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16건 · 최신순-
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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Free Flap Enhanced Recovery Protocols in Head and Neck Surgery.
Enhanced recovery after surgery (ERAS) protocols facilitates a standardized patient care regimen with a goal of reducing the metabolic stress of surgery. Adapted to head and neck free flap reconstructive surgery in 2017, these protocols foc…
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Sociodemographic and Clinical Determinants of 12-Month Decision Regret for Head and Neck Cancer Patients.
[OBJECTIVE] This study aims to identify factors associated with increased decision regret (DR) 12 months following treatment among head and neck cancer (HNC) patients. [STUDY DESIGN] A retrospective observational cohort study. [SETTING] P…
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Impact of Presurgical Second-Touch Visits on Delays in Initiating Adjuvant Radiation Therapy.
[OBJECTIVE] Patients with head and neck squamous cell carcinoma (HNSCC) often encounter delays in starting postoperative radiotherapy (PORT), leading to worse outcomes. We investigated whether attending second-touch visits-appointments afte…
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Outcomes of Microvascular Free Flap Reconstruction With One Versus Two Primary Surgeons.
[OBJECTIVE] To evaluate operative efficiency and quality in head and neck free flap reconstruction with one versus two primary surgeons by comparing procedure duration, hospital length of stay, complications and readmission rates. [STUDY D…
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Six-week postoperative opioid use and pain following a randomized controlled trial evaluating multimodal analgesia for head and neck free flap patients.
[INTRODUCTION] Head and neck malignancy treatment often involves invasive surgeries, necessitating effective postoperative pain control. However, chronic reliance on opioid medications remains a challenge for many patients after surgery. Mu…
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Pilot randomized, controlled, preoperative intervention for nutrition trial in head and neck cancer.
[BACKGROUND] Several prospective studies report improved outcomes with pretreatment nutrition interventions prior to radiation therapy for head and neck cancer (HNC), but none have assessed similar interventions before surgery for HNC. [ME…
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Post-operative Outcomes in Pediatric Patients Following Facial Reconstruction With Fibula Free Flaps.
[EDUCATIONAL OBJECTIVE] Assess outcomes of pediatric facial reconstruction with fibula free flaps. [OBJECTIVES] Free flap reconstruction of complex maxillofacial defects in pediatric patients is rare. Post-operative complications, donor si…
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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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The Use of Dissemination and Implementation to Improve Multimodal Analgesia in Head and Neck Surgery.
[OBJECTIVES] To optimize the delivery of multimodal analgesia to patients undergoing major head and neck oncologic surgeries. [METHODS] Pilot study included patients enrolled to receive either scheduled acetaminophen and as-needed opioids …
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Preoperative Examination Is Not Associated with Postoperative Function following Radial Forearm Free Flap Harvest.
[BACKGROUND] There is debate on the utility of a preoperative Allen test or ultrasound before radial forearm free flap (RFFF) harvest. This study sought to evaluate correlations between preoperative testing and donor-site morbidity. [METHO…
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Improving Quality and Value in Head and Neck Reconstruction.
Multiple advances in surgical techniques, technology, and perioperative patient care have revolutionized head and neck reconstruction over the last 40 years. Concurrent with these advances, health systems, patients, and payers have become i…
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Team Consistency in Reducing Operative Time in Head and Neck Surgery with Microvascular Free Flap Reconstruction.
[OBJECTIVE(S)] To evaluate the impact of consistent surgical teams on procedure duration in head and neck free tissue transfer, and to evaluate the length of stay and readmission rates with consistent teams. [METHODS] A retrospective chart…
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Rates of bone reabsorption and union in mandibular reconstruction using the osteocutaneous radial forearm free flap.
[BACKGROUND] Historical concerns over bone resorption and malunion of the osteocutaneous radial forearm free flap (OCRFFF) limited its widespread adoption for head and neck reconstruction, despite lack of outcomes data evaluating this notio…
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Microsurgical Management of Early Onset Alveolar Soft Part Sarcoma of the Oral Tongue: Case Report and Review of the Literature.
[OBJECTIVES] Alveolar soft part sarcoma is a rare subset of soft tissue sarcomas, typically presenting in subjects 15 to 35 years of age. Usual presentation sites are the trunk, extremities, and the head and neck. Subjects younger than 5 ye…
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Risk Factors for Post-acute care Following Free Flap Reconstruction of the Oral Cavity.
[OBJECTIVE] Identify previously unreported factors that predict the need for post-acute care after free flap reconstruction of the oral cavity. [STUDY DESIGN] Retrospective cohort study. [SETTING] Single academic medical center. [METHODS…