미세수술 Microsurgery

[BACKGROUND] Data addressing health-related quality of life (HRQOL) following maxillary reconstruction with free flaps remain scarce. Insight into these outcomes is essential for clinical decision-making. [METHODS] A systematic review of M…

We present a 48-year-old woman who sustained life threatening polytrauma from a shark attack in New Caledonia, including posterior trunk and thigh crush-avulsion, bilateral upper-limb amputations and a 16 cm segmental sciatic nerve defect. …

[BACKGROUND] In 2018, an initiative at the authors' institution aimed at reducing routine prophylactic tracheostomies for head and neck reconstructions with free flaps was implemented. Discussion between the surgical team and anesthesia abo…

[OBJECTIVES] This study aims to evaluate the results of traumatic soft tissue defects of the forefoot reconstructed using the lateral arm flap and to examine the advantages and disadvantages of this flap. [PATIENTS AND METHODS] Between Jan…

[BACKGROUND] Extensive thoracoabdominal defects after oncologic resection pose a major reconstructive challenge, particularly when durable soft-tissue coverage must be achieved over prosthetic chest wall reconstruction. Conventional pedicle…

Free flap reconstruction around the knee is challenging given a paucity of suitable recipient vessels. Traditional recipient vessels frequently require specific positioning other than supine (limiting flap selection), have variable anatomy,…

The fibula free flap is a versatile option for reconstructing complex defects, particularly in the head and neck region. However, variations in the vascular anatomy of the skin paddle can pose challenges during flap harvest and inset. We id…

Large chest wall defects may be challenging to reconstruct and requires consideration of skeletal stabilization. Whilst use of synthetic materials has been described, the risks of infection and implant failure resulting in removal are omnip…

Lymphedema arises from impaired lymphatic drainage, leading to accumulation of protein-rich fluid in the interstitium and progressive soft-tissue fibrosis. Although eyelid lymphedema is rare, it can cause marked functional and aesthetic mor…

[PURPOSE] Trimmed proximal and distal nerve stumps should be morphometrically matching and show evidence of healthy fascicular tissue to potentiate nerve regeneration. We hypothesized that differences exist between nerve trimming instrument…

Spinal muscular atrophy (SMA) is a hereditary neuromuscular disorder characterized by progressive lower motor neuron loss, resulting in severe muscle atrophy, fatty degeneration, and impaired tissue perfusion. These changes increase suscept…

Facial burns often result in cicatricial eyelid retraction, causing corneal exposure, ulceration, and vision loss. Traditional reconstructive methods, such as full-thickness skin grafts or local flaps, frequently fail in extensive burns due…

[OBJECTIVES] To synthesize evidence on breast plastic surgery in peri- and postmenopausal women and provide menopause-informed guidance on surgical safety, cancer screening, and long-term implant surveillance. [STUDY DESIGN] Narrative revi…

[BACKGROUND] Traditional methods of mandibular reconstruction commonly utilize the fibula-free flap (FFF) with delayed placement of dental prostheses. Recently, immediate prosthesis placement has been introduced to eliminate the period of e…

Like small ruminants, alpacas are prone to urethral obstruction, commonly caused by urolithiasis. Surgical intervention, such as perineal urethrostomy, is often necessary, though recurrent strictures and impaired healing pose significant ch…

Background Glucagon-like peptide-1 receptor agonists (GLP-1s) are increasingly used for glycemic control and weight loss, but their impact on surgical wound complications remains unclear. Some studies suggest GLP-1s reduce complications suc…

[OBJECTIVE] Full-thickness cheek defects resulting from advanced oral cavity cancer pose significant reconstructive challenges, with both functional and aesthetic implications. Although free flap remains the gold standard, it is resource-in…

[BACKGROUND] Endovascular therapy is commonly used for ruptured vertebral artery dissecting aneurysm (VADA); however, complications such as medullary infarction and posterior inferior cerebellar artery (PICA)-related ischemia remain concern…

[PURPOSE] Brain arteriovenous malformations (AVMs) are high-risk vascular anomalies associated with hemorrhage, neurological morbidity, and mortality. Stereotactic radiosurgery (SRS) is a well-established, non-invasive treatment that achiev…

Large cavernous sinus hemangiomas (CSHs) present a significant therapeutic challenge. While microsurgery carries risks of massive bleeding and morbidity, standard single-fraction stereotactic radiosurgery is often strictly limited by the ra…