Vastus lateralis muscle-only free flap: defining its role in head and neck reconstruction.
Bibliographic record
Abstract
OBJECTIVE: To review the anatomy, indications, technique, advantages, and limitations of vastus lateralis muscle-only free tissue transfer for reconstruction of head and neck defects following tumour ablation. DESIGN: A single-centre retrospective chart review was undertaken. METHODS: Patients undergoing free tissue transfer of the vastus lateralis muscle for reconstruction of head and neck defects between May 1, 2003, and April 30, 2006, were identified. Demographic data, surgical details, outcome, and complications were determined. RESULTS: Nine patients were identified. A variety of tumour types and sites were treated. Three suffered flap-related complications consisting of distal flap vascular compromise. CONCLUSIONS: The vastus lateralis muscle-only free flap has numerous advantages, including versatility, ease of harvest, and ability to perform a two-team operation. There are also some limitations, including variable anatomy and tenuous distal circulation. Judicious use of this free flap in noncritical areas is preferable.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 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 source (direct Gemma or distilled Codex), 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".