Publications by authors named "T Tharakan"

Objective: To describe our experience with chimeric flaps and to assess the surgical outcomes and postoperative complications associated with chimeric flaps compared to multiple flaps.

Study Design/methods: Patients undergoing chimeric and multiple simultaneous free tissue transfer between June 2016 and October 2023 were retrospectively reviewed. The primary outcome of interest was the complication rate.

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Objective: To share a single institutional experience with clinical research on COVID-related olfactory dysfunction (OD).

Data Source/method: Narrative review of published original data and ongoing clinical trials on COVID-related OD at Washington University from 2020 to 2023.

Results: There were three new diagnostic-/patient-reported outcome measures developed and tested.

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Article Synopsis
  • The study investigates whether using testicular sperm for ICSI is more effective than using ejaculated sperm in men with high sperm DNA fragmentation (SDF).
  • Research included nine studies with over 536 participants, revealing that pregnancy and live birth rates were significantly higher with testicular sperm, while fertilisation and miscarriage rates showed no significant differences.
  • The findings suggest potential benefits of testicular sperm, but the quality of evidence is limited, necessitating more rigorous research to confirm these results before changing clinical practices.
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Context: Recommendations regarding the management of penile size abnormalities and dysmorphophobia are important in guiding evidence-based clinical practice.

Objective: To present a summary of the 2023 European Association of Urology sexual and reproductive health evidence-based recommendations for the management of penile size abnormalities and dysmorphophobia.

Evidence Acquisition: A broad and comprehensive scoping exercise covering all areas of the guidelines was performed.

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Objectives: To compare taste changes after transoral robotic surgery (TORS) to taste changes in healthy controls.

Methods: Oropharyngeal cancer patients receiving TORS and healthy controls were recruited. Participants underwent posterolateral and whole-mouth psychophysical taste testing (identification, intensity, and hedonics) at baseline and at 2 weeks postoperatively (patients) or follow-up (controls).

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