미세수술 Microsurgery

[OBJECTIVE] Hypercementosis, characterized by excessive cementum deposition that distorts apical root morphology, poses specific anatomical challenges in endodontics; this systematic review aimed to synthesize its endodontic implications an…

[OBJECTIVE] This study aimed to compare the damage of vocal folds caused by four different surgical instruments: CO laser, electrosurgical knife, plasma radiofrequency ablation, and steel knife. [STUDY DESIGN] Randomized controlled study. …

Microvascular reconstruction demands specialized and additional training beyond residency. This study investigates the free flap learning curve at a newly established microsurgery center by analyzing free flap viability rate over 10 years. …

With distinctive instrumentation, challenges, and training, the unique nature of microsurgery necessitates the provision of feedback and assessment for trainees. The uncertain applicability of feedback or assessment methods may lead to poor…

The breast shape changes between reconstructed and native breasts in autologous reconstruction, which is important to achieve symmetry. This study was conducted to clarify chronological changes in the shape and nipple position of the recons…

Tranexamic acid (TXA) has gained popularity across various surgical specialties for reducing perioperative blood loss. However, its role in microsurgery remains underexplored, likely due to concerns that TXA may increase the risk of thrombo…

[BACKGROUND AND OBJECTIVES] Surgery in NF2-related schwannomatosis (NF2-SWN) vestibular schwannoma (VS) carries a higher risk of facial nerve damage, hearing loss, and partial resection, than in sporadic cases. Radiosurgery is also associat…

A 32-year-old man is involved in motorcycle accident and sustained a Gustilo-Anderson type 3b open tibia shaft fracture. He underwent a debridement, nailing, and free flap by the plastic surgery team. After the debridement, there is a 6 cm …

[BACKGROUND] Osteoradionecrosis (ORN) is a severe complication following radiotherapy (RT), particularly after mandibular reconstruction with a fibula free flap. Risk prediction remains challenging due to limited data. [METHODS] We conduct…

[OBJECTIVE] Loss of independence (LOI) is a key concern after head and neck cancer (HNC) surgery, yet its predictors remain unclear. This study aimed to identify perioperative and postoperative factors linked to LOI in geriatric HNC patient…

Endodontic microsurgery (EMS) is a reliable treatment modality for managing persistent or recurrent periapical pathologies, particularly when conventional nonsurgical retreatment is infeasible or has failed. Various factors influence EMS ou…

[OBJECTIVES] The role of preoperative embolization as an adjunct to microsurgical resection of brain arteriovenous malformations (AVMs) remains uncertain. We evaluated clinical and angiographic outcomes of microsurgical resection performed …

The "Jaw in a Day®" approach enables simultaneous functional and aesthetic mandibular reconstruction through immediate dental implant placement in osseous free flaps. This retrospective cohort study evaluated the accuracy of immediate denta…

Transoral laser microsurgery (TLM) for early glottic cancer is often performed after pathological diagnosis is obtained by a biopsy, requiring two separate procedures. Single-stage TLM (SSTLM), both diagnostic and curative in one surgery, m…

[INTRODUCTION] Reconstruction of the distal lower limb is often complex due to limited local tissues. The pedicled extensor digitorum brevis (EDB) flap is a reliable, loco-regional option for small- to medium-sized ankle and foot defects. T…

We describe a novel reconstructive approach using a free vascularized tibial bone transfer with skin and tibial nerve components to salvage a complex upper extremity injury in the setting of a non-salvageable lower limb. This technique was …

[BACKGROUND] Transoral laser microsurgery (TOLMS) is a cornerstone organ-preserving treatment for early and selected intermediate glottic squamous cell carcinoma (LSCC). Prognostic value of infiltration patterns remains underexplored. We ev…