Publications by authors named "Yi Fan Kang"

Background: A large number of studies have shown that high expression of vascular endothelial growth factor (VEGF) in cancer tissues is associated with poor prognosis of various cancers. However, this finding in endometrial cancer is controversial. Therefore, this meta-analysis aimed to explore the effects of VEGF on survival in patients with endometrial cancer.

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  • Early diagnosis of laryngeal cancer is essential for improving patient outcomes, leading to the development of a deep learning model for detection.
  • Researchers collected and analyzed 5768 laryngoscopic images to create an intelligent system called ILCDS using Swin-Transformer technology, which was tested against previous models and expert laryngologists.
  • The ILCDS demonstrated superior performance with 92.78% accuracy and outperformed both CNN models and professional laryngologists, indicating its potential to aid in laryngeal cancer detection.
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  • Early diagnosis of laryngeal cancer (LC) is vital, especially in rural regions, leading to the development of the intelligent laryngeal cancer detection system (ILCDS) designed for effective screening in areas with limited resources.
  • A dataset of 2023 laryngoscopic images was used, and eight different deep learning models were evaluated for LC detection, with VGG, DenseNet, and MobileNet achieving over 95% accuracy on the test set.
  • The ILCDS shows high accuracy in detecting LC while requiring minimal computational resources, making it a potential solution to improve screening practices and reduce the burden on medical professionals in rural settings.
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Objectives: The deep circumflex iliac artery flap (DCIA) and vascularized fibular free flap (FFF) are mainstay flaps for maxillary defect reconstruction. This study compared the functional outcomes and success rates of these flaps to provide midface reconstruction strategies.

Materials And Methods: Maxillary defects reconstructed with DCIA or FFF at the Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology between May 2016 and May 2023 were retrospectively analyzed.

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  • The study introduces a new approach to jaw reconstruction using the iliac flap for patients undergoing segmental mandibulectomy, termed "jaw-in-a-day" (JIAD), which allows for simultaneous restoration of bone and dental function.
  • Two cases of patients with ameloblastoma were documented, showcasing successful surgical planning and execution, where the iliac crest was modified to enhance implant stability.
  • Post-surgery outcomes showed satisfactory functionality and aesthetics, although one case required additional treatment for peri-implantitis, highlighting the need for further research and longer follow-ups on this technique.
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Background: Microsurgical bone reconstruction is challenging in cases of anterior maxillary defects because of the presence of residual teeth. The study analyzed the method and feasibility of using vascularized bone flaps to reconstruct anterior maxillary defects.

Methods: We retrospectively analyzed 15 patients treated at the Department of Oral and Maxillofacial Surgery, Peking University School, and Hospital of Stomatology between November 2017 and January 2023.

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  • This study evaluated the accuracy of three different methods of dental implant placement (immediate intraoral, immediate extraoral, delayed) using surgical guides for patients who had undergone mandibular reconstruction.
  • The results showed that immediate intraoral placement had significantly greater deviations in angular and three-dimensional measurements compared to the other two methods, especially in terms of entry and apical points.
  • The conclusion suggests that delayed implant placement is the most accurate approach when using surgical guides in these patients.
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Objective: Secreted phospholipase A2 Group IB (sPLA2GIB) regulates the release of arachidonic acid, prostaglandins, and other inflammatory lipid mediators. Although it has been well involved in extensive inflammatory diseases, its specific mechanism in chronic rhinosinusitis with nasal polyps (CRSwNP) remains unclear. In this study, we investigated the role of sPLA2GIB in the pathophysiology of CRSwNP.

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Background: The purpose of this study was to investigate the effect of anterior superior iliac spine (ASIS) preservation on donor site morbidity and function after harvesting a vascularized iliac bone flap (VIBF).

Methods: Patients who underwent jaws reconstruction with VIBF were divided into a maintaining the anterior superior iliac spine (MASIS) group and a not maintaining the anterior superior iliac spine (NMASIS) group. Pain, tenderness, sensory deficit, gait disturbance, and function of the donor site were evaluated before and after the operation.

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  • The study focused on understanding the clinical traits of oral and maxillofacial tumors in patients under 18 years old.
  • It analyzed data from 5,405 cases over 31 years, noting a median age of 9, with the highest incidence in the 14-18 age group.
  • The research highlighted common tumor sites (mandible, maxilla, tongue), types of tumors (mainly benign), and treatment methods, emphasizing that children's treatment differs from adults due to developmental factors.
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Background: Glucose concentrations are increased in nasal secretions in chronic rhinosinusitis (CRS). However, the glucose metabolism and its contribution to disease pathogenesis in CRS remain unexplored.

Objectives: We sought to explore the glucose metabolism and its effect on the function of nasal epithelial cells in CRS with and without nasal polyps (CRSwNP and CRSsNP).

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Background: This retrospective study reviewed all patients who underwent oral and maxillofacial reconstruction with fibular flaps in the last 2 decades at a single hospital.

Materials And Methods: We reviewed all patients with fibular flaps from 1999 to 2018. The following data were collected: sex; age; reconstruction region; diagnosis; the number of days spent in the hospital after surgery; time spent using a tourniquet for harvesting a fibula flap; vessels at the recipient site; the prevalence of unplanned reoperations; the prevalence of flap failure; history of preoperative radiotherapy; virtual surgical planning; segments of the fibula.

