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20건 · 최신순- Twelve Commandments of Reconstructive Microsurgery.
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Selective neurectomy of the zygomatic branches for oro-ocular synkinesis: A targeted approach to improve eye aperture.
[BACKGROUND] Oro-ocular synkinesis is a common sequela of facial paralysis, characterized by involuntary eyelid closure during oral movement. Although botulinum toxin (BTX) is the first-line therapy, its transient effect necessitates repeat…
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The history and development of sympathetic trunk reconstruction: a 40-year journey from open surgery to robotic-assisted microsurgery.
Endoscopic thoracic sympathectomy (ETS) is widely used to treat primary hyperhidrosis; however, compensatory sweating (CS) has emerged as a significant complication. Various surgical approaches for managing CS have evolved over the past 4 d…
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Oncoplastic Entirely Robot-Assisted Approach: Incorporating Robotic Surgery in Both Mastectomy and DIEP Flap Reconstruction.
[BACKGROUND] Breast cancer surgery involves a minimally invasive approach with the assistance of robotic technology. Robots can be used for harvesting free deep inferior epigastric artery perforator (DIEP) flaps for breast reconstruction to…
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International Microsurgery Club and World Society for Reconstructive Microsurgery Webinar: Career Building in Microsurgery.
Career building can be challenging for young surgeons, especially when topics such as lifestyle, work-life balance and subspecialization arise. Suggestions and advice from senior colleagues is very valuable but many young surgeons do not ha…
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Delayed Commissuroplasty Increases Interincisal Distance in Buccogingival Cancer Patients Treated with Free Flap Reconstruction of the Oral Commissure.
[BACKGROUND] Oral cavity cancers requiring excision of the oral commissure and free flap reconstruction often requires commissuroplasty to manage oral incontinence. We aimed to evaluate the implications of primary versus delayed commissuro…
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Long-Term Outcome of 118 Acute Total Brachial Plexus Injury Patients Using Free Vascularized Ulnar Nerve Graft to Innervate the Median Nerve.
[BACKGROUND] The restoration of finger movement in total brachial plexus injuries (BPIs) is an ultimate challenge. Pedicled vascularized ulnar nerve graft (VUNG) connecting a proximal root to distal target nerves has shown unpredictable ou…
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Quantization of extraoral free flap monitoring for venous congestion with deep learning integrated iOS applications on smartphones: a diagnostic study.
[BACKGROUND] Free flap monitoring is essential for postmicrosurgical management and outcomes but traditionally relies on human observers; the process is subjective and qualitative and imposes a heavy burden on staffing. To scientifically mo…
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The Preferred Reconstructive Choice for a Lower Third Tibial Exposure Defect: An Online Survey of 356 Microsurgeons.
[BACKGROUND] One of the most challenging yet common areas in reconstructive surgery is the closure of defects in the lower leg. Surgeons can choose from several reconstructive options including local and free flaps. The aim of this study w…
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Novel Port Placement in Robot-Assisted DIEP Flap Harvest Improves Visibility and Bilateral DIEP Access: Early Controlled Cohort Study.
[SUMMARY] To minimize donor-site damage, robot-assisted (RA) deep inferior epigastric perforator (DIEP) flap harvest has been suggested. Current robotic approaches favor port placement, which either does not allow a bilateral DIEP flap harv…
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Robotic sympathetic trunk reconstruction for compensatory sweating after thoracic sympathectomy.
[OBJECTIVES] Endoscopic thoracic sympathectomy may be complicated by the onset of disabling compensatory sweating (CS). The objective of this case series is to report the 2-year outcomes after robotic sympathetic trunk reconstruction (STR) …
- Dialogue with the Giants of Microsurgery: Professor Fu-Chan Wei and Professor Joon Pio Hong.
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International Microsurgery Club Webinar Series-Bridging the Knowledge Gap during the COVID-19 Pandemic.
[BACKGROUND] The impact of the coronavirus disease 2019 (COVID-19) outbreak shut down most conferences. To minimalize the influence, virtual meetings sprang up subsequently. International Microsurgery Club (IMC), as one of the largest prof…
- Knowledge Revolution during COVID-19 Pandemic: International Microsurgery Club Webinar Series.
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Surgical Treatment for Postparalytic Facial Synkinesis: A 35-Year Experience.
[BACKGROUND] Surgical intervention with combined myectomy and neurectomy followed by functioning free muscle transplantation has been proposed to effectively resolve the problem of postparalytic facial synkinesis since 1985, and it continue…
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Reversal of thoracic sympathectomy through robot-assisted microsurgical sympathetic trunk reconstruction with sural nerve graft and additional end-to-side coaptation of the intercostal nerves: A case report.
Thoracic sympathectomy to treat palmar hyperhidrosis (PH) has widely been performed. Many patients regret the surgery due to compensatory hyperhidrosis (CH), gustatory hyperhidrosis, arrhythmia, hypertension, gastrointestinal disturbances, …
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Microsurgical robotic suturing of sural nerve graft for sympathetic nerve reconstruction: a technical feasibility study.
[BACKGROUND] Endoscopic thoracic sympathectomy (ETS) may provide a permanent surgical cure for primary palmar hyperhidrosis. Unfortunately, some patients can experience intensive post-operative compensatory sweating (CS) that ultimately imp…
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The Preferred Management of a Single-Digit Distal Phalanx Amputation.
[BACKGROUND] Replantation of a single digit at the distal phalanx level is not routinely performed since it is technically challenging with questionable cost-effectiveness. The purpose of this study was to analyze international microsurgeo…
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International Microsurgery Club: An Effective Online Collaboration System.
[BACKGROUND] This study aimed to determine if International Microsurgery Club (IMC) is an effective online resource for microsurgeons worldwide, in providing an avenue for timely group discussions and advice regarding complicated cases, an…
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Morbidity of marginal mandibular nerve post vascularized submental lymph node flap transplantation.
[BACKGROUND] This study investigated the morbidity of the marginal mandibular nerve (MMN) post vascularized submental lymph node (VSLN) harvest. [METHODS] The VSLN with sacrifying or preserving the medial platysma was retrospectively class…