40,941 results match your criteria Microsurgery [Journal]


Factors of local recurrence and organ preservation with transoral laser microsurgery in laryngeal carcinomas; CHAID decision-tree analysis.

Head Neck 2018 Dec 6. Epub 2018 Dec 6.

Otolaryngology Department, Hospital Clínic, Barcelona, Spain.

Background: Indications of transoral laser microsurgery (TLM) are conditioned by the risk of local relapse.

Objective: To evaluate prognostic factors of local relapse and local control with TLM (LC-TLM).

Methods: Local relapse and LC-TLM were evaluated in 1119 patients. Read More

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December 2018

Carbon Dioxide Laser Microsurgery versus Low-Temperature Plasma Radiofrequency Ablation for T1a Glottic Cancer: A Single-Blind Randomized Clinical Trial.

Biomed Res Int 2018 1;2018:4295960. Epub 2018 Nov 1.

Department of Otolaryngology, The Third Hospital of Wuhan City, Wuhan, Hubei Province, China.

Background: Very few studies have been conducted to compare carbon dioxide laser microsurgery (CO2-LS) with low-temperature plasma radiofrequency ablation (LTP-RFA) in treating T1a glottic cancer. Therefore, we conducted this study to compare the efficacy of CO2-LS and LTP-RFA to define a superior therapeutic modality for T1a glottic cancer.

Methods: Patients (n=131) with T1a glottic cancer were recruited between January 2010 and September 2014. Read More

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November 2018

Impact of the anterior commissure involvement on the survival of early glottic cancer treated with cricohyoidoepiglottopexy: a retrospective study.

Cancer Manag Res 2018 8;10:5553-5558. Epub 2018 Nov 8.

Otolaryngology, Department of Health Sciences, University of Catanzaro, Catanzaro, Italy,

Background: Laryngeal early glottic tumors can benefit from different treatment modalities, including transoral laser microsurgery, open partial horizontal laryngectomy (OPHL), and radiotherapy. However, the treatment of early glottic tumors with the involvement of the anterior commissure remains controversial. The studies about the role of anterior commissure involvement in oncologic outcomes in patients with early glottic cancer treated with supracricoid laryngectomy (SCL) are very few. Read More

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November 2018

Surgical anatomy of the dorsal cutaneous branch of the ulnar nerve and its clinical significance in surgery at the ulnar side of the wrist.

J Hand Surg Eur Vol 2018 Dec 5:1753193418815800. Epub 2018 Dec 5.

Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedics, Lerdsin General Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.

The dorsal cutaneous branch of the ulnar nerve can be easily injured during surgery at the ulnar side of the wrist. We sought to identify the surgical anatomy, the pathway around the ulnar styloid process and the safe zone of the dorsal cutaneous branch of the ulnar nerve. In 44 forearm dissections, we found that the dorsal cutaneous branch of the ulnar nerve originated at a median distance of 6. Read More

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December 2018

Late occurrence of squamous cell carcinoma arising from skin-lining flap.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.

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December 2018

Multi-area lymphaticovenous anastomosis with multi-lymphosome injection in indocyanine green lymphography: A prospective study.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.

Background: Detecting more number of functional lymphatic vessels is the essential point in lymphaticovenous anastomosis (LVA). The purpose of this prospective study was to elucidate the efficacy of multi-area injection in indocyanine green (ICG) lymphography in LVA.

Methods: We injected ICG into the first web spaces of the feet or the second web space of the hands, subcutaneously. Read More

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December 2018
4 Reads

Externalized double monitoring skin paddles for buried anterolateral thigh flap in pharyngoesophageal reconstruction.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

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December 2018

A new propeller trapezius muscle flap for reconstruction of posterior trunk defects: An anatomic study and report of three cases.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Reconstruction of complex back defects, especially after corrective spine surgery, is a challenging problem. In these patients hardware issues predominate and flap failure has serious consequences. Certain subunits of the back pose even greater problems, specifically the central region between T9 and T12. Read More

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December 2018

Complex abdominopelvic reconstruction by combined tensor fascia latae and superficial circumflex iliac artery perforator flaps.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic, Reconstructive, Aesthetic Surgery and Burns, CHRU Rangueil, Toulouse, France.

