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Impact of Preoperative Multidisciplinary Conference on Head and Neck Reconstruction Outcomes.
[INTRODUCTION] Head and neck oncologic resections with microvascular reconstruction are lengthy and complex procedures with inefficiencies in the operating room (OR) associated with increased complications and higher costs. Multidisciplinar…
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Computer-Aided Design and Manufacturing in Free Fibula Reconstruction of the Mandible: Comparison of Long-Term Outcomes.
[BACKGROUND] Preoperative computer-aided design and computer-aided manufacturing (CAD/CAM) revolutionized head and neck reconstruction after extirpative surgery. However, studies performing head-to-head comparison to the conventional techni…
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Co-surgery in head and neck microvascular reconstruction.
[PURPOSE] Co-surgery with two attending reconstructive surgeons is becoming increasingly common in breast microvascular reconstruction due to case complexity and the potential for improved outcomes and operative efficiency. The impact of co…
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Association of prealbumin with complications after total laryngectomy with free flap reconstruction.
[OBJECTIVE] Malnutrition is an important risk factor for patient surgical outcomes. This is especially true for head and neck cancer (HNC) patients receiving a total laryngectomy with free flap reconstruction (TLwFFR). Preoperative prealbum…
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Bivalirudin for unsalvageable venous congestion or obstruction in head and neck free flap reconstruction.
Microvascular free flap surgery permits single-stage reconstruction of complex head and neck ablative defects. Venous congestion can occur in the early postoperative period, risking partial or total flap loss. While prompt surgical re-explo…
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Head and Neck Reconstruction in Patients with Polycythemia Vera: Case Series and Literature Review.
Polycythemia vera (PV) is a myeloproliferative disease with overproduction of erythrocytes, leukocytes, and platelets causing an increased risk of both thrombosis and hemorrhage. There are limited reports and no established guidelines for …
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Discharge Disposition After Head and Neck Reconstruction: Effect on Adjuvant Therapy and Outcomes.
[OBJECTIVES] Head and neck cancer patients that require major reconstruction often have advanced-stage disease. Discharge disposition of patients can vary and impact time to adjuvant treatment. We sought to examine outcomes in patients disc…
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Peri-Incisional Botulinum Toxin Therapy for Treatment of Intractable Head Pain After Lateral Skull Base Surgery: A Case Series.
[OBJECTIVE] The objective of this case series was to describe botulinum toxin therapy as a novel treatment of intractable head pain following lateral skull base surgery. [BACKGROUND] Intractable headaches following lateral skull base surge…