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17건 · 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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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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Supraorbital Rim and Roof Reconstruction with Vascularized Fascia Lata and Autogenous Rib Graft.
[OBJECTIVE] Describe a novel technique for reconstruction of complex defects involving supraorbital rim and orbital roof. [METHODS] Retrospective chart review and description of surgical technique. [RESULTS] Four patients underwent tumor …
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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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Adverse events associated with anastomotic coupling devices in microvascular reconstruction.
[OBJECTIVE] In light of the recent US Food and Drug Administration (FDA) Class 2 safety recall notice for anastomotic coupling devices, it is important to understand related adverse events. The aim of this study was to characterize adverse …
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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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Variations in Payer-Negotiated Prices for Head and Neck Reconstructive Surgery.
[OBJECTIVE] Little is known about pricing for reconstructive procedures of the head and neck. As of January 2021, the Centers for Medicare and Medicaid Services requires hospitals to disclose payer-negotiated prices for services, offering n…
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Free vascularized fascia lata flap for total columella reconstruction.
[INTRODUCTION] Despite their relatively small size, columellar defects, including both external and internal elements, are exceedingly difficult to reconstruct. Local, regional, and distant flaps have been described for reconstruction. Here…
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Anterolateral Thigh Fascia Lata Rescue Flap: A New Weapon in the Battle Against Osteoradionecrosis.
[OBJECTIVES] To demonstrate that the anterolateral thigh fascia lata (ALTFL) rescue flap may be effectively used for management of osteoradionecrosis (ORN) in selected patients. [STUDY DESIGN] Retrospective case review. [METHODS] Retrospe…
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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…
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Early discharge after free-tissue transfer does not increase adverse events.
[INTRODUCTION] Demonstrate that carefully selected free flap patients may be discharged early after surgery without increasing the rates of postoperative complications or readmissions. [METHODS] Based on a published article in Laryngoscope…
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Simultaneous anterolateral thigh flap and temporalis tendon transfer to optimize facial form and function after radical parotidectomy.
Background Extirpation of aggressive parotid or cutaneous facial tumors often involves facial nerve sacrifice and the creation of a large soft-tissue defect. We describe a method for single-stage reconstruction during radical parotidectomy …
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Volume-directed facial soft tissue deficit reconstruction.
Extensive facial soft tissue volume deficits can pose a significant challenge to the facial reconstructive surgeon. These defects are typically the result of trauma, tumor extirpation, or congenital defects and produce troubling cosmetic an…