미세수술 Microsurgery
현미경 하 미세 혈관/신경 봉합
이 분야 핵심 논문
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8,232건 · 최신순-
Intraoperative indocyanine green videoangiography of spinal epidural arteriovenous fistula in thoracolumbar lesions: illustrative case.
[BACKGROUND] Compared to dural arteriovenous fistulas (AVFs), the pathogenesis of extradural AVFs is unclear. Furthermore, the outcomes of surgical and endovascular treatments are inferior to those of dural AVFs, and in some cases, there ar…
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Radiation-induced meningiomas, cerebral aneurysm, and multiple cavernomas 2 decades after radiotherapy for medulloblastoma: illustrative case.
[BACKGROUND] Radiation therapy is a mainstay in the management of medulloblastoma. However, it carries long-term side effects including radiation-induced tumors and vasculopathies. The authors report the first case of the occurrence of radi…
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Recurrent Maxillary Ameloblastoma in an Adolescent Treated With Total Maxillectomy and Immediate Vascularized Iliac Crest Free Flap Reconstruction.
Ameloblastoma is an odontogenic tumor characterized by local aggressiveness and a high recurrence rate. Maxillary ameloblastoma is relatively uncommon, particularly in adolescent patients, and recurrent lesions present significant challenge…
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Microsurgical management of tentorial dural arteriovenous fistula: an analysis from the Consortium for Dural Arteriovenous Fistula Outcomes Research (CONDOR).
[OBJECTIVE] Dural arteriovenous fistulas (dAVFs) are rare cerebrovascular anomalies. Tentorial dAVFs (TDAVFs) have more aggressive features, making them prone to symptomatic presentations and hemorrhage. TDAVFs are heterogenous and require …
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Outcomes of free flaps in patients with diabetes mellitus and open lower limb fractures: a retrospective cohort study.
[INTRODUCTION] High-energy open fractures are complex orthoplastic problems. Limb salvage surgical goals include achieving bony stabilisation and adequate soft tissue coverage, while minimising bone and soft tissue complications. Soft tissu…
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Treating life-threatening airway compromise due to concurrent COPD and tracheomalacia using translaryngeal shared-airway microsurgery.
We treated life-threatening tracheomalacia in a 76-year-old man with severe chronic obstructive pulmonary disease using translaryngeal shared-airway microsurgical techniques to enable tracheal stent placement. These techniques included susp…
- Feasibility and role of the lateral arm free flap following pull-through oropharyngectomy for tonsillar carcinoma: a clinical analysis.
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Feasibility and efficacy of radical tumour resection with primary vascularized free flap reconstruction for advanced oral cancer in patients with thrombocytopenia: a prospective study.
Thrombocytopenia is caused by various diseases and increases the risk of bleeding. Radical surgery with vascularized free-flap reconstruction is the preferred approach for advanced oral cancer; however, its safety and feasibility in patient…
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Towards Improved Outcomes for Cavernous Malformations of the Brainstem and Other "Critical" Function Brain Regions.
[BACKGROUND AND OBJECTIVES] To determine whether the size of the surgical pial-ependymal surface entry, relative to lesion size, predicts long-term functional outcome in the microsurgical treatment of cavernous malformations in brain region…
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Long-Term Voice Outcomes After Trans-Oral Resection of Early Glottis Carcinoma.
[OBJECTIVES] Survival after trans-oral laser microsurgery (TLM) for glottic carcinoma is excellent. However, the voice quality after TLM remains unclear. This study examines voice outcomes following different surgical procedures. [STUDY DE…
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[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].
Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize …
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Artificial Intelligence-Driven Mapping of Global Microsurgery Research: Dual Automation for Data and Classification.
[INTRODUCTION] Microsurgery is one of the most technically demanding and rapidly advancing domains in modern surgery. Despite its transformative role across reconstructive and restorative disciplines, global patterns of microsurgical resear…
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Endoscopic disconnection of hypothalamic hamartoma: an already outdated story?
[OBJECTIVE] Surgical management of hypothalamic hamartomas (HHs) presents substantial challenges due to their deep-seated location and proximity to critical neurovascular structures. Less invasive techniques, such as endoscopic disconnectio…
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Microvascular Anastomosis Devices: A Scoping Review.
Performing a hand-sewn microvascular anastomosis is a technically challenging and potentially time-consuming task, the results of which can dramatically impact prolonged ischemia time and clinical outcomes. This scoping review aims to exami…
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Bridging the Gap between Microsurgery and Supermicrosurgy: A Rat Study for 0.3 mm Vascular Anastomosis Comparing a Robotic-assisted vs. Conventional Approach.
Supermicrosurgery involving vessels ≤0.3 mm remains among the most technically demanding procedures in reconstructive surgery. Robotic platforms have shown potential to enhance precision, but their feasibility at this extreme scale requires…
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Perforator Propeller Flap for Donor-Site Closure of the Lower Trapezius Musculocutaneous Flap: A Case Series and Systematic Review of Buddy Flap Techniques.
[OBJECTIVE] The lower trapezius musculocutaneous flap (LTMF) is a workhorse flap for the reconstruction of soft-tissue defects of the head and neck. However, when harvesting a large LTMF to repair massive defects, primary closure of the don…
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The Role of A1 Variations on the Outcomes of Anterior Communicating Artery Aneurysm Treatment.
Anterior communicating artery (ACoA) aneurysms are common and complex. This study investigated the effect of A1 artery variations (hypoplasia/aplasia) on treatment outcomes.We retrospectively reviewed 104 patients with ACoA aneurysms treate…
- Mesiobuccal root morphology influences biomechanical stability after endodontic microsurgery in maxillary first molars: a finite element analysis study.
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Quality of life after breast (reconstructive) surgery-an interim analysis of a prospective three-arm clinical trial with a 10-year follow-up (REKO 001).
[BACKGROUND] Long-term health-related quality of life (HRQoL) plays an increasingly important role in breast cancer treatment. Women who are not eligible for breast-conserving therapy frequently opt for reconstruction, but data on long-term…
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Is There an Ideal Method of Predicting Postoperative Complications Following Major Head and Neck Procedures?: A Comparative Analysis of Three Frailty Indices.
[BACKGROUND] Frailty is a critical determinant of surgical outcomes in head and neck surgery, given that patients often present with multiple comorbidities. Identifying the optimal frailty index for preoperative risk stratification can enha…