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Article ; Online: Microsurgical free flaps for skull base reconstruction following tumor resection: Available techniques and complications.

Plou, Pedro / Boccalatte, Luis / Padilla-Lichtenberger, Fernando / Figari, Marcelo / Ajler, Pablo / Larrañaga, Juan

Neurocirugia (English Edition)

2023 Volume 34, Issue 1, Page(s) 22–31

Abstract: Introduction: Resection of malignant tumors located in the anterior and middle fossae of the skull base requires thorough anatomical knowledge, as well as experience regarding the possible reconstructive options to resolve the resulting defects. The ... ...

Abstract	Introduction: Resection of malignant tumors located in the anterior and middle fossae of the skull base requires thorough anatomical knowledge, as well as experience regarding the possible reconstructive options to resolve the resulting defects. The anatomical and functional relevance of the region, the complexity of the defects requiring reconstruction and the potential complications that can occur, represent a true challenge for the surgical team. The goal of this study is to describe the microsurgical reconstructive techniques available, their usefulness and postoperative complications, in patients with malignant tumors involving the skull base. Materials and method: This observational, retrospective study, included all patients who underwent surgery for malignant craniofacial tumors from January 1st, 2009 to January 1st, 2019 at a University Hospital in Argentina. Only patients who required reconstruction of the resulting defect with a free flap were included. Results: Twenty-four patients required reconstruction with FF; 14 were male (58.3%) and mean age was 54.9 years. Sarcoma was the most frequent tumor histology. Free flaps used were the following: anterolateral thigh, rectus abdominis, radial, latissimus dorsi, iliac crest and fibular. Complications occurred in 6 cases and no deaths were reported in the study group. Conclusion: Free flaps are considered one of the preferable choices of treatment for large skull base defects. In spite of the complexity of the technique and the learning curve required, free flaps have shown to be safe, with a low rate of serious complications. For these patients, the surgical resolution should be performed by a multidisciplinary team.
MeSH term(s)	Humans ; Male ; Middle Aged ; Female ; Free Tissue Flaps/surgery ; Plastic Surgery Procedures ; Retrospective Studies ; Treatment Outcome ; Skull Base/surgery
Language	English
Publishing date	2023-01-03
Publishing country	Spain
Document type	Observational Study ; Journal Article
ISSN	2529-8496
ISSN (online)	2529-8496
DOI	10.1016/j.neucie.2022.11.005
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Article: Giant Cell Tumor of the Carotid Body: A Rare Tumor with Malignant Potential.

Bruballa, Rocio / Boccalatte, Luis / Jaen, Ana / Figari, Marcelo / Larranaga, Juan Jose

Iranian journal of otorhinolaryngology

2022 Volume 34, Issue 123, Page(s) 199–204

Abstract: Introduction: Carotid body tumors (CBTs) are certainly unusual. They are vascular lesions originating from paraganglionic cells, located at the common carotid artery (CCA) bifurcation. They represent less than 0.5% of head and neck tumors, approximately ...

Abstract	Introduction: Carotid body tumors (CBTs) are certainly unusual. They are vascular lesions originating from paraganglionic cells, located at the common carotid artery (CCA) bifurcation. They represent less than 0.5% of head and neck tumors, approximately 1-3 cases per million. Malignant CBTs are extremely rare; in the literature, published rates on average are < 10%. The diagnostic criteria for malignancy should be based on the finding of distant metastasis. Due to its unpredictable nature and its malignant potential, diagnosis before metastasis and complete surgical resection are the keys to a favorable prognosis. Case report: Given little experience in CBTs, its biology and treatment remain uncertain. We present the case of a 48-years-old patient, with a mass on the left side of the neck that was found to be a vast CBT with suspicious histopathology. Its size, rare location, pathologic findings, and management strategy applied for its treatment, illustrate an unusual case that highlights the importance of its publication. Conclusions: CBT is rare, but subject to cure lesion if resected without metastatic or residual disease. This is why surgery should be performed whenever possible and why it is so necessary to study this pathology thoroughly and to take it into account in the differential diagnosis.
Language	English
Publishing date	2022-08-21
Publishing country	Iran
Document type	Case Reports
ZDB-ID	3018470-8
ISSN	2251-726X ; 2251-7251
ISSN (online)	2251-726X
ISSN	2251-7251
DOI	10.22038/IJORL.2022.58598.3027
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Article ; Online: Contrasting opioid use for pain management in microvascular head and neck reconstruction: an international study.