Background: Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of vascularized tissue and their use in reconstructive surgery is well-known. Read More

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December 2018

Reply to comments on "Reconstruction of an upper posterior thigh extensive defect with a free split-anterolateral thigh (s-ALT) flap by perforator-to-perforator anastomosis: A case report".

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Hand- and Plastic Surgery, Kantonsspital Luzern, Lucerne, Switzerland.

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December 2018
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Feasibility of pedicled vascularized inguinal lymph node transfer in a mouse model: A preliminary study.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Purpose: Vascularized lymph node transfer is becoming more common in the treatment of lymphedema, but suitable small animal models for research are lacking. Here, we evaluated the feasibility of pedicled vascularized inguinal lymph node transfer in mice.

Methods: Twenty-five mice were used in the study. Read More

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December 2018

Preliminary Clinical Microneurosurgical Experience With the 4K3-Dimensional Microvideoscope (ORBEYE) System for Microneurological Surgery: Observation Study.

Oper Neurosurg (Hagerstown) 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan.

Background: The exoscope has been reported as a novel neurosurgical instrumentation in clinical practice.

Objective: To investigate the possibility that ORBEYE (OE), a novel instrument that excludes eyepiece lenses and allows for microsurgery by observation of the 4K3D monitor, could replace microscopes.

Methods: We report 22 clinical cases by 5 experienced neurosurgeons and the comparative results of training 10 residents. Read More

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December 2018

[Transanal endoscopic microsurgery for local excision of rectal gastrointestinal stromal tumors].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1296-1300

Department of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.

Objective: To investigate the efficacy of transanal endoscopic microsurgery (TEM) combined with imatinib for rectal gastrointestinal stromal tumors(GIST).

Methods: Clinical data of 35 patients with rectal GIST undergoing TEM at Peking Union Medical College Hospital from February 2008 to May 2017 were analyzed retrospectively. Operation details, postoperative recovery condition, and follow-up information were reviewed. Read More

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November 2018

Use of rectal mucosal grafts in substitution urethroplasty: an early series.

Transl Androl Urol 2018 Dec;7(6):907-911

1Department of Urology, 2Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Background: To evaluate the feasibility of use of rectal mucosal grafts for augmentation urethroplasty.

Methods: A series of five patients who underwent rectal mucosal graft urethroplasty for urethral stricture disease were identified. Descriptive statistics were used to describe these patients. Read More

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December 2018
1 Read

Birth palsy in congenital varicella syndrome: A lesson in anatomy.

Indian J Plast Surg 2018 May-Aug;51(2):238-242

Department of Plastic Surgery, Hand and Microsurgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India.

While brachial plexus palsy sustained due to birth trauma is well known, congenital palsies are decidedly rare. We report such a case caused by congenital varicella syndrome, with associated congenital Horner's syndrome and heterochromia iridis. The surprising juxtaposition of a classic upper plexus palsy and a Horner's syndrome raises points of interest. Read More

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December 2018

Surgery for very large and giant intracranial aneurysms: Results and complications.

Neurol India 2018 Nov-Dec;66(6):1741-1757

Department of Neurosurgery, University of Washington, Seattle, Washington, USA.

Background: Results of and the complications encountered during surgery for very large and giant intracranial aneurysms are illustrated.

Objective: To analyze a consecutive series of patients with very large and giant aneurysms treated with microsurgery.

Methods: This retrospective study included seventy six very large and giant aneurysms which were managed by clipping and bypass technique. Read More

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December 2018

Microsurgery of giant intracranial aneurysms: Current status.

Neurol India 2018 Nov-Dec;66(6):1614-1616

Department of Neurosurgery and Gamma Knife Radiosurgery, P D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

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December 2018

Microvascular anastomotic coupler application learning curve: A curriculum supporting further deliberate practice in ex-vivo simulation models.

