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Post-Operative Tracheostomy Decannulation Protocol Following Head and Neck Free Flap Reconstruction: A Prospective Cohort Study.
[OBJECTIVE] Methods used in assessing decannulation timing after head and neck reconstruction vary widely. In this study, we examined the effect of implementation of a standardized post-operative tracheostomy decannulation protocol on our p…
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Outcomes of free flap reconstruction for mandibular ORN: Systematic review and meta-analysis.
[OBJECTIVE] This study aims to evaluate the success rates and complications associated with different free flap donor sites used in surgical reconstruction for mandibular osteoradionecrosis, providing insights to aid clinical decision-makin…
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Routine Contrasted Chest CT Identifies the Angular Branch of the Thoracodorsal Trunk: Case Series.
[OBJECTIVES] The location of the angular branch is highly variable. Preoperative imaging localization could provide clinical value in scapular flap harvest. [METHODS] Surgical and radiographic case series at an academic, tertiary care cent…
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Salivary Gland Botulinum Toxin a Injections for Treating Sialorrhea Among Critically Ill Patients With Neurological Disorders.
Sialorrhea is associated with various neurological conditions. Among critically ill patients with acute neurological injuries (ANI), sialorrhea leads to several adverse consequences, including extubation failure, inability to initiate non-i…
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Virtual surgical planning for mandibular reconstruction in an abbreviated admission pathway.
[OBJECTIVES] Virtual Surgical Planning (VSP) creates individualized surgical plans for free flap reconstruction of mandibular defects. Prior studies indicate that VSP can offer cost benefits due to reduced operative time and length of stay …
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Functional Outcomes After the Sacrifice of Mandibular Condyle Using Fibula Free Flap for Immediate Surgical Reconstruction.
Introduction Head and neck cancer with mandibular invasion often necessitates composite resection, leading to defects requiring reconstruction. Microvascular fibula free flap (FFF) surgery is a common approach for this purpose. In this stud…
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The Microvascular Anastomotic Coupler for Venous Anastomosis in Head and Neck Reconstruction: An Institutional Experience.
Background This study aimed to identify outcome predictors with the GEM microvascular coupler system (GEM Coupler) in a series of patients undergoing free flap reconstruction for head and neck defects. Methodology In this retrospective char…
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Association between blood transfusion and outcomes of free flap head and neck cancer surgery.
[OBJECTIVE] Investigate the impact of patient risk factors and blood transfusions in Head and Neck free flap surgeries. [STUDY DESIGN] Retrospective chart review. [SETTING] Single tertiary referral center. [METHODS] 400 patients were inc…
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Functional Status Predicts Delay to Radiation in Free Tissue Transfer for Head and Neck Cancer.
[OBJECTIVE] Evaluate the effect of functional status and patient factors on delays in treatment with adjuvant therapy. [METHODS] Retrospective chart review (2020-2022) was conducted at a single tertiary referral center. Data were collected…
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Comparing donor site morbidity in osteocutaneous radial forearm versus fibula free flap for mandibular reconstruction.
[PURPOSE] The osteocutaneous radial forearm free flap has gained popularity as a less morbid option for oromandibular reconstruction compared to the fibular free flap. However, there is a paucity of data regarding direct outcome comparison …
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Postoperative and 1-Year Functional Outcomes After Free Flap Surgery Among Patients 80 Years or Older.
[OBJECTIVE] To evaluate the postoperative and 1-year functional outcomes after free flap surgery among patients ≥80 years old. [STUDY DESIGN] Retrospective chart review. [SETTING] Single tertiary care center. [METHODS] We conducted a ret…
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Association of Continuous Intraoperative Vasopressor Use With Reoperation Rates in Head and Neck Free-Flap Reconstruction.
[IMPORTANCE] Continuous vasopressor use in free-flap reconstruction is a point of contention among microvascular surgeons despite data demonstrating safety. [OBJECTIVE] To investigate the association between continuous vasopressor use and …
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Tolerability and Efficacy of Customized IncobotulinumtoxinA Injections for Essential Tremor: A Randomized, Double-Blind, Placebo-Controlled Study.
In this first, double-blind, randomized, placebo-controlled exploratory trial, we evaluate the efficacy and safety of incobotulinumtoxinA and feasibility of using kinematic tremor assessment to aid in the planning of muscle selection in a m…