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Color Match following Free Flap Surgery in Head and Neck Reconstruction: A Colorimetric and Aesthetic Analysis.
[BACKGROUND] Many options for free tissue transfer have been described for head and neck reconstruction. Although functional outcomes remain paramount, aesthetic considerations such as color match can be equally consequential for patient qu…
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Application of Time-Driven Activity-Based Costing for Head and Neck Microvascular Free Flap Reconstruction.
[OBJECTIVE] Traditional hospital accounting fails to provide an accurate cost of complex surgical care. Here we describe the application of time-driven activity-based costing (TDABC) to characterize costs of head and neck oncologic procedur…
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Neurotization of the radial forearm free flap improves swallowing outcomes in hemiglossectomy defects.
[BACKGROUND] We examined the effect of free tissue neurotization on speech and swallowing outcomes for patients undergoing reconstruction of hemiglossectomy defects with a radial forearm free flap (RFFF). [METHODS] A retrospective study wa…
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Team-Based Surgical Approach to Head and Neck Microvascular Free Flap Reconstruction.
[IMPORTANCE] Because microvascular free flap reconstruction is increasingly used to restore function in patients with head and neck cancer, there is a growing need for evidence-based perioperative care. [OBJECTIVE] To assess the associatio…
- Use of rotational thromboelastometry (ROTEM®) to predict thrombotic complications of microvascular head and neck reconstruction.
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Lateral border and scapular tip free flaps: Old school versus new school.
Free tissue transfer from the subscapular system provides a wide array of options for both soft tissue and bony reconstruction. When bone stock is required for head and neck reconstruction, both the lateral scapular border free flap (LSBFF)…
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Osteotomized folded scapular tip free flap for complex midfacial reconstruction.
[AIM] To describe a novel technique for the reconstruction of geometrically complex defects of the midface using an osteotomized folded scapular tip-free flap. [METHODS] Five patients underwent maxillectomy with defects disrupting two or m…
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Functional outcomes and tracheostomy dependence following salvage oropharyngeal surgery.
[PURPOSE:] Salvage surgical treatment of oropharyngeal cancer is associated with significant morbidity. We aim to identify predictive factors of functional outcomes to improve patient selection and counseling when contemplating salvage orop…