J Plast Reconstr Aesthet Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK; Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, London, UK.

Introduction: Microvascular anastomosis with coupler devices has revolutionized microsurgery practice. Couplers are considered easier to apply and offer improved operating time while maintaining success rates. This study aims to map the learning curve, skill acquisition, and decay of novice microsurgeons in performing coupler anastomosis. Read More

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November 2018

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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December 2018

Prognosis of Traumatic Ulnar Nerve Injuries: A Systematic Review.

Ann Plast Surg 2018 Nov 30. Epub 2018 Nov 30.

Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY.

Ulnar nerve injury (UNI) is not uncommon and often results in incomplete motor recovery after the initial nerve repair and requires secondary functional reconstruction. To clarify the prognosis and predicting factor of UNI, and if it is reasonable to wait after the initial repair, a systematic literature review from PubMed computerized literature database and Google scholar was performed. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist and guidelines were followed to develop the search protocol for this literature review. Read More

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November 2018

Unusual pattern of partial failure of preexpanded free parascapular flap for neck reconstruction.

Int J Burns Trauma 2018 20;8(5):114-116. Epub 2018 Oct 20.

Department of Plastic Reconstructive and Aesthetic Surgery, Medical University Sofia Bulgaria.

The present article focuses on a relatively rare condition of a partial necrosis of free microvascular flap in a patient with severe postburn contracture of the neck region, subjected to reconstructive microsurgery. Reconstructive microsurgical staged procedure was undertaken to correct the scar contracture and restore the aesthetic unit. Substantial partial flap necrosis, requiring secondary surgery, was observed in the early postoperative period. Read More

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October 2018
1 Read

One-stage reconstruction by dual-innervated double muscle flap transplantation with the neural interconnection between the ipsilateral masseter and contralateral facial nerve for reanimating established facial paralysis: A report of 2 cases.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.

The authors developed a one-stage double-muscle reconstruction technique for facial paralysis using a latissimus dorsi (LD) flap and a serratus anterior (SA) flap, which were dually reinnervated by the contralateral facial nerve (FN) and ipsilateral masseter nerve (MN). The procedure was performed for 61-year-old man 3-years after resection of a malignant tumor and a 24-year-old woman 10-years after temporal fracture with facial paralysis. A double-muscle flap comprising left LD and SA flaps was harvested, a 15-cm thoracodorsal nerve (TN) section was attached to the LD flap, and 5-cm and 1-cm sections of the long thoracic nerve (LTN) were attached to the proximal and distal sides of SA flap. Read More

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December 2018

Is the LICOX® PtO system reliable for monitoring of free flaps? Comparison between two cohorts of patients.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Medical, Surgical and Health Sciences, Plastic and Reconstructive Surgery Unit, University of Trieste, Trieste, Italy.

Background: Licox® PtO is a minimally invasive monitoring system for continuous measurement of tissue oxygen tension in all types of free tissue transfers. Our study compares two consecutive series of patients undergoing microsurgical reconstruction monitored with standard clinical bedside surveillance and with the Licox® PtO system regarding flap loss and flap salvage, the sensitivity, specificity, and cost-effectiveness.

Methods: We performed a longitudinal observational prospective study of all patients undergoing microsurgical reconstructions between 2016 and 2017. Read More

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December 2018
2 Reads

Application of epineural sheath conduit for restoration of 6-cm long nerve defects in a sheep median nerve model.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.

Background: Due to limited number of studies, we tested feasibility of autologous epineural sheath conduit (ESC) in repair of 6-cm median nerve gaps in a sheep-the large animal model.

