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9건 · 최신순-
ALT Free Flap Coverage after Carotid Endarterectomy in the Setting of Severe Radiation Changes.
Carotid endarterectomy with patch angioplasty is commonly performed for severe atherosclerotic disease to reduce stroke risk. After neck radiation, loss of tissue planes; reactive fibrosis of skin; contraction; and rarely, necrosis of skin …
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Stratification of Surgical Risk in DIEP Breast Reconstruction Based on Classification of Obesity.
[BACKGROUND] From both a medical and surgical perspective, obese breast cancer patients are considered to possess higher risk when undergoing autologous breast reconstruction relative to nonobese patients. However, few studies have evaluat…
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Autologous Mandible Reconstruction in a Hypercoagulable Patient following Multiple Failed Free Flaps.
Coagulopathies affect 3% of free flap patients and are among the leading causes of free flap failure. This report describes the case of a head and neck cancer patient that experienced two remote free flap failures before successful autologo…
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The Impact of Indocyanine Green Angiography on Fat Necrosis in Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
[BACKGROUND] The deep inferior epigastric perforator flap (DIEP) is a widely known reliable option for autologous breast reconstruction. One common complication of DIEP procedures is fat necrosis. Consequences of fat necrosis include wound …
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Reconstruction of Bilateral Mandibular Condyles Using a Single Vascularized Fibula.
Patients with end-stage temporomandibular joint (TMJ) pathology present with loss of vertical ramus height with resulting retrognathia, anterior open bite, and restricted jaw function requiring joint reconstruction. Costochondral grafts, lo…
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A Novel Technique for Radiographic Diagnosis of Sarcopenia that Accurately Predicts Postoperative Complications in Lower Extremity Free Flap Patients.
[BACKGROUND] Sarcopenia is linked to poor outcomes throughout the surgical literature and can be assessed on preoperative imaging to potentially aid in risk stratification. This study examined the effects of sarcopenia on surgical morbidit…
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Subtotal Mandible Reconstruction with a Free Fibula Flap and No Skin Incisions.
Resection of large mandibular tumors followed by primary reconstruction using free tissue transfer is typically accomplished using transcutaneous cervical incisions, which provide access for ablation as well as inset of the osseous free fla…
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Aesthetic Refinement of the Abdominal Donor Site after Autologous Breast Reconstruction.
[BACKGROUND] The abdominal donor site has consistently demonstrated excellent aesthetic outcomes when used for autologous breast reconstruction. However, a consistent point of dissatisfaction is the location and appearance of the abdominal …
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Immediate osseous genioplasty with Kirschner wire fixation for revision of infected alloplastic chin implant.
Genioplasty is a useful tool for correction of congenital abnormalities, as well as for aesthetic improvements of the lower face. Both alloplastic implantation and osseous genioplasty techniques have long been used successfully to achieve s…