Publications by authors named "Koento T"

Article Synopsis
  • The study investigates mastoid volume and dimensions in patients with unilateral microtia using High-Resolution Computed Tomography (HRCT) for better surgical planning.
  • A retrospective analysis was conducted of HRCT mastoid scans from patients, measuring parameters such as mastoid volume, height, and surface area between affected and unaffected ears.
  • Results showed significant reductions in mastoid air cell volume, bone volume, height, and surface areas on the affected side, providing important information for surgeons in reconstructive surgery preparation.
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Background: The use of three-dimensional (3D) technology helps surgeons in performing autologous microtia reconstruction due to more accurate measurements and a better precision template model. However, the technical aspects of using a 3D imaging and 3D-printed model and the difference in outcomes postoperatively remain poorly reviewed.

Purpose: This systematic review aimed to provide the current evidence of the benefit and technical aspects of using 3D technology in autologous microtia reconstruction.

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Introduction: Tracheostomy is a procedure commonly performed in neurocritical and mechanically ventilated patients in the intensive care unit. Dysphagia and impaired airway protection are the main causes for a delay in tracheostomy decannulation in patients with neurological disorders. Endoscopic evaluation is an objective examination of readiness for tracheostomy decannulation with flexible endoscopic evaluation of swallowing (FEES) as the most commonly used method, yet it requires special expertise and is heavily dependent on its operator in assessing the parameters.

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Introduction: Asian nose is characterized by thick skin, abundant soft tissue, and weak cartilage framework, resulting in under-projection of the nasal dorsum and tip. Anatomical knowledge consideration is needed to achieve an ideal and natural-looking Asian nasal tip. Various nasal tip surgery techniques for Asian nose have been introduced recently.

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The COVID-19 pandemic has caused significant morbidity and mortality worldwide, especially among health-care workers. One of the most important preventive measures is vaccination. This study examined factors associated with the incidence rate of SARS-CoV-2 infection after mRNA-1273 booster vaccination (preceded by the CoronaVac primary vaccination) and the antibody profile of health-care workers at one of the tertiary hospitals in Indonesia.

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The vocal cord in humans is essential in producing voice used in communication and interaction between us. Vocal cord paralysis causes dysphonia, which interferes with communication, causing disruptions towards social activity and daily activities. One of the managements for vocal cord paralysis is medialization and augmentation of the vocal cord through injection laryngoplasty.

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Purpose Of Review: This review summarizes the current advances in sinus preservation techniques with endoscopic sinus surgery for the well tolerated and effective management of frontal sinus fractures.

Recent Findings: Advances in computed tomography (CT) imaging can now reproduce higher quality reformatted images, creating excellent diagnostic coronal, axial, and sagittal image views that provide a better evaluation of the frontal sinus outflow tracts (FSOTs). The FSOTs are pivotal in determining which technique is used in the management of frontal sinus fractures.

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Placing cartilage graft at the nasal tip is the most frequent technique to achieve proper tip projection and a well-balanced nose. The graft functions to support the nasal tip though reconstruction of the tripod concept legs and add greater definition to the tip. Tip grafts can be broadly classified into two categories: those that are used as mechanical nasal tip support, and those that are used for contouring or enchantment of nasal tip projection.

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