Materials And Methods: Eight ewes, 6-8 months old, 30-35 kg, were divided into three experimental groups: group 1-no defect repair (n = 4 nerves/group), group 2-autograft controls (n = 6 nerves/group), group 3-autologous ESC filled with saline (n = 6 nerves/group). ESC was constructed from a 6-cm long segment of sheep median nerve and tested for expression of laminin B, Glial fibrillary acidic protein (GFAP), S-100 and CD31 using immunofluorescent staining. Read More

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December 2018

Discussion: Preclinical Experience Using a New Robotic System Created for Microsurgery.

Plast Reconstr Surg 2018 Nov;142(5):1377-1378

Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, Michigan Medicine.

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November 2018
5 Reads

Predicting laryngeal exposure in microlaryngoscopy: External validation of the laryngoscore.

Laryngoscope 2018 Dec 3. Epub 2018 Dec 3.

ENT Clinic, Head and Neck Department, Trieste, Italy.

Objectives: Optimal laryngeal exposure during transoral laryngeal surgery is fundamental. We aimed to evaluate the reliability of a recently proposed score (Laryngoscore) in predicting difficult laryngeal exposure (DLE) in an independent cohort of patients undergoing elective microlaryngoscopy. We also verified the relation between DLE, surgeon's expertise, and difficult intubation, and investigated possible areas for score improvement. Read More

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December 2018

Nerve Repair Using Decellularized Nerve Grafts in Rat Models. A Review of the Literature.

Front Cell Neurosci 2018 19;12:427. Epub 2018 Nov 19.

Department of Clinical and Biological Sciences, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy.

Peripheral nerve regeneration after severe traumatic nerve injury is a relevant clinical problem. Several different strategies have been investigated to solve the problem of bridging the nerve gap. Among these, the use of decellularized nerve grafts has been proposed as an alternative to auto/isografts, which represent the current gold standard in the treatment of severe nerve injury. Read More

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November 2018

Pre-operative masseter muscle EMG activation during smile predicts synchronicity of smile development in facial palsy patients undergoing reanimation with the masseter nerve: A prospective cohort study.

J Plast Reconstr Aesthet Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Faculty of Medicine, University of Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany. Electronic address:

Background: Synchronicity of the oral commissure movement of a bilateral smile is a significant goal for reconstruction in facial reanimation and may only be guaranteed with use of the facial nerve as a donor nerve. Yet over the years several studies report some degree of spontaneity in certain patients when using a non-facial donor nerve, which indicates that synchronous initiation of the smile might be achievable with other donor nerves. We designed a prospective cohort study to evaluate whether pre-operative involuntary activation of the masseteric nerve during smile predicts development of a synchronous smile development when using the masseteric nerve for reanimation. Read More

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November 2018

Applied Force during Piston Prosthesis Placement in a 3D-Printed Model: Freehand vs Robot-Assisted Techniques.

Otolaryngol Head Neck Surg 2018 Dec 4:194599818815144. Epub 2018 Dec 4.

1 Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

Objectives: To describe a 3D-printed middle ear model that quantifies the force applied to the modeled incus. To compare the forces applied during placement and crimping of a stapes prosthesis between the Robotic ENT Microsurgery System ( REMS) and the freehand technique in this model.

Study Design: Prospective feasibility study. Read More

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December 2018
5 Reads

[Intravitreal aflibercept in high retinal pigment epithelial detachments].

Vestn Oftalmol 2018 ;134(5):92-98

Volgograd branch of S. Fyodorov Eye Microsurgery Federal State Institution, 80 Zemlyachki St., Volgograd, Russian Federation, 400138.

Purpose: To study the effectiveness of intravitreal aflibercept in high pigment epithelium detachment (PED) in eyes with age-related macular degeneration (AMD).

Material And Methods: This study included 16 eyes of 16 patients (10 female and 6 male) aged 52 to 82 years (mean age 68.56±2. Read More

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January 2018
2 Reads

[Effect of corneal refractive surgery on optical coherence tomography measurements].

Vestn Oftalmol 2018 ;134(5):48-53

S. Fyodorov Eye Microsurgery Federal State Institution, 59A Beskudnikovsky Blvd., Moscow, Russian Federation, 127486.

The effect of significant changes in corneal power after refractive surgery on the parameters of optical coherence tomography (OCT) has not been sufficiently studied.

