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Impact of Preoperative Multidisciplinary Conference on Head and Neck Reconstruction Outcomes.
[INTRODUCTION] Head and neck oncologic resections with microvascular reconstruction are lengthy and complex procedures with inefficiencies in the operating room (OR) associated with increased complications and higher costs. Multidisciplinar…
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Use of Tranexamic Acid in Head and Neck Free Flap Reconstruction.
[INTRODUCTION] Tranexamic acid (TXA) is commonly used in surgical settings to reduce blood loss. Due to its antifibrinolytic properties, TXA theoretically increases the risk of thrombosis. In this study, the use of TXA was assessed in patie…
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Co-surgery in head and neck microvascular reconstruction.
[PURPOSE] Co-surgery with two attending reconstructive surgeons is becoming increasingly common in breast microvascular reconstruction due to case complexity and the potential for improved outcomes and operative efficiency. The impact of co…
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Head and Neck Reconstruction in Patients with Polycythemia Vera: Case Series and Literature Review.
Polycythemia vera (PV) is a myeloproliferative disease with overproduction of erythrocytes, leukocytes, and platelets causing an increased risk of both thrombosis and hemorrhage. There are limited reports and no established guidelines for …
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Venous Thromboembolism Rates After Free Flap Reconstruction of the Head and Neck Region.
[BACKGROUND] Venous thromboembolism (VTE) is a major concern for the postoperative hospitalized patient, especially after long and complex procedures. Cancer itself also contributes to the hypercoagulable state, further complicating the man…
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Standard Fixed Enoxaparin Dosing for Venous Thromboembolism Prophylaxis Leads to Low Peak Anti-Factor Xa Levels in Both Head and Neck and Breast Free Flap Patients.
[BACKGROUND] Venous thromboembolism (VTE) is a serious complication, particularly in cancer patients undergoing free flap reconstruction. Subcutaneous enoxaparin is the conventional prophylaxis for VTE prevention, and serum anti-factor Xa …
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Surgical factors associated with patient-reported quality of life outcomes after free flap reconstruction of the oral cavity.
[OBJECTIVES] To determine which surgical factors are associated with quality-of-life (QOL) outcomes in oral cavity cancer survivors after free flap reconstruction of the oral cavity. [PATIENTS AND METHODS] A cross-sectional study was condu…