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11건-
Reconstructive Head and Neck Microsurgery in a High-Volume Cancer Center-Long-Term Impact of an Early Experience.
[OBJECTIVES] The aim of this study was to evaluate a 16-year-long outcome of an evolving practical approach to reconstructive microsurgery in a high volume, resource-constrained, head and neck cancer care setting. [PATIENTS AND METHODS] Se…
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Trial Design for Mixed Urinary Incontinence: Midurethral Sling Versus Botulinum Toxin A.
[IMPORTANCE] Mixed urinary incontinence (MUI) is common and can be challenging to manage. [OBJECTIVES] We present the protocol design and rationale of a trial comparing the efficacy of 2 procedures for the treatment of women with MUI refra…
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Quality of life following treatment for T1a glottic cancer with surgery or radiotherapy: outcomes from the Head and Neck 5000 cohort.
[OBJECTIVES] To investigate the quality of life in patients treated with either RT or surgery alone for T1a glottic carcinoma. [DESIGN] This prospective cohort study aims to assess generic- and disease-specific patient-reported QoL in pati…
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A Brief Clinical Study: The Use of a Custom Guide for Scapula Free Flap Harvest and Mandibular Reconstruction.
Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains a relatively underused flap choice. This article examines the novel use of a custom guide for a scapula free flap…
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Orthognathic surgery in COVID-19 times, is it safe?
COVID-19 has impacted the provision of orthognathic surgery globally. Uncertainty around its effects and transmission in aerosol generating procedures (AGP's) has led to disagreement within maxillofacial surgeons into the safety of orthogna…
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A Century in Review: Medicolegal Implications of Facial Nerve Paralysis.
It is important to recognize factors that may mitigate the risk of a potential lawsuit and increase knowledge and awareness of physicians. To evaluate and characterize facial nerve paralysis litigation claims and related potential causes. …
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Perspectives and Consensus among International Orthopaedic Surgeons during Initial and Mid-lockdown Phases of Coronavirus Disease.
With a lot of uncertainty, unclear, and frequently changing management protocols, COVID-19 has significantly impacted the orthopaedic surgical practice during this pandemic crisis. Surgeons around the world needed closed introspection, cont…
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Cost-Effectiveness of Sacral Neuromodulation versus OnabotulinumtoxinA for Refractory Urgency Urinary Incontinence: Results of the ROSETTA Randomized Trial.
[PURPOSE] Sacral neuromodulation and intradetrusor onabotulinumtoxinA injection are therapies for refractory urgency urinary incontinence. Sacral neuromodulation involves surgical implantation of a device that can last 4 to 6 years while on…
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Sacral neuromodulation versus onabotulinumtoxinA for refractory urgency urinary incontinence: impact on fecal incontinence symptoms and sexual function.
[BACKGROUND] Women with refractory urgency urinary incontinence can be treated with onabotulinumtoxinA or sacral neuromodulation. Little data exists on the comparative effects of treatment of refractory urgency urinary incontinence on other…
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Can UK undergraduate dental programmes provide training in non-surgical facial aesthetics?
Aim Recently, more and more dentists have found themselves engaging in the delivery of non-surgical facial aesthetics (NSFA) as part of their regular practice routine. NSFA is a growing field in aesthetic medicine that is practised by a ran…
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Successful management of refractory diabetic gastroparesis with long-term Aprepitant treatment.
[BACKGROUND] People with gastroparesis who develop treatment-resistant (refractory) disease pose a difficult challenge, especially in the setting of end-stage renal disease (ESRD) or post pancreas transplant. Aprepitant (a neurokinin-recept…