Purpose: To study effects of corneal refractive surgery on optical coherence tomography (OCT) measurements in patients with moderate and high myopia.

Material And Methods: OCT was performed in 62 patients (62 eyes) with myopia over 4 D before and one month after LASIK. Read More

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January 2018
2 Reads

[Ocular sarcoidosis as a clinical manifestation of multiorgan involvement].

Vestn Oftalmol 2018 ;134(5):32-38

Saint Petersburg branch of S. Fyodorov Eye Microsurgery Federal State Institution, 21 Yaroslava Gasheka St., Saint Petersburg, Russian Federation, 192283.

Eye lesion in sarcoidosis is often the first and only sign of a disorder, which suggests a possible systemic disease. Currently sarcoidosis is considered a multisystemic granulomatous disease that requires multidisciplinary approach.

Purpose: To study the prevalence and clinical aspects of sarcoidosis eyes based on the representative sample of patients diagnosed with extraocular nonspecific granulomatous disease. Read More

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January 2018
3 Reads

[Influence of α2-adrenomimetics on incidence of choroidal effusion following laser trabeculoplasty in primary open angle glaucoma].

Vestn Oftalmol 2018 ;134(5):26-31

North-Western State Medical University named after I.I. Mechnikov, Education-clinical complex #1, 1/82 Zanevsky Pr., Saint Petersburg, Russian Federation, 195196.

Purpose: To evaluate the influence of different topical hypotensive drugs on incidence of choroidal effusion (CE) following laser trabeculoplasty as the second stage of combined laser-surgical treatment plan in patients with primary open-angle glaucoma (POAG).

Material And Methods: The study included 60 patients with previously operated stage I and II POAG who has 'b-c' intraocular pressure (IOP) on maximum hypotensive therapy. Fistulizing subscleral removal of the outer wall of Schlemm's canal (a. Read More

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January 2018

[Ultrasound biomicroscopy for examination of the anterior segment of the eye in patients with intumescent cataract].

Vestn Oftalmol 2018 ;134(5):21-25

Tambov State University named after G.R. Derzhavin, Medical Institute, 93 Sovetskaya St., Tambov, Russian Federation, 392000.

According to a prospective review study by H. Gimbel, A. Willerscheidt (1993), among 2967 cataract cases analyzed in 1991, mature intumescent cataract was observed in 34 (1. Read More

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January 2018
3 Reads

Gunshot and blast injuries of the extremities: a review of 45 cases.

Eur J Orthop Surg Traumatol 2018 Nov 29. Epub 2018 Nov 29.

Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece.

Gunshot wounds and blast injuries constitute a major public health problem, as the increasing availability of firearms and explosives in conjunction with increasing violence in the city setting have brought this reality into civilian life. Extremities are most commonly involved; therefore, orthopedic surgeons should be trained to manage these types of injuries. Complete and accurate assessment of the injury itself is of great importance, as it will determine the severity and the risk of patients. Read More

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November 2018
1 Read

Does eloquence subtype influence outcome following arteriovenous malformation surgery?

Authors:

J Neurosurg 2018 Oct 1:1-8. Epub 2018 Oct 1.

OBJECTIVEAlthough numerous arteriovenous malformation (AVM) grading scales consider eloquence in risk assessment, none differentiate the types of eloquence. The purpose of this study was to determine if eloquence subtype affects clinical outcome.METHODSThis is a retrospective review of a prospectively collected clinical database of brain AVMs treated with microsurgery in the period from 1997 to 2017. Read More

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October 2018

Comparing costs of microsurgical resection and stereotactic radiosurgery for vestibular schwannoma.

Authors:

J Neurosurg 2018 Nov 1:1-10. Epub 2018 Nov 1.

