tailieunhanh - Clinical Periodontology and Implant Dentistry Fifth Edition: Volume 2 CLINICAL CONCEPTS_2

Tham khảo sách 'clinical periodontology and implant dentistry fifth edition: volume 2 clinical concepts_2', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Chapter 45 Periodontal Plastic Microsurgery Rino Burkhardt and Niklaus P. Lang Microsurgical techniques in dentistry development of concepts 1029 Concepts in microsurgery 1030 Magnification 1030 Instruments 1035 Suture materials 1035 Training concepts surgeons and assistants 1038 Clinical indications and limitations 1039 Comparison to conventional mucogingival interventions 1040 Microsurgical techniques in dentistry development of concepts In general the main aim of a surgical intervention is no longer only the survival of the patient or one of his organs but the effort to preserve a maximum amount of function and to improve patient comfort. In many surgical specialties these demands are met owing to a minimally invasive surgical approach. Microsurgery in general is not an independent discipline but is a technique that can be applied to different surgical disciplines. It is based on the fact that the human hand by appropriate training is capable of performing finer movements than the naked eye is able to control. First reports on microsurgery go back to the nineteenth century when a microscope was developed for use in ophthalmology Tamai 1993 . Later the first surgical operation with a microscope was performed in Sweden to correct otoscle-rotic deafness Nylén 1924 . Microsurgical technique however did not attract the interest of surgeons until the 1950s when the first surgical microscope OPMI 1 with a coaxial lighting system and the option for stereoscopic view was invented and commercialized by the Carl Zeiss company. The micro vessel surgery that later revolutionized plastic and transplantation surgery was mainly developed by neurosurgeons Jacobsen Suarez 1960 Donaghy Yasargil 1967 . Applying micro-surgically modified techniques small vessels of a diameter of less than 1 mm could be successfully anastomosed on a routine basis Smith 1964 . As a consequence a completely amputated thumb was successfully replanted for the first time in 1965 Komatsu Tamai 1968 . .

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