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Intraoperative analysis of lymph nutrient vessels of 104 human lymph vessels using video-capillaroscopy.
The vasa vasorum of the superficial collecting lymph vessel (VCL) has been reported to show morphological changes in lymphedematous limbs. This study aimed to develop a pathophysiological severity staging of the superficial collecting lymph…
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Knacks and pitfalls for superficial circumflex iliac artery perforator flap.
[PURPOSE] To review the utility of the Superficial Circumflex Iliac Artery Perforator (SCIP) flap for a wide range of defect reconstructions, emphasizing the groin's vascular anatomy, relevant anatomical variations, and recent advancements …
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Posture-based Assessment: Thread Lift Versus High-intensity Focused Ultrasound in Asians.
[BACKGROUND] Minimally invasive facial laxity treatments, such as thread lifts and high-intensity focused ultrasound (HIFU), are increasingly popular in Asia, but standardized guidelines are lacking. Treatment outcomes are often subjective …
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Evaluation of the Superficial Collecting Lymph Vessels' Vasa Vasorum in Lymphoedematous Limbs Using Video Capillaroscopy.
[OBJECTIVE] The pre-collecting and collecting lymph vessels have smooth muscle cells, and sufficient perfusion is vital to maintain their function. Although the vasa vasorum of the collecting lymph vessels (VVCL) have been histologically in…
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Clinical applications of the chimeric anterolateral thigh (ALT) flap in head and neck reconstruction.
[BACKGROUND] Surgical site infection (SSI) is a common complication following head and neck surgery. Dead space at the excision site can increase the risk of infection, abscess formation, and mortality. Herein, we evaluated the performance …
- Shaping the future of microsurgery: Combination of exoscope and smart glasses.
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Real-Time Assessment of Free Flap Capillary Circulation Using Videocapillaroscopy.
[BACKGROUND] Free tissue transfer is a common method of reconstruction for various surgical defects. Many clinical assessment methods, including flap color monitoring and capillary refill time measurements, are commonly used to assess the m…
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Combined ALT, Estlander, and Upper Lip Flap for Defects Involving the Oral Commissure.
Lip defects (including the corners of the mouth) are a reconstructive challenge in terms of both aesthetic and functional outcomes. When oral cancer resection results in defects that extend beyond the corners of the mouth to the buccal muco…
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Characteristics and Limitations of Video-capillaroscopy in Reconstructive Microsurgery for Different Histologic Components of Flaps.
Indocyanine green, ultrasonography, and handheld Doppler can be used to evaluate blood flow at the donor and recipient site during microvascular reconstruction. However, these methods do not provide direct visualization and assessment of re…
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Intraoperative Identification of Perforator Spasm and Decreased Pulsation Using Video-capillaroscopy during Free Flap Harvest.
Temporary or prolonged vascular spasm can be appreciated when perivascular dissection is performed for microvascular reconstruction. Due to a lack of reliable assessment modalities, the resolution of spasm at the periphery of perforators ca…