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20건 · 최신순-
Bony Union in Maxilla and Mandible Free Flap Reconstruction: A Systematic Review and Meta-Analysis.
[BACKGROUND] Bony nonunion is an important complication in head and neck reconstruction, but its definition, incidence, and treatment are not well-reported. [METHODS] MEDLINE, Embase, CENTRAL, and Web of Science were searched from October …
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Avoiding prophylactic tracheostomies in head and neck surgeries with reconstructive free flaps: An institutional shift in practice.
[BACKGROUND] In 2018, an initiative at the authors' institution aimed at reducing routine prophylactic tracheostomies for head and neck reconstructions with free flaps was implemented. Discussion between the surgical team and anesthesia abo…
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Efficiency of Cephalic Vein Only Anastomosis During Radial Forearm Free Flap.
[IMPORTANCE] The closure technique for the radial forearm free flap (RFFF), a commonly utilized flap in head and neck reconstruction, remains a debated topic as there are unique advantages and drawbacks to each technique. [OBJECTIVE] The p…
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Cost Outcomes of Virtual Surgical Planning in Head and Neck Reconstruction: A Systematic Review.
[BACKGROUND] Virtual surgical planning (VSP) is an emerging method in head and neck reconstruction with demonstrated benefits, however, its economic viability is supported with mixed evidence. [METHODS] A structured search was performed in…
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Scapula or Fibula?: Prospective data-driven decision criteria for flap selection in mandibular reconstruction planning.
[OBJECTIVES] The objectives of the study are twofold: 1) to propose a set of criteria for virtually evaluating different types of reconstructions for mandibular defects during surgical planning, and 2) to prospectively apply the criteria to…
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Geometric Study and Clinical Case Series for Mandible Reconstruction With a Single-Piece Scapular Free Flap.
[BACKGROUND] Virtual surgical planning (VSP) with simple cutting templates could help surgeons preoperatively plan scapula reconstructions in the vertical and horizontal orientations. [METHODS] Virtually, eight defects were created in ten …
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Predicting reactive gastrostomy-tube placement after head and neck free flap reconstruction.
[OBJECTIVES] The objectives of the study are: 1) to analyze the factors associated with post-operative placement of gastrostomy tube (G-tube) in head and neck reconstruction patients, and 2) to create a simple scoring system that can predic…
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The utility of patient-specific surgical plates in free flap mandibular reconstruction: A systematic review and meta-analysis.
[PURPOSE] To evaluate the accuracy and clinical outcomes using patient-specific surgical plates (PSSPs) in mandibular reconstruction. [METHODS] MEDLINE, EMBASE, Scopus, and Web of Science were searched. Study, patient, PSSP characteristics…
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Development and validation of a novel craniofacial statistical shape model for the virtual reconstruction of bilateral maxillary defects.
Bilateral maxillary defects are a challenge for fibula free flap reconstruction (FFFR) surgery due to limitations in virtual surgical planning (VSP) workflows. While meshes of unilateral defects can be mirrored to virtually reconstruct miss…
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140-year history of pharyngoesophageal reconstruction.
[OBJECTIVE] For over a century, circumferential pharyngoesophageal junction reconstruction posed significant surgical challenges. This review aims to provide a narrative history of pharyngoesophageal junction reconstruction from early surgi…
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Outcomes of Radial Forearm Free Flap Closure With Split-Thickness Skin Graft Versus Primary Closure.
[BACKGROUND] This study compares patient-reported functional and aesthetic outcomes of split-thickness skin graft (STSG) versus hatchet flap closure of radial forearm free flap (RFFF) donor site. [METHODS] Patients with RFFF (2015-2020) we…
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Donor site morbidity after scapula free flap surgery of head and neck reconstruction: A systematic review and meta-analysis.
[BACKGROUND] The scapula free flap is becoming increasingly more utilized in head and neck reconstruction due to its natural geometry and soft tissue versatility. This study reviews the incidence rate, risk factors, and treatments of compli…
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Virtual surgical planning for maxillary reconstruction with the scapular free flap: An evaluation of a simple cutting guide design.
[BACKGROUND] The study's objective is to assess the feasibility and utility of VSP for maxillary reconstruction with the scapular free flap. [METHODS] An open-source VSP platform was used to create the reconstruction models and simple guid…
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Synchrony in head and neck surgery: Feasibility and outcomes of simultaneous scapular free flap reconstruction.
[BACKGROUND] The scapula free flap is a versatile option in head and neck reconstruction but is less amenable to simultaneous harvest and ablation. [METHODS] Retrospective series (2015-2021) of consecutive scapula flaps. Cases categorized …
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Dyskeratosis Congenita and Squamous Cell Cancer of the Head and Neck: A Case Report and Systematic Review.
[OBJECTIVES] Dyskeratosis congenita (DC) is a progressive congenital disorder that predisposes patients to squamous cell cancers (SCC) of the head and neck. We report a case of a patient who underwent primary osteocutaneous free flap for ma…
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Patient-reported outcomes and morbidity after head and neck reconstructions: An evaluation of fibular and scapular free flaps.
[BACKGROUND] Fibular (FFF) and scapular free flaps (SFF) are versatile tissue transfers for head and neck reconstruction. However, their relative morbidity has been sparsely studied. The primary goal of this study was to evaluate the morbid…
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The state of virtual surgical planning in maxillary Reconstruction: A systematic review.
Virtual surgical planning (VSP) and computer aided design utilization in head and neck reconstruction has become increasingly popular within the discipline. Advocates of the technology over traditional free hand surgery cite benefits includ…
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Postoperative patient-centered multimedia education in head and neck cancer patients: A pilot study.
[OBJECTIVE] It is hypothesized that patients who are actively provided with more treatment-related education may report increased satisfaction and have improved overall outcomes. The aim of this study was to demonstrate the feasibility of a…
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Maxillectomy defects: Virtually comparing fibular and scapular free flap reconstructions.
[BACKGROUND] This study virtually compares patient-specific fibular and scapular reconstructions for maxillectomies. [METHODS] Nine maxillectomy defects were created on 10 maxillas and virtually reconstructed with patient-specific fibulas …
- Versatility of a single piece scapular tip and lateral border free flap for mandibular reconstruction: A virtual study on angle correspondence.