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14건 · 최신순-
Anterolateral-Thigh Fascia Lata Free Flap Versus Fibula Free Flap for Mandibular Osteoradionecrosis.
[OBJECTIVES] While standard treatments for mandibular osteoradionecrosis (MORN) exist for mild/superficial and severe/full thickness disease, there is no consensus on treatment for advanced, partial thickness disease. In this niche, the ant…
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ALT Rescue Flap With Iliac Crest Bone Graft and Spanning Plate for Mandibular ORN.
[OBJECTIVE] The mainstay of treatment for full-thickness mandibular osteoradionecrosis (ORN) is segmental mandibulectomy followed by osteocutaneous free flap. We have found success in combining anterolateral thigh rescue flaps with iliac cr…
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Transoral Minimal Access Mandibular Reconstruction Using Fibula Free Flap in Osteoradionecrosis.
[OBJECTIVE] To describe the use, indications, and outcomes of a limited transoral approach for segmental mandibulectomy reconstruction with minimal access vessel isolation and anastomoses in patients with mandibular osteoradionecrosis. [ME…
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Positive Trends in Racial Disparities for Head and Neck Microvascular Reconstructive Surgery.
[OBJECTIVE] To evaluate national trends in racial disparities for patients undergoing head and neck reconstructive surgery. [METHODS] Retrospective analysis using the 2008 to 2021 American College of Surgeons National Surgical Quality Impr…
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Preoperative Hypoalbuminemia Predicts 30-day Complications in Head and Neck Microvascular Surgery.
[INTRODUCTION] Hypoalbuminemia, a marker for poor nutritional status, has been associated with postoperative complications, including head and neck cancer surgery. This study investigates the impact of hypoalbuminemia on head and neck micro…
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Managing Mandibular Osteoradionecrosis.
[OBJECTIVE] Mandibular osteoradionecrosis (MORN) is a morbid complication of head and neck radiation therapy. Recent advances in surgical and medical therapies underscore the need for a shift in traditional treatment paradigms and a disease…
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Iliac Crest Bone Graft and Fascia Lata Free Flap for Rescue of Mandibular Osteoradionecrosis.
[OBJECTIVE] Describe the use, indications, and outcomes of iliac crest bone graft (ICBG) with concomitant anterolateral thigh fascia lata (ALTFL) rescue flap for the management of mandibular osteoradionecrosis (ORN). [STUDY DESIGN] Retrosp…
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Minimally Invasive Approach to Access Vessels for Microvascular Anastomosis in Head and Neck Reconstruction.
[OBJECTIVES] To describe our technique, review indications, and evaluate the outcomes of the minimal access approach for recipient vessel identification in microvascular tissue transfer. [METHODS] Retrospective chart review of all patients…
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The profunda artery perforator flap for head and neck reconstruction.
[INTRODUCTION] The profunda artery perforator (PAP) fasciocutaneous flap is underutilized in head and neck reconstruction, with advantages including ease of harvest and minimal donor site morbidity. [METHODS] Cadaveric dissection of cutane…
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Evaluation of Anterolateral Thigh Fascia Lata Rescue Flap for Mandibular Osteoradionecrosis.
[IMPORTANCE] Mandibular osteoradionecrosis (ORN) is a progressive disease that can be difficult to treat. Conservative measures often fail, while conventional definitive management requires a morbid segmental resection with osteocutaneous r…
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Clinical application of physical therapy in facial paralysis treatment: A review.
This review aims to summarize recent studies regarding the specific modalities of physical therapy as a form of treatment for patients with facial paralysis, analyze the different components of physical therapy, and provide healthcare provi…
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Trilayer temporalis fascia interposition graft: A reliable technique for nasal septal perforation repair.
[PURPOSE] Nasal septal perforation (NSP) repair is a complex procedure with variable techniques and success rates. In this study we describe NSP repair using a trilayer interposition graft of temporalis fascia and thin polydioxanone (PDS) p…
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Association between hypertension requiring medication and 30-day outcomes in head and neck microvascular surgery.
[BACKGROUND] Hypertension has been shown to be both a protective factor and a risk factor for complications in head and neck reconstructive surgery. [METHODS] Retrospective analysis of microvascular free tissue transfer patients using the …
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Predictive value of the ACS NSQIP calculator for head and neck reconstruction free tissue transfer.
[BACKGROUND] Predictive models to forecast the likelihood of specific outcomes after surgical intervention allow informed shared decision-making by surgeons and patients. Previous studies have suggested that existing general surgical risk c…