미세수술 Microsurgery

ObjectiveTo evaluate the utility of intraoperative somatosensory evoked potential monitoring for detecting position-related brachial plexus injury during cerebellopontine angle tumor resection, identify independent risk factors, and assess …

[INTRODUCTION] Overtime, there have been significant changes in reconstructive techniques. The effectiveness of free flap reconstruction has increased with improved surgical technique as well as technological refinement in vessel selection …

Orthoplastic surgery integrates principles of trauma surgery and microsurgery to achieve functional restoration in complex limb injuries. While osseous stabilization and soft-tissue coverage have long been established as core components, th…

[BACKGROUND] Guided microsurgery has been proposed to improve precision and reduce operation time, but its effect on bone healing remains unclear. [AIM] To compare guided microsurgical root end resection and different retrograde filling ma…

Zygomatic implant perforated (ZIP) flap reconstruction offers immediate surgical rehabilitation following maxillectomy, integrating oncologic zygomatic implants with a fascio-cutaneous free flap. A critical technical challenge is safely per…

High-energy open tibial fractures with segmental bone loss and extensive soft-tissue necrosis remain limb-threatening, especially when only one recipient artery is patent. We report a 37-year-old man with a Gustilo-Anderson type IIIB open d…

Free flaps for coverage of soft tissue wounds of the lower extremity are often used in the setting of large, complex wounds or failed local flaps. However, in cases of insufficient pedicle length or poor recipient vessel availability, inter…

[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap is widely regarded as the gold standard for breast reconstruction. Recent advancements in robotic-assisted microsurgery have enabled perforator-to-perforator anastomoses. This…

[BACKGROUND] Postoperative wound healing remains a critical challenge, particularly in complex reconstructions such as free flap surgeries. Despite technical improvements, perfusion-related complications may cause partial flap loss. Followi…

[BACKGROUND] The anterolateral thigh free flap is a versatile reconstructive option for lower limb and head and neck defects. It provides a large skin paddle with a reliable vascular pedicle-the descending branch of the lateral circumflex f…

Large nasal defects that cannot be addressed with forehead flaps often require microsurgical free flap-based reconstructions. The temporoparietal fascial flap (TPFF) has been described for nasal reconstruction, but no reports have shown the…

Consequences of Strep A infections can be severe including shock, sepsis, significant tissue destruction, and death. The primary aim of the study was to identify any consistent patterns regarding presentation, patient demographics, and outc…

The intersection between urology and plastic surgery represents an important collaborative frontier in modern reconstruction. Defects involving the genitourinary and perineal regions frequently require the coordinated expertise of both spec…

[BACKGROUND] The widespread use of hyaluronic acid (HA) dermal fillers has been accompanied by an increase in vascular complications, including ischemia and cutaneous necrosis. Although uncommon, filler-induced vascular compromise represent…

[INTRODUCTION] Genital self-mutilation is an infrequent uro-psychiatric emergency in urological practice. Many authors have emphasized its rarity in the literature. In Burkina Faso, the incidence and prevalence are poorly due to under-notif…

[BACKGROUND] Colorectal cancer is the third most common malignancy worldwide with rectal cancer accounting for approximately 30% of all new cases. Surgery is the standard of care in the treatment of localised malignancy and can be performed…

The treatment of peadiatric odontogenic myxoma (OM) can be challenging. The authors present an adolescent patient presenting with a left mandibular swelling and a lesion extending to the mandibular condyle. Biopsy confirmed OM and MDT discu…

[OBJECTIVE] Comorbid depression is a significant negative predictor of survival in patients with head and neck cancer (HNC). Prior studies have shown a prevalence of up to 40.1%; however, depression is often underdiagnosed in this patient p…

: Simulation has become an integral part of contemporary surgical training, allowing safe acquisition of technical skills with objective performance assessment. Microsurgery and robotic surgery share several technical features, including fi…