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Clinics and Practice, Volume 15, Issue 1

January 2025 - 22 articles

Cover Story: This case report describes a unique instance of intraoral reconstruction using a pedicled radial forearm flap due to an unexpectedly high origin of the radial artery. A 56-year-old woman with sublingual squamous cell carcinoma underwent surgical resection and planned reconstruction with a radial forearm free flap (RFFF). Preoperative assessments, including ultrasound and the Allen test, indicated normal vascular anatomy. However, during surgery, the radial artery was found to originate near the axillary region; hence, the RFFF was converted into a pedicled flap, tunneled subcutaneously to the cervical region and successfully used for reconstruction. This rare anatomical variation underscores the need for comprehensive preoperative imaging to identify vascular anomalies that may alter surgical planning and highlights the adaptability of the RFFF in challenging scenarios. View this paper
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Articles (22)

  • Article
  • Open Access
1 Citations
1,601 Views
13 Pages

Objective: This study evaluated the characteristics, outcomes, and mortality-associated factors in patients who underwent tracheostomy after traumatic injury to optimize clinical decision-making and patient care in critical trauma settings. Materials...

  • Article
  • Open Access
2,664 Views
13 Pages

Comparing International Guidelines for the Remission of Hypertension After Bariatric Surgery

  • Carina Vieira Dias,
  • Ana Lúcia Silva,
  • Joana Dias,
  • Paulo Cardoso,
  • Rute Castanheira,
  • Andreia Fernandes,
  • Filipa Nunes,
  • Tina Sanai,
  • Mercedes Sanchez and
  • João Maia-Teixeira
  • + 1 author

Background/Objectives: Obesity remains a global health concern and is associated with increased risk of type 2 diabetes, hypertension, and cardiovascular disease overall. Dissimilar hypertension guidelines are available for clinicians, namely those p...

  • Article
  • Open Access
1 Citations
1,640 Views
11 Pages

Distribution of Major HLA-A, -B, -DR, and -DQ Loci Potentially Associated with Multiple Sclerosis in a Healthy Population from Southern Morocco

  • Abir Fguirouche,
  • Fatimazahra Ouahmani,
  • Ikram Brahim,
  • Raja Hazime,
  • Nissrine Louhab,
  • Najib Kissani,
  • Mohamed Chraa and
  • Brahim Admou

Background: Many factors contribute to the development and the progression of Multiple Sclerosis (MS), including Human Leukocyte Antigen (HLA) molecules. Some of them are considered as predisposing, like DRB1*15, DRB1*13, DRB1*03, DRB1*04, DQB1*06, D...

  • Article
  • Open Access
4,065 Views
15 Pages

Guidelines for the Management of Complications of Diabetes in Saudi Arabia Using Delphi Technique for Consensus Among National Experts

  • Raed Aldahash,
  • Mohammed A. Batais,
  • Ashraf El-Metwally,
  • Saja Alhosan,
  • Mohammed Alharbi,
  • Mohammed Almutairi,
  • Abdulghani Alsaeed,
  • Mohammed Alsofiani,
  • Mohammed AlMehthel and
  • Mohammed Aldubayee
  • + 2 authors

(1) Background: Saudi Arabia has one of the leading cases of diabetes globally, with approximately 27.8% of adults suffering from the disease. Given the negative consequences of diabetes mellitus (DM), it is critical to develop guidelines for its man...

  • Article
  • Open Access
4 Citations
1,861 Views
11 Pages

ChatGPT, Google, or PINK? Who Provides the Most Reliable Information on Side Effects of Systemic Therapy for Early Breast Cancer?

  • Stefan Lukac,
  • Sebastian Griewing,
  • Elena Leinert,
  • Davut Dayan,
  • Benedikt Heitmeir,
  • Markus Wallwiener,
  • Wolfgang Janni,
  • Visnja Fink and
  • Florian Ebner

Introduction: The survival in early breast cancer (BC) has been significantly improved thanks to numerous new drugs. Nevertheless, the information about the need for systemic therapy, especially chemotherapy, represents an additional stress factor fo...

  • Article
  • Open Access
1 Citations
1,197 Views
10 Pages

Background: Diabetes has become one of the most challenging public health problems due to the alarming increase in prevalence and the morbidity and mortality attributed to its acute and chronic complications. Objective: This study aimed to investigat...

  • Case Report
  • Open Access
1,976 Views
7 Pages

Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report

  • Marino Lupi-Ferandin,
  • Dinko Martinovic,
  • Ante Pojatina,
  • Ante Mihovilovic,
  • Ema Puizina,
  • Sasa Ercegovic,
  • Ivana Stula,
  • Josko Bozic and
  • Slaven Lupi-Ferandin

Background: Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. Methods: In this report, we present the case...

  • Case Report
  • Open Access
1,405 Views
12 Pages

Cerebrovascular Accidents After Orthotopic Liver Transplantation in Patients with Hepatopulmonary Syndrome: A Case Series

  • Steffi K. Chan,
  • Manuel M. Buitrago Blanco,
  • Nicholas J. Feduska,
  • Vatche G. Agopian,
  • Samer S. Ebaid,
  • Tisha Wang,
  • Ami Tamhaney and
  • Igor Barjaktarevic

Background: Hepatopulmonary syndrome (HPS), defined by the presence of pulmonary vascular dilatations that cause right-to-left transpulmonary shunting of venous blood with a consequential increase in the alveolar–arterial oxygen gradient, is a...

  • Review
  • Open Access
1 Citations
2,451 Views
13 Pages

Magnetic Resonance Imaging Techniques for Post-Treatment Evaluation After External Beam Radiation Therapy of Prostate Cancer: Narrative Review

  • Eleni Bekou,
  • Admir Mulita,
  • Ioannis Seimenis,
  • Athanasia Kotini,
  • Nikolaos Courcoutsakis,
  • Michael I. Koukourakis,
  • Francesk Mulita and
  • Efstratios Karavasilis

Background/Objectives: This study aimed to investigate the prognostic value of advanced techniques of magnetic resonance imaging (MRI) biochemical recurrence (BCR) after radiotherapy in patients with prostate cancer (PCa). Methods: A comprehensive li...

  • Article
  • Open Access
1 Citations
3,954 Views
17 Pages

Innovative Damage Assessment of Endodontic Instruments Based on Digital Image Stacking

  • Raúl Argüello-Sánchez,
  • Ivette Alejandra Calderón-Alday,
  • Antonio Hernández-Morales,
  • Benjamín Gonzalo Rodríguez-Méndez,
  • Diego Medina-Castro,
  • Régulo López-Callejas and
  • Carlo Eduardo Medina-Solís

Background/Objectives: The damage assessment of dental instruments, such as endodontic files, is crucial to ensure patient safety and treatment quality. Conventional scanning electron microscopy (SEM) has been the gold standard for this purpose; howe...

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Clin. Pract. - ISSN 2039-7283