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Application of pedicled supraclavicular flaps in hypopharyngectomy with preservation of laryngeal function.

BMC Surg

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Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, No.25, Taiping Street, Jiangyang District, Luzhou, 646000, China.

Objective: To evaluate the efficacy of pedicled supraclavicular flaps in hypopharyngectomy reconstruction, with a focus on preserving laryngeal function.

Methods: From August 2019 to June 2022, 14 patients with primary hypopharyngeal carcinoma who met the inclusion and exclusion criteria and underwent the repair of hypopharyngeal defects using pedicled supraclavicular flaps were included retrospectively. Relevant clinical evaluation indicators include patient characteristics, defect sizes, flap sizes, flap harvesting time, postoperative hospital stay, postoperative complications, recurrence, and survival outcomes.

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Article Synopsis
  • The study focused on surgical treatment for compound depressed fractures located over the dural venous sinuses, emphasizing how to predict and manage injuries to these sinuses during surgery.
  • A total of 34 patients were reviewed, primarily males with an average age of 19.85 years, showing that many experienced isolated head trauma and that the superior sagittal sinus was most commonly affected.
  • The findings indicated that while intraoperative sinus tears were common, they could generally be controlled; however, severe injuries leading to massive bleeding and complete sinus tears were rare, especially in cases of significant head trauma.
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Femur fracture leads to loss of bone at uninjured skeletal sites, which may increase risk of subsequent fracture. Osteocytes, the most abundant bone cells, can directly resorb bone matrix and regulate osteoclast and osteoblast activity, but their role in systemic bone loss after fracture remains poorly understood. In this study we used a transgenic (TG+) mouse model that overexpresses human B-cell lymphoma 2 (BCL-2) in osteoblasts and osteocytes.

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