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23건 · 최신순-
Beyond the Scar: Exploring Functional Outcomes, Donor Site Morbidity and Cosmesis for Radial Forearm Free Flap Reconstruction for Head and Neck Cancer.
[BACKGROUND] Surgical reconstruction for head and neck cancer (HNC) using a radial forearm free flap (RFFF) allows surgeons to autotransplant vascularised tissue to repair soft tissue defects. This study investigated donor-site morbidity, c…
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The Effect of Prior Radiotherapy on Postoperative Complications in Patients Undergoing Free Flap Reconstruction of the Head and Neck.
[BACKGROUND] Free tissue transfer is standard of care in the reconstruction of large defects in the head and neck. Many patients who undergo free flap reconstruction have had prior head and neck radiotherapy (HNRT). The aim of this study is…
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Economic evaluation of microvascular reconstruction of the jaw: A micro-costing analysis and identification of key cost-drivers.
[PURPOSE] Efficient resource allocation in surgery requires thorough economic evaluation that reflects the true costs of a procedure, with micro-costing being a primary method. Existing economic studies on microvascular jaw reconstruction o…
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Preoperative Frailty Screening in Head and Neck Cancer: A Prospective Comparison of Three Assessment Tools.
[BACKGROUND] Whilst guidelines recommend routine frailty screening for elderly patients with head and neck cancer (HNC), no consensus exists on the preferred tool to predict postoperative morbidity. The aim of this study was to assess the p…
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Quality of life outcomes in patients receiving dental implants in vascularised bone flaps for mandibular reconstruction.
Resection, reconstruction, and rehabilitation of the mandible impact function and health related quality of life (HRQOL). In this study, we aimed to understand the impact of delayed versus immediate dental implant placement. A cross-section…
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A Pilot Trial of Tongue Reconstruction Using the Chimeric Innervated Vastus Lateralis Muscle and Antero-Lateral Thigh Free Flap.
[BACKGROUND] Subtotal and total glossectomies for advanced tongue cancer result in significant speech- and swallow-related morbidity, impairing quality of life. This prospective pilot study compares the safety and functional outcomes associ…
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A comparison of facial contour and patient-reported outcomes following zygomatic implant perforated (ZIP) flaps and fibular osseous flaps for maxillary reconstruction.
The zygomatic implant perforated (ZIP) flap is an alternative to the fibular free flap (FFF) for maxillary reconstruction with dental rehabilitation. The aim of this study was to compare facial contour and patient-reported outcomes in match…
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A comparison of preoperative soft tissue contour versus bone accuracy as a predictor of quality of life outcomes in osseous free flap jaw reconstruction using occlusal-based virtual surgical planning.
[OBJECTIVES] Occlusal-based virtual surgical planning (VSP) prioritises the placement of endosseous dental implants, over replicating native bone contour. This may compromise facial aesthetics. This study aimed to compare function and healt…
- Zygomatic Implant Perforated Flap vs Fibula Osseous Flap Maxillary Reconstruction.
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How age affects health-related-quality-of-life outcomes in maxillomandibular reconstructive surgery.
[INTRODUCTION] Maxillomandibular reconstruction has various functional, aesthetic, and psychosocial effects that can decrease patients' health-related quality of life (HRQOL). The aim of this study was to compare HRQOL outcomes in older and…
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Comparison between the radial forearm and superficial circumflex iliac artery perforator free flaps for oral soft tissue reconstruction.
The radial forearm free flap (RFFF) is widely used for oral reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap is an increasingly utilized alternative. The cases of 165 patients who received either an RFFF or SCI…
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Effect of operative time on complications associated with free flap reconstruction of the head and neck.
[OBJECTIVE] To evaluate whether prolonged operative time is negatively associated with post-operative complications and length of stay in patients undergoing microvascular free flap reconstruction for complex head and neck defects. [METHOD…
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Anterolateral thigh, radial forearm and superficial circumflex iliac perforator flaps in oral reconstruction: a comparative analysis.
[BACKGROUND] Anterolateral thigh (ALT) and Radial forearm free flaps (RFFF) are historically the most common methods of oral reconstruction. The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor …
- How to prevent excessive fluid within the surgical field during microvascular anastomosis: early neck drain placement as a continuous suction device.
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Health-related quality of life in maxillectomy patients undergoing dentoalveolar rehabilitation.
[OBJECTIVES] Surgical resection of the maxilla impairs aesthetics, speech, swallowing, and mastication. Maxillary reconstruction is increasingly performed with virtual surgical planning (VSP) to enhance functional dental rehabilitation with…
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Validation of a risk prediction calculator in Australian patients undergoing head and neck microsurgery reconstruction.
[BACKGROUND] The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) surgical risk calculator (SRC) is an open access calculator predicting patients' risk of postoperative complications. This study aims …
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Maxillofacial reconstruction with prefabricated prelaminated osseous free flaps.
[BACKGROUND] The prefabricated fibula flap is an advanced method of occlusal-based reconstruction that combines placement of osseointegrated dental implants with prelamination, using a split skin graft on the fibula, weeks prior to the defi…
- Transoral robotic free flap inset in oropharyngeal cancer.
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Microvascular reconstruction of head and neck defects in the elderly.
[BACKGROUND] Microvascular free-flap reconstruction of the head and neck is a common technique utilized across many ages. The purpose of this study was to identify if advanced age or comorbidity was associated with worse post-operative outc…
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Validated specialty-specific models for multi-disciplinary microsurgery training laboratories: a systematic review.
[BACKGROUND] Laboratory simulation is increasingly important for teaching microsurgical skills. Training microsurgeons of different specialties within the same simulation laboratory increases efficiency of resource use. For maximal benefit,…
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Tracheostomy in free-flap reconstruction of the oral cavity: can it be avoided? A cohort study of 187 patients.
[BACKGROUND] Head and neck surgeons are moving away from routine tracheostomy in free-flap reconstruction. We reviewed prophylactic tracheostomy use in patients undergoing oral cavity or oropharynx free-flap reconstruction to identify patie…
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Defining the Dimensions of Periosteal Free Tissue Transfer Harvest Sites.
Information about the use and donor site morbidity of periosteal free flaps in head and neck reconstruction is limited. The aim of this study was to examine potential periosteal free flap donor sites with respect to their dimensions, tissue…
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Assessment of post-surgical donor-site morbidity in vastus lateralis free flap for head and neck reconstructive surgery: an observational study.
[BACKGROUND] Vastus lateralis (VL) can be used to reconstruct defects of the head and neck. Whilst the advantages are documented, donor-site morbidity is not well described. This study aimed to assess donor-site morbidity after VL flap harv…