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10건 · 최신순-
Impact of the "July effect" in head and neck microvascular reconstruction: A retrospective review.
[OBJECTIVE] The "July effect," a theory that the beginning of the academic year has worse operative outcomes and complication rates, remains controversial. We evaluated the "July effect" as a risk factor for negative operative outcomes in h…
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Chronic Rhinosinusitis Risk after Maxillectomy with Microvascular Reconstruction.
[INTRODUCTION] Chronic rhinosinusitis (CRS) can be associated with tumors involving the maxillary sinus, but outcomes after undergoing maxillectomy with free flap reconstruction remain unclear. [METHODS] A retrospective analysis of medical…
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Post-operative Monitoring for Head and Neck Microvascular Reconstruction in the Era of Resident Duty Hour Restrictions: A Retrospective Cohort Study Comparing 2 Monitoring Protocols.
[OBJECTIVES] To determine whether 2 different methods of post-operative head and neck free flap monitoring affect flap failure and complication rates. [METHODS] A retrospective chart review of 803 free flaps performed for head and neck rec…
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Association of Head and Neck Anatomic Zones with Microvascular Reconstruction Outcomes.
Head and neck free flap survival relies on adequate tissue perfusion from the external carotid artery (ECA), and vessel length is inversely proportional to blood flow rate. Investigate whether distance from the ECA (as a proxy for pedicle …
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Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons.
[OBJECTIVE] To determine whether gender differences exist in the training history, practice patterns, and home lives of surgeons who perform microvascular reconstruction of the head and neck. [STUDY DESIGN] Cross-sectional survey. [SETTIN…
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Use of the O-Z flap as an alternative to free tissue transfer for reconstruction of large scalp defects.
[OBJECTIVE] The reconstruction of large scalp defects poses both functional and cosmetic challenges. While free tissue transfer remains the standard for defects larger than 30 cm, prolonged anesthesia and postoperative complications remain …
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Value of Intensive Care Unit-Based Postoperative Management for Microvascular Free Flap Reconstruction in Head and Neck Surgery.
Although routine postoperative care for microvascular free flap reconstruction typically involves admission to the intensive care unit (ICU), few studies have investigated the effect of postoperative care setting on clinical outcomes and in…
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Retropharyngeal Internal Carotid Artery Management in TORS Using Microvascular Reconstruction.
[OBJECTIVES] Guidelines for transoral robotic surgery (TORS) have generally regarded patients with retropharyngeal carotid arteries as contraindicated for surgery due to a theoretical risk of intraoperative vascular injury and/or perioperat…
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Intensive Care Versus Nonintensive Care Ward for Postoperative Management of Head and Neck Free Flaps: A Meta-Analysis.
Although advances in surgical technique and medical management have drastically improved outcomes of free flap reconstructive surgery in head and neck patients, there is no clear consensus on appropriate level of postoperative care. The li…
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Pectoralis major muscle flap use in a modern head and neck free flap practice.
[PURPOSE] Pectoralis major muscle flaps (PMMF) are a commonly used reconstructive modality to repair head and neck defects. As the use of free flap reconstruction is increasingly practiced in the head and neck, the role of the PMMF may be c…