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Justine Moe

University of Michigan–Ann Arbor

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Brent B. Ward

University of Michigan–Ann Arbor

Shelly Abramowicz

Emory University

Joseph I. Helman

University of Michigan–Ann Arbor

Jonathan P. Troost

University of Michigan–Ann Arbor

Martin B. Steed

Medical University of South Carolina

David L. Best

Women & Children's Hospital of Buffalo

Hossein E. Jazayeri

Michigan Medicine

Corey Powell

University of Michigan–Ann Arbor

Donita Dyalram

University of Maryland, Baltimore

Jonathan B. McHugh

University of Michigan–Ann Arbor

Cooperative Institutions

National Medical Research Center of Dentistry and Maxillofacial Surgery

University of Michigan–Ann Arbor

Michigan Medicine

Emory University

Harvard University

The University of Texas Southwestern Medical Center

Oregon Health & Science University

RELX Group (United States)

University of Dental Medicine

University of Pennsylvania

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Intraoperative Depth of Invasion Is Accurate in Early-Stage Oral Cavity Squamous Cell Carcinoma

Journal of Oral and Maxillofacial Surgery (2019)

Justine Moe Jonathan B. McHugh Aaron M. Udager Thomas M. Braun Joseph I. Helman

Neck dissection

10.1016/j.joms.2019.02.016

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Citations (16)

Validation of Tabletop Microscopes for Microsurgery Simulation and Training

Journal of Oral and Maxillofacial Surgery (2022)

David L. Best Brian L. Ruggiero Brandon Bonine Jonathan P. Troost Justine Moe

Operating microscope

10.1016/j.joms.2022.05.005

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Citations (1)

Intraoperative Decisions for Oral Squamous Cell Carcinoma Management

Springer eBooks (2024)

Jeremy Figueroa-Ortiz Justine Moe

10.1007/978-3-031-47307-4_22

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An In-House Computer-Aided Design and Computer-Aided Manufacturing Workflow for Maxillofacial Free Flap Reconstruction is Associated With a Low Cost and High Accuracy

Journal of Oral and Maxillofacial Surgery (2020)

Justine Moe Jessica Foss Rachel Herster Corey Powell Joseph I. Helman

10.1016/j.joms.2020.07.216

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Scapular Reconstruction for the Midface and Maxilla

Atlas of the Oral and Maxillofacial Surgery Clinics (2024)

Grayson Tishko Sean P. Edwards Brent B. Ward Joshua E. Lubek Donita Dyalram

10.1016/j.cxom.2024.01.004

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Clinical outcomes following intraoperative pedicle disruption in fibula free flaps

Head & Neck (2023)

Jonathan Jelmini Allison Slijepcevic Urjeet A. Patel Larissa Sweeny Patrik Pipkorn

Abstract Objectives Iatrogenic injury of the fibula free flap pedicle is rare. Postoperative flap survival and reconstructive outcomes following intraoperative pedicle severance are unknown. This study assesses free flap outcomes following accidental severance of the peroneal vessels. Methods Multi‐institutional retrospective chart review from 2000 to 2020. Results Of 2975 harvested fibula free flaps, 26 had a history of pedicle severance during surgical reconstruction. Reasons for intraoperative pedicle severance included transection during muscular dissection 10/26 (39%), accidental severance with the bone saw 12/26 (46%), and other 4/26 (15.6%). The surgeon responsible for pedicle severance included residents 5/26 (19%), fellows 10/26 (39%), attendings 10/26 (39%), and unknown 1/26 (3.9%). The pedicle artery and vein were severed 10/26 (39%), artery 8/26 (31%), and vein 8/26 (31%). Truncated pedicle vessels were used 3/26 (11.7%), intraoperative anastomoses were performed 23/26 (89%). Postoperative revision in the OR within 7 days of surgery was required 6/26 (23%); 4 flaps were salvaged and 2 flaps failed, both arterial thrombosis. Flap failure was attributed to vascular thrombosis. Long‐term flap survival and successful reconstructions were reported 24/26 (92%). Conclusion Accidental severance of fibula free flap pedicle vessels can be corrected with intraoperative repair, without affecting long‐term flap survival or reconstructive outcomes. Protecting the flap vessels while using the bone saw and during intramuscular dissection prevents accidental severance.

Severance

Accidental

Peroneal Artery

10.1002/hed.27423

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Outbreak of Mycobacterium Abscessus infections in the Head and Neck of Pediatric Patients

Mycobacterium abscessus

Mycobacterium Infections

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Atypical Mycobacterial Lymphadenitis in the Head and Neck of Pediatric Patients

2016 Annual Meeting (2016)

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Diagnosis and Management of Children With Mycobacterium abscessus Infections in the Head and Neck

Journal of Oral and Maxillofacial Surgery (2018)

Justine Moe Roy Rajan Shelley Caltharp Shelly Abramowicz

Mycobacterium abscessus

10.1016/j.joms.2018.03.016

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Citations (8)

Elsevier eBooks (2016)

A. Omar Abubaker Julio Acero Ravi Agarwal Tara Aghaloo Kyle P. Allen

10.1016/b978-1-4557-5328-4.00149-6

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