Weyh, A M / Pucci, R / Busby, E / Kansal, L / Joy, R / Bunnell, A / Valentini, V / Dyalram, D / Pattatheyill, A / Figari, M / Boccalatte, L / Larrañaga, J / Cassoni, A / Fernandes, R

International journal of oral and maxillofacial surgery

2022 Volume 51, Issue 11, Page(s) 1412–1419

Abstract: Opioids are often the mainstay of postoperative pain management, despite strong evidence of their ill effects and potential for long-term addiction. The goal of this study was to quantify opioid use and contrast pain management strategies of multiple ... ...

Abstract	Opioids are often the mainstay of postoperative pain management, despite strong evidence of their ill effects and potential for long-term addiction. The goal of this study was to quantify opioid use and contrast pain management strategies of multiple international institutions performing fibula free flap reconstruction. A retrospective multicenter cohort study was designed, including five international centers. For inclusion, the patients had to have undergone a primary fibula free flap reconstruction of the mandible. A total of 185 patients were included. The median opioid use across all centers at 72 hours was 133 oral morphine equivalents. The highest utilization was in the USA (P < 0.001), which was approximately six times that of Italy, four times that of Argentina, and twice that of India, despite all centers performing a similar procedure. Based on this study there are clear differences in prescribing practices and ideologies among surgeons from different countries.
MeSH term(s)	Humans ; Free Tissue Flaps/blood supply ; Pain Management/methods ; Analgesics, Opioid/therapeutic use ; Head and Neck Neoplasms ; Cohort Studies ; Retrospective Studies ; Plastic Surgery Procedures/methods
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2022-05-20
Publishing country	Denmark
Document type	Multicenter Study ; Journal Article
ZDB-ID	353721-3
ISSN	1399-0020 ; 0901-5027
ISSN (online)	1399-0020
ISSN	0901-5027
DOI	10.1016/j.ijom.2022.04.016
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Zs.A 931: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Fortalecimiento del liderazgo para la gestión educativa en las Américas: una estrategia de investigación-acción.

Listovsky, Gabriel / Duré, María Isabel / Reboiras, Fabiana / Roni, Carolina / Rosli, Natalia / Mur, Julián Andrés / Deza, Rocío / Rosli, Jimena / Fernández Cedro, María Isabel / Faingold, Diego / Figari, Marcelo

Revista panamericana de salud publica = Pan American journal of public health

2024 Volume 48, Page(s) e27

Abstract: The training of human resources for health (HRH) is a recurring concern. The Virtual Campus for Public Health (VCPH) - the educational platform of the Pan American Health Organization (PAHO) - seeks to improve access to public health education, ... ...

Title translation	Strengthening leadership for educational management in the Americas: an action research strategyFortalecimento da liderança para a gestão educacional na Região das Américas: uma estratégia de pesquisa-ação.
Abstract	The training of human resources for health (HRH) is a recurring concern. The Virtual Campus for Public Health (VCPH) - the educational platform of the Pan American Health Organization (PAHO) - seeks to improve access to public health education, emphasizing leadership training for teams that plan, implement, and evaluate policies and educational initiatives.The objective of this work is to present the results of a consultation with experts on the virtual course "Leadership for Educational Management in Health Organizations", as part of a PAHO/VCPH strategy to strengthen leadership capacities for educational management in the Americas.A qualitative action-research study was carried out using the Delphi method with two iterations of consultations (one virtual and one in person) with experts in educational management in health organizations.The results show the importance of eight dimensions of analysis: recipient profiles, competencies, approach and contents, activities, evaluation of and for learning, adaptability, implementation, and monitoring during and after the course.The participation of actors from different geopolitical spheres in the design and implementation of a regional educational initiative fosters adaptations in the context of its implementation and improves the likelihood it will be adopted. This course can play a strategic role as a catalyst in the formation and consolidation of an integrated network of organizations that strengthen educational leadership in the Americas. This study also highlights the value of the methodological strategy used to improve the quality of HRH training.
Language	Spanish
Publishing date	2024-04-04
Publishing country	United States
Document type	Case Reports ; English Abstract
ZDB-ID	1376934-0
ISSN	1680-5348 ; 1020-4989
ISSN (online)	1680-5348
ISSN	1020-4989
DOI	10.26633/RPSP.2024.27
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Zs.A 4694: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Recommendations regarding emergency head and neck procedures during coronavirus disease-2019.

