Roman J. Skoracki

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BACKGROUND : Pharyngoesophageal defects traditionally have been reconstructed using a jejunal or radial forearm flap. In 2002, the authors began using the anterolateral thigh flap for pharyngoesophageal reconstruction, and it has become our preferred method. The purpose of this study was to analyze the clinical and functional outcomes achieved using this(More)
BACKGROUND The authors prospectively evaluated the efficacy of lymphovenous bypass in patients with lymphedema secondary to cancer treatment. METHODS The authors prospectively enrolled 100 consecutive patients with extremity lymphedema secondary to cancer treatment. Sixty-five patients underwent lymphovenous bypass with indocyanine green fluorescent(More)
OBJECTIVE To review our experience and technique of the supercharged jejunal flap for total esophageal reconstruction. BACKGROUND A gastric pull-up is the first choice for total esophageal reconstruction. When this fails or when the stomach is unavailable, a supercharged jejunal flap may reestablish alimentary tract continuity. METHODS We performed a(More)
OBJECTIVES/HYPOTHESIS To evaluate the use of computer-assisted design and rapid prototype modeling to improve the speed and accuracy of mandibular reconstruction. STUDY DESIGN Case-control study. METHODS Between 2005 and 2011, 38 subjects underwent fibula free flap mandibular reconstruction using computer-assisted design and rapid prototype modeling.(More)
Bone is a nanocomposite composed of organic (mainly collagen) and inorganic (nanocrystalline hydroxyapatite) components, with a hierarchical structure ranging from nano- to macroscale. Its functions include providing mechanical support and transmitting physio-chemical and mechano-chemical cues. Clinical repair and reconstruction of bone defects has been(More)
BACKGROUND Palatal obturators and microvascular free flaps are both used to treat patients with maxillectomy defects, however, the optimal technique remains controversial. METHODS A retrospective analysis of 113 patients undergoing maxillectomy for cancer was performed. Seventy-three patients received an obturator and 40 patients were reconstructed with a(More)
BACKGROUND In scalp reconstruction, soft tissue and osseous defects frequently coexist. The purpose of this study was to compare outcomes of simultaneous scalp and calvarial reconstruction to scalp only reconstruction. METHODS A review of microsurgical scalp reconstruction with or without cranioplasty over a 10-year period was performed. RESULTS One(More)
BACKGROUND Most head and neck reconstructions are performed for wound closure or functional rehabilitation with aesthetic restoration being an important but secondary consideration. METHODS Contour deformities in 40 patients undergoing head and neck resections were reconstructed immediately with adipofascial perforator flaps, including 37 anterolateral(More)
BACKGROUND Pharyngoesophageal (PE) reconstruction is complex, with a diverse set of reconstructive considerations. This large series examines the impact of various defect characteristics and reconstructive modalities on outcomes. PATIENTS AND METHODS A retrospective review identified 349 cases from 2000 to 2011. Patients were grouped according to defect(More)
BACKGROUND Our ability to guide cells in biomaterials for in vivo bone repair is limited and requires novel strategies. Short-interfering RNA (siRNA) allows the regulation of multiple cellular pathways. Core binding factor alpha 1 (Cbfa1) and hypoxia-inducible factor 1 (HIF-1) pathways can be modulated to direct bone formation via siRNA against guanine(More)