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11건 · 최신순-
Impact of the "July effect" in head and neck microvascular reconstruction: A retrospective review.
[OBJECTIVE] The "July effect," a theory that the beginning of the academic year has worse operative outcomes and complication rates, remains controversial. We evaluated the "July effect" as a risk factor for negative operative outcomes in h…
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A Survey of Microvascular Technique Preferences Among American Head Neck Society Members.
[OBJECTIVE] To identify practices in microvascular techniques in routine and challenging scenarios. [STUDY DESIGN] Cross-sectional study. [METHODS] A national survey addressing practices related to microvascular free flap reconstruction w…
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Perioperative Hypercoagulability in Free Flap Reconstructions Performed for Intracranial Tumors.
[OBJECTIVE(S)] Patients with intracranial tumors have a higher risk of thromboembolic events. This risk increases at the time of surgical intervention. We have noted an anecdotal increase in perioperative flap thrombosis in patients undergo…
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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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Factors Leading to Gastrostomy Tube and Tracheostomy Requirements in Patients Treated Initially With Radiotherapy and Salvaged With Surgery and Free Flap Reconstruction.
[OBJECTIVE] Patients with recurrent oropharyngeal cancer can achieve survival benefits from surgical salvage, and often require simultaneous free-flap reconstruction. Resection and reconstruction can impact function, leading to tube depende…
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Predictors of opioid requirement among patients receiving free flap reconstruction to the head and neck.
[BACKGROUND] Opioids are a part of standard of care treatment of acute, severe postoperative pain. However, increased opioid requirements have been shown to be associated with increased postoperative complications, morbidity, and mortality.…
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Outcomes in Head and Neck Free Flap Reconstruction Among Patients With a History of Venous Thromboembolism.
[OBJECTIVE] To investigate if a history of venous thromboembolism (VTE) is a risk factor for complications in head and neck free flap surgery by assessing outcomes among patients with a history of deep vein thrombosis (DVT) and/or pulmonary…
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Postoperative Anatomic Position of Mandibular Free Flap Neocondyles Affects Patient Symptoms.
Mandibular condyle reconstruction with vascularized free flaps can re-establish form and function after resection. However, no reports have been published regarding the postoperative anatomic seating of these reconstructions. To use postop…
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Safety of fibula free flap in patients following total knee replacement.
[BACKGROUND] Fibula free flap (FFF) is the preferred osteocutaneous flap for reconstruction of large head and neck composite defects. There is a paucity of data whether FFF can be performed safely in patients with knee replacement (total kn…
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Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction.
[OBJECTIVES] Mid and upper face free flaps frequently are associated with challenges due to pedicle length. We sought to evaluate the frequency at which alternative pedicle maneuvers were required for these reconstructions and determine if …
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Factors impacting successful salvage of the failing free flap.
[BACKGROUND] Understanding factors impacting successful salvage of a compromised free flap. [METHODS] Multi-institutional review of free flap reconstructions for head and neck defects (n = 1764). [RESULTS] Free flap compromise rate: 9% (n…