미세수술 Microsurgery

Artificial intelligence (AI) is rapidly reshaping head and neck surgical oncology by augmenting decision-making across the full perioperative continuum. This state-of-the-art review aims to provide head and neck surgical oncologists with a …

Defects following total parotidectomy represent a distinctive reconstructive challenge. Restoration of facial volume and contour must be balanced with protection of the preserved facial nerve and reliable healing, particularly after extensi…

[OBJECTIVE] Quality of life (QOL) is an important consideration in vestibular schwannoma (VS) patients when assessing management options. Understanding sex-based differences in QOL may facilitate patient counseling. [STUDY DESIGN] Prospect…

[OBJECTIVE] Arteriovenous shunts below the conus medullaris (AVS-BC) have an unstudied natural history. The aim of this study was to elucidate the natural history of AVS-BC and to clarify the clinical onset, progression, and treatment outco…

The purpose of this study was to assess the safety and efficacy of an open envelope incision (OEI) for closure of the posterior tibial artery free flap (PTAFF) donor site and to compare the functional and aesthetic outcomes with those of cl…

The lymphatic system is essential for maintaining interstitial fluid balance, supporting immune surveillance, and clearing metabolic waste, yet its role in ageing has only recently come into focus. With age, lymphatic vessels and lymphoid o…

Currently, the first-line treatment for the most common form of head and neck squamous cell carcinoma (HNSCC), oral cavity squamous cell carcinoma (OSCC), is surgical resection, followed by risk-adapted treatments, such as chemoradiotherapy…

Intraoperative hypothermia is a common yet underrecognized concern in plastic surgery, contributing to increased risks of surgical site infections, coagulopathy, and delayed recovery. This study characterizes intraoperative temperature dyna…

[UNLABELLED] Robotic microsurgery offers greater precision compared to manual surgical techniques and enables vascular anastomoses at submillimeter scales. This pilot study evaluated the incorporation of the Synaptix Digital Surgery Platfor…

[BACKGROUND] The treatment of scaphoid nonunion is challenging, with one approach aiming to provide vascularized bone to encourage union. While the iliac crest and medial femoral condyle are well-described donor sites for osseous flaps, the…

[BACKGROUND AND OBJECTIVES] Comparing microsurgery and embolization for spinal cord arteriovenous malformations (SCAVMs) is challenging because of the disease's rarity and the highly heterogeneous angioarchitecture. The aim of this study wa…

IntroductionBlood blister-like aneurysms (BBLAs) are rare, typically found in the anteromedial supraclinoid segment of the internal carotid artery, and are related to high morbidity and mortality rates. Although microsurgery has been tradit…

[BACKGROUND] Medial arterial calcification (MAC) is emerging as a tool to predict adverse limb events, but its effects on microsurgery are unknown. This study evaluates the effects of MAC on microsurgical limb salvage outcomes. [METHODS] P…

Chronic apical periodontitis (CAP), an inflammatory disease of periapical tissues, leads to alveolar bone destruction. Current therapies lack osteoblast-targeting specificity and fail to effectively promote bone repair. Extracellular vesicl…

[BACKGROUND] We present our experience with free flap reconstruction of the anterior skull base (SB), focusing on complex composite defects in patients undergoing multimodality therapy for SB tumors. [METHODS] Outcomes of patients undergoi…

[BACKGROUND] Reconstruction of premaxillary defects remains a surgical challenge due to the region's functional and aesthetic importance. While prosthetic rehabilitation and osteocutaneous free flaps are commonly used, they can be resource-…

[OBJECTIVES] While prior studies have demonstrated favorable aesthetic outcomes using skin grafted free flaps to improve recipient site color match (Epithelial Preservation Including Dermal Resection Microvascular technique: EPIDERM techniq…

[BACKGROUND] The microvascular bone free flap (MBFF) is the preferred reconstruction after mandibular resection as it facilitates secondary dental rehabilitation. [METHODS] In this multicenter study, patients were included if treated betwe…

[INTRODUCTION] Through-and-through (T-T) lesions present unique anatomical challenges in endodontic microsurgery (EMS), often resulting in delayed or incomplete healing. This study aimed to evaluate the clinical outcomes of EMS in T-T lesio…

[PURPOSE OF REVIEW] This review addresses the timely and relevant challenge of reconstructing extensive infratemporal fossa defects following composite bucco-alveolar cancer resection. The complexity of these three-dimensional defects, invo…