[Low-frequency ultrasonic surgical instruments in otorhinolaryngological practice].
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Reconstructive microsurgery, a specific category of surgery that uses revascularized tissue to repair functional or cosmetic defects, requires specialized training and continued competence of the surgeon, assistant and surgical team. Proper care of microsurgical instruments is paramount to the success of the surgery. Areas of importance such as microsurgical instrumentation, suture, operating microscope, and producing an atraumatic anastomoses will be explored indepth.
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The effect of ultrasonic neurosurgical instruments on the functional state of the brain and its individual structures was studied to establish the most adequate and the least traumatic method of brain structures extirpation. Cortical zones were destroyed by ultrasound, thermocoagulated or extirpated. Parallel recordings of evoked potentials to single and paired stimuli were performed in adjacent neocortical areas. It was established that ultrasonic instruments permit the least traumatic extirpation of brain cortical zones.
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