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20건 · 최신순-
Comparing Functional Outcomes Following TORS With Free Flap Reconstruction Using a Radial Forearm vs. Anterolateral Thigh Flap.
[BACKGROUND] Free flap reconstruction (FFR) following transoral robotic surgery (TORS) is commonly performed using radial forearm free flaps (RFFF). This study compares patterns of functional recovery between RFFFs and anterolateral thigh f…
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Flow-Through Flaps as a Robust Method for Advanced Free Flap Reconstruction in the Head and Neck: A Multi-Institutional Experience.
[BACKGROUND] Flow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce. [METHODS] A multi-in…
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Functional Outcomes of Free Flap Reconstruction After TORS in Early-Stage HPV-Positive Oropharyngeal Cancer.
[OBJECTIVE] In the unique clinical context of a retropharyngeal carotid artery (RPC), free flap reconstruction (FFR) may be used for small pathologic tumor (pT)1-2 human papillomavirus (HPV)+ oropharyngeal squamous cell carcinoma (OPSCC) tu…
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National opioid prescription decline across outpatient specialty surgeries: A claims database study.
[BACKGROUND] The Centers for Disease Control and Prevention encourages physicians to limit unnecessary opioid prescriptions. [OBJECTIVE] The proportion of patients from 2009 to 2022 who filled an opioid prescription within 1 week after the…
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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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The efficacy of the National Surgical Quality Improvement Program surgical risk calculator in head and neck surgery: A meta-analysis.
[BACKGROUND] The National Surgical Quality Improvement Program surgical risk calculator (SRC) estimates the risk for postoperative complications. This meta-analysis assesses the efficacy of the SRC in the field of head and neck surgery. [M…
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Transoral robotic surgery with free flap reconstruction: Functional outcomes of 241 patients at a single institution.
[BACKGROUND] Transoral robotic surgery (TORS) for oropharyngeal malignancy optimizes oncologic outcomes while preserving functionality. This study identifies patterns of functional recovery after TORS with free flap reconstruction (FFR). […
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Free Flap Outcomes for Head and Neck Surgery in Patients with COVID-19.
[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…
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Risk Factors for Plate Infection, Exposure, and Removal in Mandibular Reconstruction.
[OBJECTIVE] Mandibular plate reconstruction (MPR) is often indicated after tumor ablation, osteoradionecrosis excision, and traumatic bone loss to restore oral functionality and facial cosmetics. There are limited analyses identifying risk …
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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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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…
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Rhytidectomy-Information Patients Seek and Where They Find Answers.
Patients considering rhytidectomy often search for information online prior to in-office consultation. This study identifies the most searched queries regarding rhytidectomy and evaluates sources to which patients are directed. The search e…
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Multimodal Analgesia in Head and Neck Free Flap Reconstruction: A Systematic Review.
[OBJECTIVE] Postoperative pain after head and neck cancer surgery is commonly treated with opioids, which are associated with considerable side effects. The objective of this study is to analyze the safety and efficacy of using multimodal a…
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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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Enhanced recovery after surgery for head and neck free flap reconstruction: A systematic review and meta-analysis.
[INTRODUCTION] Head and neck free flap reconstruction requires multidisciplinary and coordinated care in the perioperative setting to ensure safe recovery and success. Several institutions have introduced enhanced recovery after surgery (ER…
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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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Examining the relationship of immunotherapy and wound complications following flap reconstruction in patients with head and neck cancer.
[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…
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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…