFs and anterolateral thigh f…
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Medicare Utilization and Reimbursement Trends for Free Flaps in Otolaryngology, Plastic Surgery, and Maxillofacial Surgery.
Free flap procedures are important components of reconstructive surgery in otolaryngology, plastic surgery, and maxillofacial surgery. This research investigates trends in utilization, charges, and Medicare reimbursements for free flap proc…
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Review of recent advancements in oropharyngeal reconstruction for transoral robotic surgery defects: emerging techniques, functional preservation, and technological innovations.
[PURPOSE OF REVIEW] The dynamic reconstruction of oropharyngeal defects demands tailored solutions that balance functional, aesthetic, and oncologic priorities. This review synthesizes advancements in reconstructive techniques over the last…
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Free Flap Reconstruction of the Oropharynx.
Reconstruction of the oropharynx plays a critical role in preserving quality of life after surgical resection of oropharyngeal carcinoma. Free tissue is one of several reconstructive options, which can closely approximate native oropharynge…
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Functional Outcomes of Free Flap Reconstruction After TORS in Early-Stage HPV-Positive Oropharyngeal Cancer.
[OBJECTIVE] In the unique clinical context of a retropharyngeal carotid artery (RPC), free flap reconstruction (FFR) may be used for small pathologic tumor (pT)1-2 human papillomavirus (HPV)+ oropharyngeal squamous cell carcinoma (OPSCC) tu…
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Chronic Rhinosinusitis Risk after Maxillectomy with Microvascular Reconstruction.
[INTRODUCTION] Chronic rhinosinusitis (CRS) can be associated with tumors involving the maxillary sinus, but outcomes after undergoing maxillectomy with free flap reconstruction remain unclear. [METHODS] A retrospective analysis of medical…
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Transoral robotic surgery with free flap reconstruction: Functional outcomes of 241 patients at a single institution.
[BACKGROUND] Transoral robotic surgery (TORS) for oropharyngeal malignancy optimizes oncologic outcomes while preserving functionality. This study identifies patterns of functional recovery after TORS with free flap reconstruction (FFR). […
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Predicting reoperation and readmission for head and neck free flap patients using machine learning.
[BACKGROUND] To develop machine learning (ML) models predicting unplanned readmission and reoperation among patients undergoing free flap reconstruction for head and neck (HN) surgery. [METHODS] Data were extracted from the 2012-2019 NSQIP…
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Flap-based Closure of Acquired Tracheoesophageal Fistulas.
Iatrogenic tracheoesophageal fistulae management and repair are difficult to manage with few resourced describing management and repair. Two cases are presented describing the approach to and repair of a tracheoesophagea fistula; one with a…
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Risk Factors for Plate Infection, Exposure, and Removal in Mandibular Reconstruction.
[OBJECTIVE] Mandibular plate reconstruction (MPR) is often indicated after tumor ablation, osteoradionecrosis excision, and traumatic bone loss to restore oral functionality and facial cosmetics. There are limited analyses identifying risk …
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Post-operative Monitoring for Head and Neck Microvascular Reconstruction in the Era of Resident Duty Hour Restrictions: A Retrospective Cohort Study Comparing 2 Monitoring Protocols.
[OBJECTIVES] To determine whether 2 different methods of post-operative head and neck free flap monitoring affect flap failure and complication rates. [METHODS] A retrospective chart review of 803 free flaps performed for head and neck rec…
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Association of Head and Neck Anatomic Zones with Microvascular Reconstruction Outcomes.
Head and neck free flap survival relies on adequate tissue perfusion from the external carotid artery (ECA), and vessel length is inversely proportional to blood flow rate. Investigate whether distance from the ECA (as a proxy for pedicle …
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Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons.
[OBJECTIVE] To determine whether gender differences exist in the training history, practice patterns, and home lives of surgeons who perform microvascular reconstruction of the head and neck. [STUDY DESIGN] Cross-sectional survey. [SETTIN…
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Reconstruction following transoral robotic surgery for head and neck cancer: Systematic review.
We performed a systematic review to characterize reconstructive modalities and postoperative surgical outcomes following TORS resection. A search of the PubMed, SCOPUS, and EMBASE databases was conducted to identify studies describing patie…
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Use of the O-Z flap as an alternative to free tissue transfer for reconstruction of large scalp defects.
[OBJECTIVE] The reconstruction of large scalp defects poses both functional and cosmetic challenges. While free tissue transfer remains the standard for defects larger than 30 cm, prolonged anesthesia and postoperative complications remain …
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Retropharyngeal Internal Carotid Artery Management in TORS Using Microvascular Reconstruction.
[OBJECTIVES] Guidelines for transoral robotic surgery (TORS) have generally regarded patients with retropharyngeal carotid arteries as contraindicated for surgery due to a theoretical risk of intraoperative vascular injury and/or perioperat…
- Perforator-based propeller flap for fibula free flap donor site repair: A novel surgical technique.
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Characterization of Injury Induced by Routine Surgical Manipulations of Nasal Septal Cartilage.
[IMPORTANCE] This study characterizes and compares common surgical manipulations' effects on septal cartilage to understand their implications for rhinoplasty outcomes based on cell viability and cartilage health. [OBJECTIVE] To illustrate…