Yanzon, Alejandro / Gomez, Natalia / Boccalatte, Luis / Larrañaga, Juan José / Figari, Marcelo

Cirugia y cirujanos

2021 Volume 89, Issue 6, Page(s) 827–835

Abstract: The coronavirus disease-2019 (COVID-19) has spread globally and is considered a world health emergency. Healthcare professionals represent an important percentage of the infected population, with otolaryngologists and head and neck surgeons at particular ...

Title translation	Procedimientos de emergencia en Cabeza y Cuello. Recomendaciones sobre la pandemia por COVID-19.
Abstract	The coronavirus disease-2019 (COVID-19) has spread globally and is considered a world health emergency. Healthcare professionals represent an important percentage of the infected population, with otolaryngologists and head and neck surgeons at particular risk. Elective procedures have been strongly discouraged, but urgent disorders still entail a hazardous setting. We performed a non-systematic review of the publications and guidelines regarding Head and Neck surgical emergencies management in the context of the COVID-19 pandemic. The literature describing management of the disease was also reviewed to adapt conventional treatment to the present circumstances. A concise and specific compilation of practical recommendations was made with the aim of improving management of emergencies involving the head and neck region, while offering a safe alternative for patients and healthcare providers. In addition, we have made a brief summary of how these recommendations were adapted based on our socio-economic background and available health resources.
MeSH term(s)	COVID-19 ; Health Personnel ; Humans ; Pandemics ; SARS-CoV-2 ; Surgeons
Language	English
Publishing date	2021-09-30
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	730699-4
ISSN	2444-054X ; 0009-7411
ISSN (online)	2444-054X
ISSN	0009-7411
DOI	10.24875/CIRU.21000275
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Zs.B 797: Show issues

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Article ; Online: Computed assisted surgery for replacement of the temporomandibular joint with customized prostheses. Can we validate the results?

Boccalatte, Luis Alejandro / Nassif, M G / Figari, M F / Gómez, N L / Ritacco, L E

Oral and maxillofacial surgery

2021 Volume 25, Issue 3, Page(s) 427

MeSH term(s)	Dental Implants ; Humans ; Temporomandibular Joint/surgery ; Temporomandibular Joint Disorders/surgery
Chemical Substances	Dental Implants
Language	English
Publishing date	2021-01-05
Publishing country	Germany
Document type	Letter ; Comment
ZDB-ID	2406731-3
ISSN	1865-1569 ; 1865-1550
ISSN (online)	1865-1569
ISSN	1865-1550
DOI	10.1007/s10006-020-00932-w
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Zs.A 4767: Show issues

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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Jg. 1995 - 2021: Lesesall (2.OG)
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Article ; Online: Presentación a distancia de tesis y trabajos finales de Posgrado durante la pandemia COVID-19.

Soto Perez, Amanda Raquel / Eymann, Alfredo / Ladenheim, Roberta / Reboiras, Fabiana / Durante, Eduardo / Figari, Marcelo

Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina)

2021 Volume 78, Issue 4, Page(s) 353–358

Abstract: Introduction: The COVID-19 pandemic limited in person presentation of final works and theses for the completion of specializations, masters and doctorates.: Objective: To describe the experience in remote presentations of summative essays and thesis.! ...

Title translation	Remote presentation of thesis and final postgraduate works during the COVID-19 pandemic. Are there advantages in the non-face-to-face presentations?
Abstract	Introduction: The COVID-19 pandemic limited in person presentation of final works and theses for the completion of specializations, masters and doctorates. Objective: To describe the experience in remote presentations of summative essays and thesis. Materials and methods: A qualitative-quantitative cross-sectional study was carried out. Perceptions of graduates and examiner board members were explored through a questionnaire. Results: 54 presentations were included: 53.7% specializations, 40.7% masters and 5.6% doctorates. The average audience number was 34 and distance to the university was 273.6 km. 116 professionals answered: graduates 28.4% and examiner board members 71.6%. They were female gender in 51.5% and 36.1%, respectively. 100% of graduates and 96.3% of examiner board members believed that they were able to present the results of the investigation, and only 3% and 7.3%, respectively, reported technical difficulties. Positive aspects identified by graduates were higher comfort (45.5%), and greater audience number (36.4%); while the examiner board members identified preventing transportation (37,8%) and taking advantage of technologies (35,4%). Graduates identified as negative aspects audience invisibility (33.3%), and potential threat of technical difficulties (27.3%); whilst the examiner board members identified none (31,7%), and potential threat of technical difficulties (20,7%). Conclusion: Remote presentations were successful for graduates and examiner board members, and allowed to continue and finish academic postgraduate training.
MeSH term(s)	COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Pandemics ; SARS-CoV-2 ; Surveys and Questionnaires
Language	Spanish
Publishing date	2021-12-28
Publishing country	Argentina
Document type	Journal Article
ZDB-ID	390127-0
ISSN	1853-0605 ; 0014-6722 ; 0301-7281
ISSN (online)	1853-0605
ISSN	0014-6722 ; 0301-7281
DOI	10.31053/1853.0605.v78.n4.33144
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Zs.B 2644: Show issues

