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15건 · 최신순-
State-of-the-Art Medical Imaging Supporting Supermicrosurgery: A Scoping Review, Practical Guidelines, and Illustrative Case Report.
In the era of supermicrosurgery, clinicians need more precise imaging modalities to know the exact microvascular and lymphatic anatomy of the patient. The goal of this review is to answer the research question "What are the state-of-the-art…
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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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The evolution of perforator flaps and the future of microsurgery.
Perforator flaps have transformed reconstructive microsurgery by enabling tissue-specific reconstruction while preserving muscle, fascia, and nerves, minimizing donor site morbidity. Modern techniques-including superthin, ultrathin, and pur…
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Refining Surgical Precision: The Impact of Color Doppler Ultrasound-Guided Perforator Mapping on Anterolateral Thigh Flap for Oncologic Patients.
This study investigates the impact of preoperative ultrasound mapping using color Doppler ultrasound (CDU) on surgical outcomes for anterolateral thigh (ALT) free flap reconstructions.A retrospective review was conducted on patients who wer…
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How to Start and Build Microsurgery Practice-Topics on Success and Sustainability: Global/International.
Many young microsurgeons begin their careers at established hospitals where microsurgery resources are limited. This article shares the authors' experiences in overcoming challenges and establishing a microsurgery practice in a new hospital…
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Septal Reposition during Intermediate Cleft Rhinoplasty: A Second Chance for Correcting Caudal Septal Deviation.
[BACKGROUND] The authors investigated postoperative nasal morphologic changes in patients undergoing secondary correction of cleft-lip nose with septal repositioning and alar cartilage suspension during preschool age. [METHODS] The authors…
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Epidural Anesthesia and Arterial Maximal Flow Velocity of Free Flap in Patients Having Microvascular Lower Extremity Reconstruction: A Randomized Controlled Trial.
[BACKGROUND] One of the critical factors for free flap survival is to maintain adequate perfusion. The authors evaluated the effect of epidural anesthesia on arterial maximal flow velocity of the free flap in microvascular lower extremity r…
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Clinical Applications of Augmented Reality Technology in Microsurgical Planning of Head and Neck Reconstruction.
[BACKGROUND] To perform head and neck reconstruction, the exact location of recipient vessels must be evaluated preoperatively. This study aimed to superimpose arterial and venous pathways identified by computed tomography angiography (CTA)…
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A Retrospective Case Series on Free Flap Reconstruction for Ischemic Diabetic Foot: The Nutrient Flap Further Explained.
[BACKGROUND] This retrospective case series compares the outcomes and postoperative oxygen levels in patients who underwent free flap versus primary closure/local flap reconstruction for ischemic diabetic foot wounds to determine the influe…
- Reply: Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model.
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Free Tissue Transfer after Open Transmetatarsal Amputation in Diabetic Patients.
[BACKGROUND] Transmetatarsal amputation (TMA) preserves functional gait while avoiding the need for prosthesis. However, when primary closure is not possible after amputation, higher level amputation is recommended. We hypothesize that rec…
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Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model.
[BACKGROUND] Although the effects of botulinum toxin A on hernia reconstruction have been consistently reported, few studies provide objective evidence. The authors aimed to compare the effects of chemical component separation with those of…
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The Role of Duplex Ultrasound in Microsurgical Reconstruction: Review and Technical Considerations.
[BACKGROUND] With the technological advances, microsurgery has evolved to the era of supermicrosurgery since its inception. With the popularization of these flaps, proficiency in using tools such as color Doppler ultrasound (CDU) has becom…
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Tattoo-only nipple-areola complex reconstruction: Another option for plastic surgeons.
[BACKGROUND] Total breast reconstruction involves a long process consisting of mastectomy, breast reconstruction, and adjuvant therapy. For various reasons, some patients refuse the final step of nipple-areola reconstruction. Some patients …
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One-Piece Mandibuloplasty Compared to Conventional Mandibuloplasty With Narrowing Genioplasty.
[BACKGROUND] Recently, the mandibular body and chin shape are known to be important issue as well as the mandibular angle. The authors have performed the one-piece mandibuloplasty from the mandibular angle to the most anterior part of chin …