Pipkorn P ⚠ 동명이인 가능성

[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…

[BACKGROUND] The scapula free flap is an unpopular option for osseous reconstruction of the head and neck in part due to the inability to perform simultaneous ablative surgery and harvesting of the free flap. In addition, it was originally …

[OBJECTIVE] To describe the clinical predictors of survival, disease control, and functional outcomes in patients with HPV-negative oropharyngeal squamous cell carcinoma (OPSCC) who underwent primary transoral surgery (TOS). [STUDY DESIGN]…

[BACKGROUND] Optimal contouring of osseous free flaps for mandibulectomy often requires osteotomies. The impact of malunion or nonunion on hardware extrusion is not well-documented. This study assesses postoperative bony union, its correlat…

[OBJECTIVES] Microvascular free tissue transfer is routinely used for reconstructing midface defects in patients with malignancy, however, studies regarding reconstructive outcomes in invasive fungal sinusitis (IFS) are lacking. We aim to d…

[OBJECTIVES] To assess airway, safety, and resource utilization outcomes between transoral base of tongue (BOT) surgery with staged versus concurrent bilateral neck dissections (BND). [METHODS] A retrospective cohort study of patients with…

[BACKGROUND] Medication related osteonecrosis of the jaw (MRONJ) requiring free flap (FF) reconstruction is uncommon with limited reported findings. [METHODS] Multicenter, retrospective case series of 49 consecutive adult patients presenti…

[INTRODUCTION] Coronavirus disease 2019 (COVID-19) affects the vascular system, subjecting patients to a hypercoagulable state. This is of particular concern for the success of microvascular free flap reconstruction. This study aims to repo…

[BACKGROUND] Head and neck osteoradionecrosis (ORN) of the midface requiring free flap (FF) reconstruction is uncommon. This multi-institutional study was designed to review outcomes for this rare patient population. [METHODS] Retrospectiv…

[BACKGROUND] Given limitations in the current literature, the precise indications, techniques, and outcomes relevant to vascularized fascia lata free flap reconstruction remain uncertain. The objective of this study was to perform a systema…

[INTRODUCTION] Cervical spine defects result in spinal instability, putting the spinal cord and vertebral arteries at risk of damage and possibly devastating neurological injuries. The fibula free flap can span the spinal defects for stabil…

[OBJECTIVES] To describe the experience of two tertiary academic centers with multiple, simultaneous free flaps for complex head and neck defect reconstruction. [METHODS] Patients undergoing multiple, simultaneous free flaps from 2017 to 2…

[OBJECTIVES] Aggressive surgical debridement is required in cervical necrotizing fasciitis, and in severe defects, subsequent free tissue transfer might be necessary. However, there is concern that the inflammatory environment of the infect…

[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…

[OBJECTIVES] Much of the literature on free tissue reconstruction in the "vessel-depleted" neck is focused on identification of vessels outside the pretreated field and data on free flap outcomes when infield microvascular anastomosis is pe…

[OBJECTIVE(S)] Patients with intracranial tumors have a higher risk of thromboembolic events. This risk increases at the time of surgical intervention. We have noted an anecdotal increase in perioperative flap thrombosis in patients undergo…

[OBJECTIVE] To systematically review the literature to determine the prevalence and risk of the free flap and postoperative complications in scalp-free tissue reconstruction with synthetic mesh cranioplasty. [DATA SOURCES] Search strategie…

[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…

[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…

Fibular free flap reconstruction of head and neck defects is complex, and the anatomic relationships among components of the fibular flap pose challenges to reconstructive surgeons. Various techniques have been employed in planning for fibu…

[BACKGROUND] Composite flaps based on the subscapular arterial system are excellent choices for complex defects, including those of the head and neck, though rates of anatomic variants are not well described. [OBJECTIVE] Characterize subsc…

[OBJECTIVE] Investigate current practice patterns of head and neck microvascular reconstructive surgeons when removing an implantable Doppler after free flap surgery. [STUDY DESIGN] Cross-sectional survey study. [METHODS] Survey distribut…

 Given the limitations in the available literature, the precise indications, techniques, and outcomes of anterior skull base free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of publis…

[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…

[OBJECTIVE] To systematically review management of flap loss in head and neck construction with free tissue transfer as compared with locoregional flap or conservative management. [DATA SOURCES] Medline, Embase, Scopus, Cochrane Central Re…

 Microvascular free flaps offer an alternative to local and regional flaps for coverage of complex or large skull base defects. Routes and approaches to these reconstructive options are complicated and require an understanding of complex he…

[BACKGROUND] Immunotherapy agents are used to treat advanced head and neck lesions. We aim to elucidate relationship between immunotherapy and surgical wound complications. [METHODS] Retrospective multi-institutional case series evaluating…

 While most defects after endoscopic endonasal resections can be closed with local or locoregional options, rare cases require free tissue transfer. In this setting, while minimally invasive techniques have been described, the essential pro…

[OBJECTIVES/HYPOTHESIS] To determine the frequency and management of short- and long-term complications related to oromandibular free flap reconstruction and identify potentially predictive factors of hardware complications. [STUDY DESIGN]…