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Article: Reduction of bilateral dislocation of TMJ and Rendu Osler Weber syndrome: case report and physiopathological model.

Boccalatte, L A / Nassif, M G / Figari, M F

Journal of surgical case reports

2018 Volume 2018, Issue 3, Page(s) rjy054

Abstract: Temporomandibular joint dislocation (TMJ) is an infrequent clinical situation, representing 3% of all the human body's dislocations. The etiological factors reported are associated to alterations typical of the joint or of the muscular-ligament apparatus, ...

Abstract	Temporomandibular joint dislocation (TMJ) is an infrequent clinical situation, representing 3% of all the human body's dislocations. The etiological factors reported are associated to alterations typical of the joint or of the muscular-ligament apparatus, or to clinical conditions that may cause dislocation. We present the case of a 46-year-old patient with hereditary hemorrhagic telangiectasia with bilateral dislocation of the TMJ. There are several potential causes (antipsychotics, intubation, etc.) although the deposit of manganese in the basal ganglia that produce extrapyramidal symptoms could be the most consistent cause.
Language	English
Publishing date	2018-03-29
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjy054
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Article: Der AO CMF Online Campus – Erfahrungen mit onlinebasierten internationalen Fortbildungsveranstaltungen

Thieringer, Florian M. / Röthlisberger, Erich / Rüetschi, Urs / Figari, Marcelo / Girod, Sabine

OP-JOURNAL

2022 Volume 38, Issue 01, Page(s) 49–52

Abstract: Die globale COVID-19 Pandemie stellte in den beiden vergangenen Jahren (2020/2021) vor allem die AO Foundation mit 18000 Mitgliedern und jährlich mehr als 800 internationalen Fortbildungsveranstaltungen auf eine harte Probe. Bisher ... ...

Abstract	Die globale COVID-19 Pandemie stellte in den beiden vergangenen Jahren (2020/2021) vor allem die AO Foundation mit 18000 Mitgliedern und jährlich mehr als 800 internationalen Fortbildungsveranstaltungen auf eine harte Probe. Bisher lag der Schwerpunkt des AO-Ausbildungskonzeptes auf Präsenzunterricht und Hands-on-Training. Ein Großteil der Präsenzveranstaltungen musste abgesagt, verschoben oder aufgrund der regionalen Beschränkungen und Schutzmaßnahmen als reine Online- oder Hybridveranstaltungen umorganisiert werden. AO CMF konnte bereits vor der Pandemie im Bereich der Online-Lehre umfangreiche Erfahrungen sammeln und vermochte den Fortbildungsbetrieb auf reine Online-Veranstaltungen zügig umzusetzen. Die jährlichen „Flagship-Kurse“ in Davos, bisher reine Präsenzveranstaltungen, wurden 2020 pandemiebedingt als internetbasierte Fortbildungsveranstaltungen durchgeführt. Mit „The Traveling Mandible“ wurde erstmals in der Geschichte der AO eine internationale 24-h-Live-Veranstaltung mit Hunderten von Teilnehmern ins Internet übertragen. Als neues Fort- und Weiterbildungsformat konnten sich die interaktiven „AO CMF Study Clubs“ als Online-Fortbildungs- und Diskussionsforen etablieren, die an verschiedenen internationalen Zentren monatlich mit ausgewählten externen Experten durchgeführt werden. Der Online-Kongress „Global Oral Oncology and Reconstruction“ (AO CMF Asia-Pacific) im März 2021 war mit über 1000 internationalen Teilnehmern der bisher meistbesuchte Online-Anlass der AO. Bei allen Einschränkungen der Pandemie, vor allem in Bezug auf AO-Fortbildungsaktivitäten im Präsenzformat, hatte diese Zeit auch positive Auswirkungen auf die Erfahrungen der AO Faculty im Bereich Online-Lehre. „AO CMF Online Campus“, „From the Frontline“, „Study Clubs“, Facebook Discussion Groups und die myAO-Online-Plattform sind nur einige Themen, die nicht zuletzt durch das Verbot von Präsenzveranstaltungen einen substanziellen Schub in den letzten beiden Jahren erfahren haben. In diesem Artikel werden die Aspekte der pandemiebedingten Transformation zur Online-Lehre diskutiert und die Erfahrungen aus der Perspektive von AO CMF beschrieben.
Keywords	Covid-19 ; Fortbildungsveranstaltungen ; Onlinelehre ; CME ; Social Media ; AOCMF ; Covid-19 ; education ; online teaching ; CME ; social media ; AOCMF
Language	German
Publishing date	2022-04-01
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2375266-X
ISSN	1439-2496 ; 0178-1715
ISSN (online)	1439-2496
ISSN	0178-1715
DOI	10.1055/a-1729-6560
Database	Thieme publisher's database