OBJECTIVEGiven rising scrutiny of healthcare expenditures, understanding intervention costs is increasingly important. This study aimed to compare and characterize costs for vestibular schwannoma (VS) management with microsurgery and radiosurgery to inform practice decisions and appraise cost reduction strategies.METHODSIn conjunction with medical records, internal hospital financial data were used to evaluate costs. Read More

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November 2018
1 Read

The success of salvage procedures for failing digital replants: A retrospective cohort study.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background: The success of salvage procedures for failing digital replants (FR) is poorly documented. We sought to evaluate the success of salvage procedures for FR and factors contributing to successes and failures of replants.

Methods: Adult patients who presented to our center between January 1, 2000 and December 31, 2015, suffered ≥1 digital amputation(s), and underwent digital replantation were included. Read More

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November 2018
2 Reads

Simultaneous flap thinning with ultrasound-assisted liposuction during free flap surgery: Preliminary results.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Plastic & Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Background: Ultrasound-assisted liposuction (UAL) has been previously used for postoperative flap thinning. Although it had been reported that UAL causes less damage to the vessels, the simultaneous use of UAL with free flap reconstruction has not been reported. The aim of this report was to determine the results and the complication rates of simultaneous use of UAL with free flap reconstruction. Read More

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November 2018
1 Read

Comparison of spontaneous sensory recovery of noninnervated anteromedial thigh flap, latissimus dorsi flap, and gracilis muscle flap in lower extremity reconstruction: A prospective comparative study.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, University Tuebingen, Tuebingen, Germany.

Background: We evaluated the time course and differences in the sensory recovery of three commonly used free flaps for lower extremity reconstruction. Furthermore, the sensory recovery of skin-grafted muscle and skin paddle in latissimus dorsi flaps (LDMF) were differentiated.

Methods: In a prospective study, 26 patients who had undergone free flap lower extremity reconstruction were enrolled. Read More

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November 2018
1 Read

Comparison of flap outcomes between single- and multiple-perforator-based free anterolateral thigh flap in head and neck reconstruction.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Introduction: The number of perforators required for safe perfusion remains under debate. This study aimed to determine whether a single- or multiple-perforator-based anterolateral thigh flap yields better flap outcomes in head and neck reconstruction.

Patients And Methods: Between August 2012 and July 2016, 180 men and 4 women with a mean age of 52. Read More

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November 2018

Optimizing survival of large fibula osteocutaneous flaps for extensive full-thickness oromandibular defects: A two-stage approach with temporary orocutaneous fistula.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Plastic and Reconstructive Surgery, China Medical University, Taichung, Taiwan.

Introduction: Composite and large head and neck defects requiring extensive skin-mucosa coverage are often reconstructed by combining flaps. Herein, we present a simple and reliable two-stage fibula osteocutaneous (FOC) flap technique to improve the survival of a large skin paddle for oromandibular reconstructions.

Methods: From October 2011 to September 2016, 47 patients with through-and-through oromandibular defects were reconstructed using FOC flaps with large skin paddles. Read More

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November 2018
1 Read

Thumb reconstruction with combination of the wrap-around flap prefabricated by medialis pedis perforator flap with nail bed and phalanx banked from the amputated thumb: A case report.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Thumb reconstruction has been a very challenging issue for hand surgeons. In this report, we present a case of thumb reconstruction with combination of the wrap-around flap prefabricated by the medialis pedis perforator flap with phalanx and nail bed banked from the amputated thumb. A 22-year-old man suffered from the left thumb amputation as well as large soft tissue defect of hand and comminuted fracture in wrist due to a crush accident. Read More

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November 2018

Staged inset of free flaps for complex microsurgical head and neck reconstruction to ensure total flap survival.

Microsurgery 2018 Nov;38(8):844-851

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Introduction: Microsurgical reconstruction of complex head and neck defects often requires reliable tissue in multiple spatial configurations to achieve good functional and aesthetic outcomes. In addition to robust perforators, flap inset and wound closure require great caution to minimize complications especially in the presence of trismus with limited space for inset. This report describes the technique and results of our staged approach to flap inset which increases the chance of total flap survival in complex head and neck reconstructions. Read More

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November 2018

Neurosurgical treatment of Cushing disease in pediatric patients: case series and review of literature.

