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39건 · 최신순-
Review of Treatment Options for Facial Synkinesis: Working Towards a Standardized Algorithm.
Background Facial synkinesis describes a sequela of transient facial nerve injury that can occur following viral reactivation syndromes such Bell's palsy or following traumatic facial nerve injury. Facial synkinesis is frequently characteri…
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Introducing "Papyrus Graft": A Versatile and Reliable Backup in Challenging Structural Rhinoplasty.
[BACKGROUND] Structural rhinoplasty is a complex surgical procedure that aims to restore and enhance nasal structure and function by reconstructing the underlying framework. Robust grafting material is required for durable results. For revi…
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A Systematic Review of Functional Donor-Site Morbidity in Scapular Bone Transfer.
[BACKGROUND] Despite the general perception of minimal donor-site morbidity associated with scapular free flaps, the surgical harvest of scapular bone and subsequent reattachment of parascapular muscle have the potential to compromise posto…
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A survey of cone beam computed tomography use amongst endodontic specialists in the United Kingdom.
[INTRODUCTION] The aim of this study was to investigate the applications of cone beam computed tomography (CBCT) amongst endodontic specialists in the United Kingdom (UK) via an online survey. [METHODS] An online invitation to take part in…
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Comparative meta-analysis of microsurgery versus endovascular therapy and bypass versus nonbypass techniques for blister-like aneurysms: enigmas of the supraclinoid internal carotid artery.
[OBJECTIVE] Blister aneurysms of the internal carotid artery (ICA) have high associated mortality rates and are challenging due to their friable wall and poorly defined neck. Microsurgical and endovascular treatment options have been sugges…
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Assessing healing of periapical pathologies by platelet-rich fibrin: A clinical study.
One of the on-going clinical challenges in endodontic microsurgery is the regeneration of massive periapical lesions. Hence, a Forty patients participated in this randomized controlled clinical experiment to see how well platelet-rich fibri…
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Brainstem Cavernous Malformations: A Systematic Review and Meta-Analysis.
[BACKGROUND] Brainstem cavernous malformations (BSCMs) are rare yet high-risk vascular lesions with a complex clinical course due to their eloquent location. Optimal treatment remains a topic of debate. This review aims to evaluate the outc…
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Partial vs Whole Laryngeal Radiotherapy for Clinical Stage T1-2N0M0/Tis Laryngeal Carcinoma.
[IMPORTANCE] The current standard treatment for clinical tumor stage 1 to 2 or in situ laryngeal carcinoma without node involvement or metastases (T1-2N0M0/Tis) is whole laryngeal radiotherapy (WLRT), whereas microsurgery typically resects …
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Microsurgery and endovascular therapy serve instrumental roles in multimodal management of giant cerebral aneurysms: a systematic review.
[INTRODUCTION] Giant intracranial aneurysms are rare vascular lesions consisting of cerebral aneurysms measuring ≥25 mm in diameter. Their formation is the result of multiple factors including their association with a unique genomic landsca…
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Chemical Denervation to Relieve Symptoms in Jugular Venous Compression Syndrome: A Case Report.
Jugular venous compression syndrome (JVCS) is caused by internal jugular vein compression, leading to headaches, neck discomfort, tinnitus, vertigo, confusion, and blurred vision. These impairments can diminish functional outcomes and compr…
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A Hospitalist's Challenge: Systemic Botulism Following a Cosmetic Injection Requiring Antitoxin Therapy and Percutaneous Endoscopic Gastrostomy (PEG).
Botulinum toxin type A (BoNT-A) is widely used in cosmetic practice and generally considered safe, with adverse effects usually limited to transient local reactions. Rarely, systemic spread or counterfeit formulations can cause iatrogenic b…
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Use of Mammoplasty to Treat a Recurrent Breast Abscess: Improving Cosmetic Outcomes by Incorporating Principles of Oncoplastic Breast Surgery.
Chronic inflammatory breast disease, including recurrent mastitis, can significantly affect both physical and psychological well-being. Complications such as chronic abscesses and fistula formation often necessitate multiple surgical interv…
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Evaluating Outcomes in Septorhinoplasty Procedures Using Serum Cotinine as a Measure for Tobacco Use.
[OBJECTIVE] Perioperative tobacco use is associated with poor wound healing postoperative complications. The purpose of this study is to use serum cotinine as a measure of tobacco consumption to evaluate complication rates and outcomes in p…
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Prognostic Factors Affecting the Outcome of Surgical Root Canal Treatment-A Retrospective Cone-Beam Computed Tomography Cohort Study.
To assess the association between demographic and clinical variables and the outcome of root-end surgery using digital periapical radiographs (PA) and cone-beam computed tomography (CBCT). One hundred and fifty teeth that received endodont…
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Total Nasal Reconstruction: Advances in Free Tissue Transfer for Internal Lining and Structural Support.