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Article ; Online: 18

Boccalatte, L A / Gómez, N L / Musumeci, M / Galich, A M / Collaud, C / Figari, M F

Revista espanola de medicina nuclear e imagen molecular

2020 Volume 39, Issue 5, Page(s) 273–278

Abstract: Background: Hyperparathyroidism (HPT) is characterised by increased levels of parathyroid hormone (HPT), surgical excision being the only definitive curative option. After establishing the need for surgery, it is essential to identify the parathyroid ... ...

Title translation	PET/TC 4D
Abstract	Background: Hyperparathyroidism (HPT) is characterised by increased levels of parathyroid hormone (HPT), surgical excision being the only definitive curative option. After establishing the need for surgery, it is essential to identify the parathyroid glands in the preoperative period to use a minimally invasive approach. Negativity and / or discrepancy in first-line studies (ultrasound and Tc-99m MIBI parathyroid scintigraphy) require more accurate images to reduce the likelihood of bilateral cervical exploration or reintervention. Objectives: a) To demonstrate the sensitivity of Material and methods: A total of 28 patients were included between 2016 and 2019 in a single institution. Prospective observational cohort study. Correlations were analysed using Pearson's coefficient for variables with normal distribution and Spearman (rho) for those with non-normal distribution. Anatomopathological analysis was the benchmark standard to determine sensitivity was. A p<.05 was interpreted as significant. STATA 13 software was used. Results: Of the 28 patients who underwent Conclusions: 18F-choline PET/CT 4D is an anatomical and functional study with high sensitivity in patients with HPT with negative or discrepant first-line studies. Preoperative PTH showed a correlation with maximum gland size on
MeSH term(s)	Adenoma/complications ; Adenoma/diagnostic imaging ; Adenoma/surgery ; Adolescent ; Adult ; Aged ; Calcium/blood ; Choline/analogs & derivatives ; Contrast Media ; Female ; Fluorine Radioisotopes ; Four-Dimensional Computed Tomography/methods ; Humans ; Hyperparathyroidism/blood ; Hyperparathyroidism/diagnostic imaging ; Hyperparathyroidism/etiology ; Hyperplasia ; Male ; Middle Aged ; Organ Size ; Parathyroid Glands/diagnostic imaging ; Parathyroid Glands/pathology ; Parathyroid Neoplasms/complications ; Parathyroid Neoplasms/diagnostic imaging ; Parathyroid Neoplasms/surgery ; Positron Emission Tomography Computed Tomography/methods ; Prospective Studies ; Radiopharmaceuticals ; Sensitivity and Specificity ; Young Adult
Chemical Substances	Contrast Media ; Fluorine Radioisotopes ; Radiopharmaceuticals ; fluorocholine (6029HGL0QP) ; Fluorine-18 (GZ5I74KB8G) ; Choline (N91BDP6H0X) ; Calcium (SY7Q814VUP)
Language	Spanish
Publishing date	2020-06-12
Publishing country	Spain
Document type	Comparative Study ; Journal Article ; Observational Study
ISSN	2253-8089
ISSN (online)	2253-8089
DOI	10.1016/j.remn.2020.03.017
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