Childs Nerv Syst 2018 Nov 28. Epub 2018 Nov 28.

Pediatric Endocrinology and Adolescent Divisions, Department of Pediatrics, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.

Aim: Pituitary adenomas are rare in childhood in contrast with adults. Adrenocorticotropic hormone (ACTH)-secreting adenomas account for Cushing's disease (CD) which is the most common form of ACTH-dependent Cushing's syndrome (CS). Treatment strategies are generally based on data of adult CD patients, although some difficulties and differences exist in pediatric patients. Read More

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November 2018
1 Read

Silicone-based simulation models for peripheral nerve microsurgery.

J Plast Reconstr Aesthet Surg 2018 Nov 15. Epub 2018 Nov 15.

Faculty of Engineering and Natural Sciences, Sabanci University, Istanbul, Turkey. Electronic address:

Background: There is a need for a peripheral nerve model on which surgeons-in-training can simulate the repair of nerve injuries at their own pace. Although practicing on animal models/cadavers is considered the "gold standard" of microsurgical training, the proposed model aims to provide a platform for improving the technical skills of surgical trainees prior to their practice on cadaver/animal models. In addition, this model has the potential to serve as a standardized test medium for assessing the skill sets of surgeons. Read More

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November 2018

Assessment of costs in open surgery and stereotactic radiosurgery for vestibular schwannomas.

Authors:

J Neurosurg 2018 Oct 1:1-8. Epub 2018 Oct 1.

OBJECTIVEMicrosurgical resection and radiosurgery remain the most widely used interventions in the treatment of vestibular schwannomas. There is a growing demand for cost-effectiveness analyses to evaluate these two treatment modalities and delineate the factors that drive their total costs. Here, the authors evaluated specific cost drivers for microsurgical and radiosurgical management of vestibular schwannoma by using the Value Driven Outcomes system available at the University of Utah. Read More

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October 2018
2 Reads

Endoscope- versus microscope-integrated near-infrared indocyanine green videoangiography in aneurysm surgery.

Authors:

J Neurosurg 2018 Oct 1:1-10. Epub 2018 Oct 1.

OBJECTIVEThe quality of surgical treatment of intracranial aneurysms is determined by complete aneurysm occlusion while preserving blood flow in the parent, branching, and perforating arteries. For a few years, there has been a nearly noninvasive and cost-effective technique for intraoperative flow evaluation: microscope-integrated indocyanine green videoangiography (mICG-VA). This method allows for real-time information about blood flow in the aneurysm and the involved vessels, but its limitations are seen in the evaluation of structures located in the depth of the surgical field, especially through small craniotomies. Read More

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October 2018

Hearing preservation after removal of small vestibular schwannomas by retrosigmoid approach: comparison of two different ABR neuromonitoring techniques.

Acta Neurochir (Wien) 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgical Specialties, Division of Neurosurgery and Unit of Neurophysiopathology, San Filippo Neri Hospital/ASLRoma1, Via Reno 14, 00198, Rome, Italy.

Background And Objective: Goals of small vestibular schwannoma (VS) microneurosurgery are as follows: radical resection, facial nerve (FN) preservation, and hearing preservation (HP). Microsurgical advances make HP possible in many patients with preoperative socially useful hearing (SUH). We evaluated postoperative HP in VS with maximum diameter < 2 cm monitored with two different auditory brainstem response (ABR) techniques. Read More

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November 2018
1 Read

Current concepts in peripheral nerve surgery.

Eur J Orthop Surg Traumatol 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, School of Medicine, University of Ioannina, Ioannina, Greece.

The injuries of the peripheral nerves are relatively frequent. Some of them may lead to defects which cannot be repaired with direct end-to-end repair without tension. These injuries may cause function loss to the patient, and they consist a challenge for the treating microsurgeon. Read More

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November 2018