미세수술 Microsurgery

This paper introduces a novel piezoelectric microsurgical manipulator and proposes an Adaptive Non-singular Terminal Sliding Mode Controller (ANTSMC) integrated with Time Delay Estimation (TDE) to address displacement errors induced by nonl…

[OBJECTIVE] Vein of Galen aneurysmal malformations (VGAMs) are rare congenital vascular anomalies typically treated with endovascular embolization. Microsurgery, once the standard, has largely been abandoned due to historically high mortali…

[OBJECTIVES] Treatment of congenital facial paralysis is often postponed because patients exhibit only mild dysfunction and inconspicuous facial asymmetry at rest. Surgical facilitation of smiling has significant implications for the qualit…

[BACKGROUND AND OBJECTIVES] Endoscopic surgery offers a minimally invasive alternative to microsurgical resection for intraventricular lesions such as colloid cysts, with potential advantages in morbidity and recovery. Although microsurgery…

[OBJECTIVES] Postoperative radiotherapy (PORT) is a cornerstone in the multimodal treatment of head and neck malignancies but may lead to osteoradionecrosis (ORN) inside healthy osseous free flaps. This study analyzes the role of external c…

Transoral laser microsurgery (TOLMS) is an established organ-preserving treatment for early-stage and selected intermediate-stage laryngeal squamous cell carcinoma (SCC). Initially indicated for Tis-T1 lesions, its use has progressively exp…

[OBJECTIVES] Evaluate the association of plating strategies with hardware removal and operative time, after adjusting for relevant clinical variables. [STUDY DESIGN] Retrospective Review. [SETTING] Multiple Academic Medical Centers. [MET…

[PURPOSE] This study investigated the impact of different anticoagulation protocols on the incidence of pulmonary embolism (PE) in patients with head and neck tumors who underwent microvascular flap reconstruction. [METHODS] We conducted a…

The descending genicular artery (DGA) axis can provide a versatile reconstruction that includes several tissue components, including bone, skin, muscle, tendon, and nerve. We present a novel CT angiography study to define the branches of th…

At our breast reconstruction center, we have, over time, developed a focused program to increase access to care for low-resource patients. This program includes outreach clinics, physician extenders, care coordinators, and telehealth utiliz…

[BACKGROUND] Microsurgical breast reconstruction has traditionally required extended postoperative hospitalization for flap monitoring and patient recovery. We conducted this study to identify factors associated with early discharge and ass…

[OBJECTIVE] Vein grafting may provide a valuable option in microvascular free flap reconstruction for head and neck cancer when direct anastomosis is not feasible. This study assesses indications and outcomes, reappraises prevailing assumpt…

Condylar reconstruction and replacement with alloplastic materials have gained increasing surgical interest due to their critical role in restoring mandibular function. This study aimed to evaluate clinical outcomes and long-term complicati…

[BACKGROUND] Loss of the interdental papilla compromises esthetics, speech, and hygiene, significantly affecting quality of life and psychological well-being. Reconstruction has long been considered unpredictable, particularly in Cairo RT3 …

[UNLABELLED] Venous thromboembolism (VTE) is a serious perioperative complication associated with morbidity and mortality. Although otolaryngology-head and neck surgery (OHNS) has lower rates of VTE than other surgical specialties, VTE rate…

[PURPOSE] Head and neck free flap (HNFF) surgery is essential in reconstructive surgery, addressing complex defects with tailored approaches. Despite high success rates, complications remain significant, influenced by patient comorbidities,…

Radiotherapy is essential for achieving and maintaining local control in head and neck rhabdomyosarcoma (RMS) patients. However, radiotherapy may cause outgrowth disturbances of facial bone and soft tissue, resulting in facial asymmetry. Th…

Abdominally based free flap breast reconstruction offers excellent long-term outcomes, but donor-site morbidity remains a concern. Lower back pain is a prevalent musculoskeletal condition that may impair core stability and abdominal donor-s…

Microsurgical reconstruction is often first-line treatment in trauma cases, yet its role in burn reconstruction remains inconsistent, despite comparable injury complexity and resuscitation demands. While literature suggests mixed outcomes f…

[IMPORTANCE] Oral tongue is the most common subsite of oral cavity cancers, and incidence is increasing. Tongue resection is associated with morbidity, affecting speech, swallowing, and quality of life. [OBJECTIVE] To assess the associatio…