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Outcomes of Minimally Invasive Transoral Surgery in HPV-Negative Oropharyngeal Cancer.
[OBJECTIVE] To describe the clinical predictors of survival, disease control, and functional outcomes in patients with HPV-negative oropharyngeal squamous cell carcinoma (OPSCC) who underwent primary transoral surgery (TOS). [STUDY DESIGN]…
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Multicenter Comparison of Modern Plating Options in Fibula, Scapula, and Osteocutaneous Radial Forearm Free Flaps.
[OBJECTIVES] Evaluate the association of plating strategies with hardware removal and operative time, after adjusting for relevant clinical variables. [STUDY DESIGN] Retrospective Review. [SETTING] Multiple Academic Medical Centers. [MET…
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Submandibular Gland Flap Reconstruction for Oropharyngeal Defects After Transoral Robotic Surgery (TORS).
[BACKGROUND] To describe utilization and outcomes of submandibular gland flap (SGF) reconstruction after transoral robotic surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC). [METHODS] A multi-institutional retrospective case…
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Airway protection and outcomes after staged versus concurrent bilateral neck dissections with transoral base of tongue cancer resection.
[OBJECTIVES] To assess airway, safety, and resource utilization outcomes between transoral base of tongue (BOT) surgery with staged versus concurrent bilateral neck dissections (BND). [METHODS] A retrospective cohort study of patients with…
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Free Flap Outcomes for Head and Neck Surgery in Patients with COVID-19.
[INTRODUCTION] Coronavirus disease 2019 (COVID-19) affects the vascular system, subjecting patients to a hypercoagulable state. This is of particular concern for the success of microvascular free flap reconstruction. This study aims to repo…
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Clinical applications of vascularized fascia lata in head and neck reconstruction: A systematic review.
[BACKGROUND] Given limitations in the current literature, the precise indications, techniques, and outcomes relevant to vascularized fascia lata free flap reconstruction remain uncertain. The objective of this study was to perform a systema…
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Fibula Free Flap Reconstruction of Cervical Spine Defects: A Multi-Institutional Study.
[INTRODUCTION] Cervical spine defects result in spinal instability, putting the spinal cord and vertebral arteries at risk of damage and possibly devastating neurological injuries. The fibula free flap can span the spinal defects for stabil…
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Complications after Oncoplastic Breast Reduction and Impact on Time to Adjuvant Therapy.
[BACKGROUND] Although lumpectomy with oncoplastic breast reduction (OBR) improves cosmetic results and ameliorates symptomatic macromastia, associated complications may delay adjuvant therapy. [METHODS] This was a single-institution, retro…
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Eight Tales of Cervical Necrotizing Fasciitis and Free Tissue Transfer.
[OBJECTIVES] Aggressive surgical debridement is required in cervical necrotizing fasciitis, and in severe defects, subsequent free tissue transfer might be necessary. However, there is concern that the inflammatory environment of the infect…
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A Multi-institutional Analysis of Late Complications in Scapula, Fibula, and Osteocutaneous Radial Forearm Free Flaps.
[OBJECTIVES] (1) Evaluate the association of flap type with late complications in patients undergoing osseous head and neck reconstruction with the fibula free flap (FFF), osteocutaneous radial forearm free flap (OCRFFF), and scapula free f…
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Outcomes of Mesh Cranioplasty in Scalp-Free Tissue Reconstruction: A Systematic Review and Meta-analysis.
[OBJECTIVE] To systematically review the literature to determine the prevalence and risk of the free flap and postoperative complications in scalp-free tissue reconstruction with synthetic mesh cranioplasty. [DATA SOURCES] Search strategie…
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Outcomes of Nipple-sparing Mastectomy with Reconstruction after Recent Oncoplastic Wise-pattern Reduction.
[UNLABELLED] For patients with large and/or ptotic breasts, a planned staged approach to nipple-sparing mastectomy (NSM) has been described. Less is known about surgical outcomes of unplanned staged NSM for management of positive margins af…
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Is Sentinel Lymph Node Biopsy Reliable After Recent Oncoplastic Breast Reduction?
An oncoplastic breast reduction may disrupt normal lymphatic drainage and make subsequent identification of the sentinel lymph nodes (SLNs) unreliable. There are little data on the success rate of sentinel lymph node biopsy (SLNB) after rec…
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The two-handed template for planning fibular free flap reconstruction of the head and neck.
Fibular free flap reconstruction of head and neck defects is complex, and the anatomic relationships among components of the fibular flap pose challenges to reconstructive surgeons. Various techniques have been employed in planning for fibu…
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Anatomic variants of the subscapular-thoracodorsal arterial system: A radiologic analysis of 200 arterial systems.
[BACKGROUND] Composite flaps based on the subscapular arterial system are excellent choices for complex defects, including those of the head and neck, though rates of anatomic variants are not well described. [OBJECTIVE] Characterize subsc…
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Free Flap Reconstruction of the Anterior Skull Base: A Systematic Review.
Given the limitations in the available literature, the precise indications, techniques, and outcomes of anterior skull base free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of publis…
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Perioperative Topical Antisepsis and Surgical Site Infection in Patients Undergoing Upper Aerodigestive Tract Reconstruction.
[IMPORTANCE] Surgical site infections (SSIs) after vascularized reconstruction of the upper aerodigestive tract (UADT) are associated with considerable morbidity. The association between perioperative prophylaxis practices, particularly top…
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Management of Flap Failure After Head and Neck Reconstruction: A Systematic Review and Meta-analysis.
[OBJECTIVE] To systematically review management of flap loss in head and neck construction with free tissue transfer as compared with locoregional flap or conservative management. [DATA SOURCES] Medline, Embase, Scopus, Cochrane Central Re…
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Outcomes of Margin Reexcision after Oncoplastic Breast Reduction.
[UNLABELLED] Tissue rearrangement after an oncoplastic breast reduction may complicate identification of margins during reexcision. Little is known about outcomes of reoperation in this setting. [METHODS] This is a single-institution, retr…
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A Comprehensive Analysis of Complications of Free Flaps for Oromandibular Reconstruction.
[OBJECTIVES/HYPOTHESIS] To determine the frequency and management of short- and long-term complications related to oromandibular free flap reconstruction and identify potentially predictive factors of hardware complications. [STUDY DESIGN]…
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Occlusion and Functional Outcomes after Complete Temporomandibular Joint Resection with Soft Tissue Reconstruction.
Reconstructive outcomes after complete temporomandibular joint (TMJ) resection, including the condyle and glenoid fossa bone, are poorly defined in the literature. We described our technique and reviewed occlusion and functional outcomes of…