논문 목록
25건 · 최신순-
Etiology and Management of Intraoperative Free Flap Failure.
[BACKGROUND] Intraoperative free flap failure necessitates prompt intraoperative decision-making on alternative reconstructive strategies. In this study, we investigate the etiology and management of intraoperative flap loss. [METHODS] Ret…
- Techniques to Reconstruct Defects Involving the Orbit.
-
Long-Term Complications in Patient-Specific Plates for Maxillary Reconstruction.
[OBJECTIVES] Virtual surgical planning (VSP) allows for optimal reconstruction of maxillary defects with fibula free flaps. Current data are limited regarding long-term complications of patient-specific plates (PSPs) in this setting. Our ob…
-
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…
-
Free flap reconstruction following head and neck trauma.
[BACKGROUND] Free flap (FF) reconstruction of traumatic injuries to the head and neck is uncommon. [METHODS] Multi-institutional retrospective case series of patients undergoing FF reconstruction for a traumatic injury (n = 103). [RESULTS…
-
Long-Term Plate Complications in Patient-Specific Plates Utilizing Computer-Aided Design.
[OBJECTIVE] Assess the long-term plate complications with patient-specific plates (PSPs) created with computer-aided design (CAD) and computer-aided manufacturing (CAM) for fibula free flap reconstructions for mandibular defects. [METHODS]…
-
Factors Impacting Discharge Destination Following Head and Neck Microvascular Reconstruction.
[OBJECTIVE] Determine which variables impact postoperative discharge destination following head and neck microvascular free flap reconstruction. [STUDY DESIGN] Retrospective review of prospectively collected databases. [METHODS] Consecuti…
-
Post-operative Outcomes in Pediatric Patients Following Facial Reconstruction With Fibula Free Flaps.
[EDUCATIONAL OBJECTIVE] Assess outcomes of pediatric facial reconstruction with fibula free flaps. [OBJECTIVES] Free flap reconstruction of complex maxillofacial defects in pediatric patients is rare. Post-operative complications, donor si…
-
Management of the Failing Flap.
Free tissue transfer has become the reconstructive modality of choice for replacing composite tissue defects. While the success rate in high-volume centers is reported to be greater than 95%, up to 10% of patients will require revision of t…
-
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 …
-
Impact of smoking on donor site following rectus flap harvest for head and neck reconstruction.
[OBJECTIVES] The rectus abdominis myocutaneous free flap has been widely used as a reconstructive option in head and neck reconstruction with great success. Challenging the popular assumption, this study sought to examine the effects of smo…
-
Clinical outcomes following intraoperative pedicle disruption in fibula free flaps.
[OBJECTIVES] Iatrogenic injury of the fibula free flap pedicle is rare. Postoperative flap survival and reconstructive outcomes following intraoperative pedicle severance are unknown. This study assesses free flap outcomes following acciden…
-
Outcomes of Cranioplasty Reconstructions: Review of Cranioplasty Implants and Free Flap Coverage Variables that Affect Implant Exposure.
[BACKGROUND] Complex scalp wounds with cranial/dural involvement are challenging to reconstruct. Successful reconstruction can be achieved with cranial implants/hardware and free flap coverage. Wounds can breakdown and require revision proc…
-
Impact of preoperative and intraoperative management on outcomes in osteoradionecrosis requiring free flap reconstruction.
[BACKGROUND] Perioperative management of advanced osteoradionecrosis of the head and neck requiring free flap (FF) reconstruction varies. Our objectives included assessment of practice patterns and outcomes. [METHODS] Multi-institutional, …
-
Age and Comorbidities Impact Medical Complications and Mortality Following Free Flap Reconstruction.
[OBJECTIVE] Determine if age correlated with surgical or medical complications following head and neck free flap reconstruction. [STUDY DESIGN] Retrospective review of prospectively collected databases. [METHODS] Patients undergoing head …
-
Perioperative Topical Antisepsis and Surgical Site Infection in Patients Undergoing Upper Aerodigestive Tract Reconstruction.
[IMPORTANCE] Surgical site infections (SSIs) after vascularized reconstruction of the upper aerodigestive tract (UADT) are associated with considerable morbidity. The association between perioperative prophylaxis practices, particularly top…
-
Osteocutaneous Radial Forearm Free Flap Fixed to a Prior Osteocutaneous Free Flap: Two Case Reports.
Reconstruction of mandibular defects is best accomplished by composite bony tissue. When the fibula is not available other sources must be used. Occasionaly tumor recurence will neccesitate a further resection and bony reconstruction. We re…
-
Simultaneous maxillary and mandibular reconstruction with a single Osteocutaneous fibula free flap: A description of three cases.
Large defects that comprise both the maxilla and mandible prove to be difficult reconstructive endeavors and commonly require two free tissue transfers. Three cases are presented to discuss an option for simultaneous reconstruction of maxil…
-
Management of the Acute Loss of a Free Flap to the Head and Neck-A Multi-institutional Review.
[OBJECTIVES/HYPOTHESIS] To review the management of failed free tissue transfers among four large institutions over a 13-year period to provide data and analysis for a logical, algorithmic, experience-based approach to the management of fai…
-
Venous Flow Coupler in Head and Neck Free Flap Reconstruction.
[OBJECTIVE] To describe the utility of venous flow couplers in monitoring free tissue flaps in the immediate postoperative setting. [STUDY DESIGN] Retrospective case series. [SETTING] Otolaryngology department at a single tertiary care in…
-
Outcomes of Venous End-to-Side Microvascular Anastomoses of the Head and Neck.
[OBJECTIVES/HYPOTHESIS] The literature on outcomes of end-to-side (ETS) anastomoses for microvascular reconstruction of the head and neck is limited. This series reviews ETS in free tissue transfer (FTT) across multiple institutions to bett…
-
Mandibular rehabilitation: From the Andy Gump deformity to jaw-in-a-day.
The mandible is a critical structure of the lower facial skeleton which plays an important role in several vital functions. Segmental resection of the mandible is at times required in patients with advanced oral cavity malignancies, primary…
-
Microvascular Reconstruction of Osteonecrosis: Assessment of Long-term Quality of Life.
[OBJECTIVE] Review long-term clinical and quality-of-life outcomes following free flap reconstruction for osteonecrosis. [STUDY DESIGN] Retrospective multi-institutional review. [SETTING] Tertiary care centers. [METHODS] Patients include…
-
Reconstructing Forearm Free Flap Donor Sites Using Full-Thickness Skin Grafts Harvested from the Ipsilateral Arm.
[OBJECTIVE] To compare morbidity and aesthetic outcomes of full-thickness skin grafts (FTSGs) and split-thickness skin grafts (STSGs) in the reconstruction of the forearm free flap donor site. [STUDY DESIGN] Case series, retrospective char…
-
Factors impacting successful salvage of the failing free flap.
[BACKGROUND] Understanding factors impacting successful salvage of a compromised free flap. [METHODS] Multi-institutional review of free flap reconstructions for head and neck defects (n = 1764). [RESULTS] Free flap compromise rate: 9% (n…