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Immediate oral feeding after free-flap reconstruction of the oral cavity.
[AIM] There remains no consensus on the definition or value of early oral feeding after head and neck surgery. The main objective of this study was to determine how immediate oral feeding (IOF) with soft diet within 2 days following free-fl…
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Microsurgery in low- and middle-income countries: Results of 20 years of experience in Cambodia.
[BACKGROUND] Microsurgical free tissue transfer is the gold standard for reconstructing major bone or soft tissue defects but requires complex training, and specific resources. Therefore, some authors have stated that microsurgery is imposs…
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Osteosynthesis for mandibular reconstruction with fibula free flap: Which type and why? A French national survey.
We explored the most suitable osteosynthesis type for mandibular reconstruction using fibula free flap (FFF) given the lack of robust data available. For this, an anonymous survey was e-mailed to 853 head-and-neck surgeons (France) asking a…
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Fibula free flap perforasomes: vascular anatomical study and clinical applications.
[PURPOSE] This study assesses the anatomical features of the cutaneous fibular perforators and perforasomes of fibular free flap to determine the clinical implications therein. [METHODS] This anatomical study was performed with 16 fresh ca…
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Multicentre evaluation of the interest in planned surgery for mandibular reconstruction with fibula free flap: a retrospective cohort study.
[PURPOSE] The aim of this study was to determine the impact and cost-effectiveness of virtual surgical planning during fibula free flap mandibular reconstruction on peri- and postoperative data. [METHODS] We conducted a retrospective cohor…
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Surgical benefit of mandibular morphometric analysis: A new tool to standardize mandibular reconstruction.
[PURPOSE] The gold-standard for reconstruction of large mandibular defects is the use of free flaps of vascularized autologous bone with the fibula as the preferred donor site. The use of "custom cutting guides" for this indication is becom…
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Frontoethmoidal meningoencephalocele: appraisal of 200 operated cases.
[OBJECT] Frontoethmoidal mengingoencephaloceles (fMECs) are frequently observed in Cambodia, especially in poor families. The authors describe issues related to the surgical treatment of fMECs in Cambodia at the end of a humanitarian progra…
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[Caustic burns. Clinical study of 24 patients with sulfuric acid burns in Cambodia].
Over a period of 12 years, 24 burns have been treated by a Cambodgian and French team (Doctors of the World). This experience has revealed some characteristics of this population: (1) a majority of young women (2/3), (2) victims of assault …
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[What are the objectives of a humanitarian reconstructive plastic surgery mission?].
What is the place of plastic and reconstructive surgery within the field of general surgery in developing countries? A limited personal experience (15 missions, 220 operated patients), and a more extensive experience of colleagues working i…