미세수술 Microsurgery

[BACKGROUND] CO2 Transoral laser microsurgery (TLM) is a preferred technique for early-stage glottic lesions [1] (Yin et al Auris Nasus Larynx 50(3):415-422, 1), but reconstruction of the anterior commissure remains an unresolved issue. The…

[OBJECTIVE] In this nationwide retrospective study, we sought to evaluate the oncologic and functional outcomes and safety of transoral surgery (TOS) for hypopharyngeal and laryngeal squamous cell carcinomas in Japan and to clarify the appr…

[OBJECTIVE] Wait-and-scan surveillance is now commonly employed for initial management of small- and medium-sized vestibular schwannomas. Although small differences in tumor size are unlikely to impact outcomes significantly, treatment with…

Head and neck cancer (HANC) patients' health-related quality of life and concerns shape the patient-clinician interaction. Allowing patients to raise concerns that might otherwise be missed affords an opportunity for intervention and signpo…

A 78-year-old male patient presented with an episode of confusion. Computed tomography angiography (CTA) revealed an abnormal collection of vessels in the basal frontal region, and diagnostic cerebral angiogram revealed an ethmoidal dural a…

[BACKGROUND] Bony nonunion is an important complication in head and neck reconstruction, but its definition, incidence, and treatment are not well-reported. [METHODS] MEDLINE, Embase, CENTRAL, and Web of Science were searched from October …

[OBJECTIVE] To evaluate the effect of three dimensional (3D) reconstruction-guided brain lesion resection based on adjacent landmarks. [METHODS] Between January 2019 and June 2022, 13 patients with brain lesions underwent 3D reconstruction…

[OBJECTIVE] To evaluate preventative and corrective techniques for postoperative temporal wasting. [DATA SOURCES] PubMed, Cochrane, Web of Science, and SCOPUS databases. [REVIEW METHODS] Included studies mentioned temporal wasting and its…

Robotic microsurgery has emerged as a promising advancement in plastic and reconstructive surgery, offering enhanced precision through tremor suppression and motion scaling during microvascular anastomosis. This systematic review and single…

[BACKGROUND] Little is known about long-term esthetic outcomes after re-exploration for microvascular compromise in autologous breast reconstruction. We assessed long-term breast volume symmetry and introduced a symmetry-based "true salvage…

[BACKGROUND] Although various dermal substitutes are available, their use in the acute setting or for extensive surface areas is often constrained by high costs and labor-intensive application procedures. Despite these challenges, they have…

[BACKGROUND] Free flap breast reconstruction (FFBR) is a well-established technique for postmastectomy rehabilitation. However, chronic immunosuppressive therapy may compromise wound healing, increase infection susceptibility, and adversely…

[OBJECTIVE] Limited literature focuses on delays in accessing head and neck cancer (HNC) care across the entire care continuum. This study aims to describe the time to care from symptom onset to treatment completion and identify predictors …

[BACKGROUND] Reconstruction of clival defects may be challenging in expanded endonasal skull base surgery. We conducted a systematic review to evaluate the outcomes of vascularized flaps used for clival reconstruction. [METHODOLOGY] The fo…

[BACKGROUND] Solid organ transplant recipients are at increased risk of developing head and neck squamous cell carcinoma (HNSCC). These patients often require free flap reconstruction; however, data on outcomes in this immunosuppressed popu…

[BACKGROUND] The use of tranexamic acid (TXA) in plastic surgery is increasing due to its anti-inflammatory properties, particularly in reducing postoperative seromas. However, its role in reconstructive microsurgery remains limited due to …

[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Understand operative techniques for harvesting several different types of free flaps with sensory innervation. 2. Describe options for donor nerves for…

[AIM] Dental rehabilitation significantly improves the quality of life of oral cancer survivors, although its success may vary with multiple factors. This study aims to assess the viability of dental implants in treated cases of oral squamo…

Music is frequently played in operating rooms, often credited with enhancing comfort and alleviating stress; however, its influence on microsurgical performance during training remains unclear. This study aimed to evaluate the effect of bac…