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  • The study compares two techniques for using iliac bone flaps in reconstructing mandibular defects, focusing on different orientations of the iliac crest.
  • Data was collected from 78 patients, dividing them into two groups based on the orientation of the iliac crest during surgery.
  • Results showed that the group with the iliac crest towards the alveolar process had better outcomes in bone symmetry, width, intermaxillary distance, and cortical thickness, suggesting it may be a more effective method for mandible reconstruction.
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  • - This study explores the use of methylene blue (MB) for near-infrared (NIR) fluorescence imaging in detecting oral sentinel lymph nodes (SLNs) in rats, comparing its effectiveness to indocyanine green (ICG).
  • - The researchers injected different concentrations of MB to determine the optimal dose, finding that 0.2 mL of 6.68 mM MB yielded the best results while monitoring fluorescence for 12 hours.
  • - Results showed that while ICG provided a higher signal-to-background ratio for SLNs, MB produced less fluorescent contamination, suggesting it could be a better option for clinical applications in lymph node mapping.
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Purpose: The current standard for mandibular reconstruction is a contour-based approach using a fibular flap offering good cosmetic results but challenging to reconstruct using dental implants. An iliac flap is more amenable to implant placement and better suited for occlusion-driven reconstruction. We aimed to describe an occlusion-driven workflow that involves the use of digital surgical guides to perform mandibular reconstruction using an iliac flap; we also aimed to compare our results to those we achieved with conventional contour-based reconstruction.

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Background: Endometrial scratching (ES) has demonstrated initial success in women with recurrent implantation failure, but the effect in women with 1 previous assisted reproductive technology (ART) failure is unknown. This meta-analysis aimed to evaluate the impact of ES as a treatment in clinical outcomes for women with at least 1 failed in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI)/Intrauterine Insemination (IUI).

Methods: PubMed, Medline, Embase, Cochrane Library, Web of Science, CNKI, and EMCC databases were searched for randomized controlled trial studies utilizing endometrial scratching for infertility women with at least 1 failed assisted reproductive technology (ART) to collect pregnancy outcomes, including clinical pregnancy rate (CPR), embryo implantation rate (IR), miscarriage rate (MR), live birth rate (LBR), and multiple pregnancy rate (MPR).

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Mex-3 RNA Binding Family Member A (MEX3A) is an RNA-binding protein that plays complex and diverse roles in the development of various malignancies. However, its role and mechanism in nasopharyngeal carcinoma (NPC) remain undefined and were therefore evaluated in this study. By analyzing Gene Expression Omnibus data and using tissue microarrays, we found that MEX3A is significantly upregulated in NPC and negatively associated with prognosis.

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Objective: Midface reconstruction is challenging for functional and esthetic reasons. The present study analyzed the effect of virtual surgical planning (VSP) of the deep circumflex iliac artery (DCIA) flap for midface reconstruction.

Patients And Methods: Thirty-four patients who underwent midface reconstruction with the DCIA flap were included in this retrospective study.

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Flexible pressure sensors have attracted intense attention because of their widespread applications in electronic skin, human-machine interfaces, and healthcare monitoring. Conductive porous structures are always utilized as active layers to improve the sensor sensitivities. However, flexible pressure sensors derived from traditional foaming techniques have limited structure designability.

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Purpose: The present study aimed to evaluate the symmetry of the orbital floor after maxillectomy and orbital floor reconstruction with individual titanium mesh using a computer-assisted navigation system.

Patients And Methods: Nineteen patients who underwent orbital floor reconstruction with individual titanium mesh were included in this study. Postoperative computed tomography scans recorded after three-dimensional (3D) reconstruction were used to evaluate the symmetry of the orbital floor, including orbital floor height, orbital floor eminence, globe projection, orbital volume, and surface deviation.

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A new furan derivative named 3-(5-oxo-2,5-dihydrofuran-3-yl) propanoic acid () was isolated for the first time. Its structure was elucidated by UV, IR, NMR, HR-ESI-MS and the single-crystal X-ray diffraction spectroscopic data. Meanwhile, the antifungal and antibacterial activities of compound was tested, it exhibited potent antifungal activity against with MIC value of 16 µg/mL and medium antibacterial activity against with MIC value of 32 µg/mL.

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By functionalization of the achiral carboxylate-based pyridine-N ligand 2,2'-bipyridine-3,3'-dicarboxylate (Hbpda) with N-oxide groups, the axially chiral ligand 2,2'-bipyridine-3,3'-dicarboxylate 1,1'-dioxide (Hbpdado) has been obtained. On the basis of Hbpdado and auxiliary N-donor ligands, two isostructural 3D dynamic porous Cu(II) metal-organic frameworks (MOFs), {[Cu(bpdado)(L)]·3HO} (L = 1,2-bis(4-pyridyl)ethane (bpa), trans-1,2-bis(4-pyridyl)ethene (bpe) for 1 and 2, respectively), have been synthesized, which contain N-oxide "open donor sites" (ODSs) and carboxyl sites on the pore surfaces. The modification of pyridine-N into the N-oxide group not only transforms the nonporous structure into a porous framework but also endows the N-oxide group with unique charge-separated plus electron-rich character, which may provide an enhanced affinity toward CO molecules.

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To compare the clinical efficacy and radiological outcome of treating 4-level cervical spondylotic myelopathy (CSM) with either anterior cervical discectomy and fusion (ACDF) or "skip" corpectomy and fusion, 48 patients with 4-level CSM who had undergone ACDF or SCF at our hospital were analyzed retrospectively between January 2008 and June 2011. Twenty-seven patients received ACDF (Group A) and 21 patients received SCF. Japanese Orthopaedic Association (JOA) score, Neck Disability Index (NDI) score, and Cobb's angles of the fused segments and C2-7 segments were compared in the two groups.

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Background: There are different materials used for anterior cruciate ligament (ACL) reconstruction. It has been reported that both autologous grafts and allografts used in ACL reconstruction can cause bone tunnel enlargement. This study aimed to observe the characteristics of bone tunnel changes and possible causative factors following ACL reconstruction using Ligament Advanced Reinforcement System (LARS) artificial ligament.

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