Batting .500: experience with the fibular free flap in the achondroplastic patient.
Bibliographic record
Abstract
OBJECTIVES: To describe the use of the fibular free flap in the achondroplastic patient and to report the potential pitfalls of free flap surgery on this group of patients. DESIGN: Retrospective chart analysis. METHODS: We reviewed our experience with two fibular free flaps in this rare situation. RESULTS: This is the largest series of fibular free flaps reported on the achondroplastic patient. An acute adrenal event resulted in hypothermia and hypotension and ultimately led to the failure of our first reconstructive attempt. Corrective measures were taken during the secondary reconstruction to prevent these systemic issues from coming into play, which ultimately led to a successful free fibular transfer. CONCLUSION: Free fibular transfer is possible for facial reconstruction in the achondroplastic patient, and success can be improved if measures are taken to prevent systemic complications of hypothermia and hypotension in the case of an acute adrenal event.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".