Total nasal reconstruction is a complex challenge due to the need to establish new internal lining, internal structural support, and external skin covering that is both functional and esthetic. The medial femoral condyle corticoperiosteal f…
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Minimally invasive keyhole craniotomies for microsurgical clipping of cerebral aneurysms: comparative meta-analysis of the mini-pterional and supraorbital keyhole approaches.
[OBJECTIVE] Axel Perneczky is responsible for conceptualizing the "keyhole" philosophy as a new paradigm of minimal invasiveness within cranial neurosurgery. Keyhole neurosurgery aims to limit approach-related traumatization and minimize br…
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Facial synkinesis: A distressing sequela of facial palsy.
[INTRODUCTION] Synkinesis refers to abnormal involuntary facial movements that accompany volitional facial movements. Despite a 55% incidence of synkinesis reported in patients with enduring facial paralysis, there is still a lack of comple…
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The Critical Blood-Sparing Effect of Tranexamic Acid (TXA) in Liposuction: A Systematic Review and Meta-Analysis.
[INTRODUCTION] Tranexamic acid (TXA) has been used to improve bleeding outcomes in many surgical procedures. However, its blood-sparing effect in liposuction is not well established. [METHODS] A systematic literature search was performed u…
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Understanding Financial Toxicity in Patients with Head and Neck Cancer: A Systematic Review.
[BACKGROUND] Cancer treatment often results in financial burdens for patients including healthcare costs as well as treatment-induced disability leading to "financial toxicity" (FT) and decreased quality of life. The purpose of this review …
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Comparison of Different Reconstruction Flap for Maxillofacial Region: An Original Research.
[INTRODUCTION] Large chunks of the tissue are sacrificed during the surgical procedures for the treatment if oral cancers. Our goal was to assess the viability of "". [MATERIAL AND METHODS] Sixty subjects were included in this investigatio…
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Botulinum Toxin A in the Management of Pediatric Sialorrhea: A Systematic Review.
[OBJECTIVE] Botulinum toxin A is known to be effective and safe in managing sialorrhea in pediatric patients; however, there is no consensus on a protocol for optimal injection sites and appropriate dosing for injection. [METHODS] This rev…
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Reconstruction of oral cavity defects using myogenous-only scapular tip free-flaps.
[BACKGROUND] Oral cavity reconstruction is very challenging anatomical subsite to reconstruct. Large defects often require free tissue reconstruction to provide the best chance of form and function. Additionally, free tissue reconstruction …
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Relative Value Units and Operative Time in Plastic and Reconstructive Surgery.
[BACKGROUND] Work relative value units (wRVUs) are linked to clinical reimbursements and physician compensation in the USA and thus should consider the time of the physician providing care. The primary goal of this study is to assess whethe…
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Adverse Events Associated with Implantable Dopplers during Microvascular Surgery.
[BACKGROUND] Implantable Dopplers (IDs) are widely used for postoperative free flap vascular monitoring. However, IDs may contribute to free flap complications or failure and better understanding of device malfunctions is needed. [METHODS…
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Head and neck free tissue transfer in a patient with factor V Leiden: case report and review of the literature.
Hypercoagulable disorders can compromise success of free flap reconstruction. Factor V Leiden is one such disorder for which only one previously reported case of successful free tissue transfer in the head and neck has been described. We re…
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Alternative therapies for dry eye disease.
[PURPOSE OF REVIEW] Dry eye disease (DED) is a multifactorial disease affecting approximately 5-50% of individuals in various populations. Contributors to DED include, but are not limited to, lacrimal gland hypofunction, meibomian gland dys…
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A Century in Review: Medicolegal Implications of Facial Nerve Paralysis.
It is important to recognize factors that may mitigate the risk of a potential lawsuit and increase knowledge and awareness of physicians. To evaluate and characterize facial nerve paralysis litigation claims and related potential causes. …
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Endoscopic Versus Open Laminectomy for Lumbar Spinal Stenosis: An International, Multi-Institutional Analysis of Outcomes and Adverse Events.
[STUDY DESIGN] Retrospective cohort study and systematic review. [OBJECTIVES] Endoscopic decompression offers a minimally invasive alternative to traditional, open laminectomy. However, comparison of these surgical techniques has been larg…
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Perspectives and Consensus among International Orthopaedic Surgeons during Initial and Mid-lockdown Phases of Coronavirus Disease.
With a lot of uncertainty, unclear, and frequently changing management protocols, COVID-19 has significantly impacted the orthopaedic surgical practice during this pandemic crisis. Surgeons around the world needed closed introspection, cont…
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Botulinum Toxin A Improves Symptoms of Gastroparesis.
[BACKGROUND AND AIMS] Pyloric injections of botulinum toxin A (BoNT/A) have shown benefit in open-label studies for patients with gastroparesis but not in randomized trials. We sought to examine the effectiveness of BoNT/A injections in a p…