논문 목록
21건 · 최신순-
Osseous free flap vs. Bridging plate mandibular reconstruction: a retrospective cohort study on perioperative complications of 335 patients.
[OBJECTIVES] This study compared postoperative complication rates between bridging plate reconstruction with soft tissue free flaps and osseous free flaps for segmental mandibular defects. [MATERIALS AND METHODS] This retrospective study c…
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Maxillofacial surgery compendium: insights from 1373 microvascular free flap reconstructions in the head and neck area.
This study aims to provide an overview of patient characteristics, treatment modalities, and associated complications following microvascular free flap reconstructions in maxillofacial surgery, based on data from a large national tertiary c…
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Accuracy of CAD/CAM planned mandibular reconstruction with scapula free flaps in reconstructive head and neck surgery - A single center study.
[PURPOSE] For the first time, this study explores the transfer precision of computer aided design and computer aided manufacturing (CAD/CAM) in mandibular reconstruction with scapula free flaps (SFF). [METHODS] Patients undergoing mandibul…
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Complication drivers in head and neck free flap surgery: A single-center predictive analysis.
[PURPOSE] Head and neck free flap (HNFF) surgery is essential in reconstructive surgery, addressing complex defects with tailored approaches. Despite high success rates, complications remain significant, influenced by patient comorbidities,…
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A critical reflection of radiotherapy on osseous free flaps in mandibular segmental resection and immediate reconstruction in locally advanced oral squamous cell carcinoma: A cohort study.
[BACKGROUND AND PURPOSE] With standard radiotherapy protocols after R0 resection of advanced local oral squamous cell carcinoma (OSCC) and primary reconstruction of segmental defects, a high radiation dose is applied to healthy tissue in au…
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Clinical implementation of the 3D 4K exoscope (Orbeye™) in reconstructive head and neck surgery.
[PURPOSE] To assess the clinical utility of the 3D 4K exoscope for reconstructive head and neck surgery. [METHODS] This retrospective study analyzed surgical details and complications with the use of the 3D 4K exoscope for microvascular re…
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Microvascular free flaps in head and neck reconstruction: an analysis of outcomes in elderly patients.
[OBJECTIVES] Maxillofacial reconstruction using microvascular free flaps is a well-established procedure to restore facial defects across various patients. Elderly patients face increased perioperative risks due to higher prevalence of como…
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Towards optimized donor site closure of radial forearm flaps: A cohort study of two techniques.
The radial forearm flap (RFF) is widely used for microvascular reconstruction in the head and neck region, but donor site complications, such as flexor tendon exposure, can impact patient recovery. This study retrospectively analyzed all pa…
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Clinical efficacy of subsequent microvascular free flaps in head and neck reconstructive surgery.
Microvascular free flap reconstruction is a standard technique in head and neck surgery with high success rates. Nevertheless, complications like early flap loss, locoregional recurrence of head and neck cancer and osteoradionecrosis may re…
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Reconstructing complexity: Indications for simultaneous and chimeric free flaps in extensive maxillofacial defects.
Reconstructing complex head and neck defects using multiple simultaneous or chimeric microvascular free flaps is rare, with no established guidelines on indications. This study evaluates the indications, flap combinations, outcomes, and com…
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Donor Site Morbidity in Fibula Free Flaps: A Technique-Dependent Comparative Analysis of Donor Site Wound Healing.
[BACKGROUND] The fibula free flap (FFF) is a mainstay in maxillofacial reconstruction, yet donor site morbidity remains a significant clinical concern. Closure technique is a key factor influencing complication rates, but comparative data r…
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Biomechanical evaluation of CAD/CAM magnesium miniplates as a fixation strategy for the treatment of segmental mandibular reconstruction with a fibula free flap.
Titanium patient-specific (CAD/CAM) plates are frequently used in mandibular reconstruction. However, titanium is a very stiff, non-degradable material which also induces artifacts in the imaging. Although magnesium has been proposed as a p…
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Comparative study of CAD/CAM reconstruction and miniplates for patient-specific fixation in LCL-type mandibular reconstruction.
[OBJECTIVE] Miniplates offer superior clinical handling and facilitate postoperative removal after mandibular reconstruction but unfavorable load distribution under high stress has been shown. This study aimed to compare the clinical outcom…
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Patient-specific miniplates versus patient-specific reconstruction plate: A biomechanical comparison with 3D-printed plates in mandibular reconstruction.
[BACKGROUND] Patient-specific 3D-printed miniplates for free flap fixation in mandibular reconstruction were recently associated with enhanced osseous union. Higher mechanical strains resulting from these plates are discussed as reasons, bu…
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Patient-specific 3D-printed mini-versus reconstruction plates for free flap fixation at the mandible: Retrospective study of clinical outcomes and complication rates.
This study aimed to compare the clinical outcomes and complication rates of patient-specific 3D-printed mini- and reconstruction plates for free flap fixation in mandibular reconstruction. A retrospective monocentric study was carried out b…
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Removal of patient-specific reconstruction plates after mandible reconstruction with a fibula free flap: is the plate the problem?
Computer-aided microvascular mandible reconstruction is an increasingly common procedure in oral and maxillofacial surgery. The aim of this retrospective single-centre study was to evaluate the rate and specifics of hardware removal after f…
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Patient-Specific 3D-Printed Miniplates for Free Flap Fixation at the Mandible: A Feasibility Study.
[BACKGROUND] This study was conducted to evaluate the feasibility, clinical outcomes, and accuracy of patient-specific 3D-printed miniplates for mandible reconstruction with fibula free flaps. [METHODS] A feasibility study was conducted wi…
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Increased rate of pseudarthrosis in the anterior intersegmental gap after mandibular reconstruction with fibula free flaps: a volumetric analysis.
[OBJECTIVES] Pseudarthrosis after mandibular reconstruction leads to chronic overload of the osteosynthesis and impedes dental rehabilitation. This study evaluates the impact of gap site on osseous union in mandible reconstruction using a n…
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Towards mechanobiologically optimized mandible reconstruction: CAD/CAM miniplates vs. reconstruction plates for fibula free flap fixation: A finite element study.
Due to their advantages in applicability, patient-specific (CAD/CAM) reconstruction plates are increasingly used in fibula free flap mandible reconstruction. In addition, recently, CAD/CAM miniplates, with further advantages in postoperativ…
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One stage microvascular mandible reconstruction by using scapula chimeric flap combined with computer-aided-design and computer-aided-manufacturing plate including bilateral alloplastic TMJ prosthesis: A case report.
This report focuses a defect comprising the complete mandible due to osteonecrosis, including both condyles, that required bilateral temporomandibular joint (TMJ) reconstruction with complete mandibular corpus using a computer-aided-design …
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Free flap surgery in Europe: an interdisciplinary survey.
Free flap surgery is essential for the aesthetic and functional reconstruction of various parts of the body. The aim of this study was to compare current concepts of perioperative flap management between ENT, craniomaxillofacial, and plasti…