Artificial intelligence-based decision support in simulated free flap Re-exploration for head and neck reconstruction. A case-based comparative study
Sebastian Holm, Juan E Berner, Ann-Charlott Docherty Skogh, Dhafir Hanoon, Mattias Lidén, Gabriel Badida, Fredrik Landström, Reza Tabrisi · 2026
Read Artificial intelligence-based decision support in simulated free flap Re-exploration for head and neck reconstruction. A case-based comparative study by Sebastian Holm, Juan E Berner, Ann-Charlott Docherty Skogh, Dhafir Hanoon, Mattias Lidén, Gabriel Badida, Fredrik Landström, Reza Tabrisi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13280260.txt.
Description
Sebastian Holm and co-authors test three large language models as decision support for free flap problems after head and neck reconstruction. A failing flap needs fast, ordered action. Thirty standard cases, half during surgery and half after, were given to ChatGPT, Gemini and Copilot with the same prompts, and four consultant microsurgeons scored each answer.
Accuracy scores were high for all models in both case types, with no clear gap between models. In after-surgery cases, Gemini scored higher on management advice and on how useful its explanations were. Harmful advice was rare, though rates differed by model in after-surgery cases. Raters agreed more on during-surgery cases than on later ones.
Catalog record
| CREATOR | Sebastian Holm, Juan E Berner, Ann-Charlott Docherty Skogh, Dhafir Hanoon, Mattias Lidén, Gabriel Badida, Fredrik Landström, Reza Tabrisi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 35 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |