By P. Giovanoli, M. Frey (auth.), Manfred Frey M.D. (eds.)
Endoscopic microsurgery is a constructing strategy in cosmetic surgery. there are various benefits over conventional tools: more desirable entry to tricky and hidden components, larger mobility, one optical device for endoscopic dissection and the microsurgical half, decreased total expenses, and achievable to increase new methods supported via the endoscope. within the first quantity of the sequence "Update in cosmetic surgery” the world over stated specialists provide an up to date view of the scientific chances in cosmetic surgery which end result from video-assisted microsurgery with the endoscope. merits and drawbacks are mentioned, and purposes are provided why it may be assumed that this system may be the average in cosmetic surgery inside of a couple of years.
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GroupOT 40 3 -'- GfOUQ~ 20 0 0 0 :l 2c .. u ~ 15 2 4 Week. 6 12 0 24 2d 6 12 24 Weeks ;:J1 Tv=:;: Pinch Grip g ~ 1 6 5 4 10 0 2e 12 Weeks 24 2f Symptom Severity Scale 40 Woe~ 6 12 24 12 24 Func1ional Status Seale 25 35 20 -- 30 '" C 25 '" C '0 20 15 -- '0 Il.. Il.. s 6 Endoscopic Versus Open Carpal Tunnel Release 55 Table 2 (continued) 2g 2h Static 2·Polnt Discrimination 7 I·Polnt Static PPT 6 5 5 N E E E E 3 'En 2 3 2 o oL-----------------------~ 12 24 Weeks 0 0 4 Weaks 12 24 2i I·Polnt Dynamic PPT o ~----------------------~ o 4 Weeks 6 12 24 Discussion Reviewing literature patient evaluation for CTS usually consists of physical examination including ROM of the wrist and finger joints, grip strength and twopoint static discrimination (Netscher 1997, Skoff 1993, Young 1992).
Millesi's hand examination utilises this standard measurements together with a pick up test to compose a score representing the overall hand function. Therefore we included Millesi's hand examination in this study. The static two-point discrimination is a standard sensory 56 W. Girsch et al. nerve test, but actually offers relatively low sensitivity to detect nerve compression sensitivity at an early stage and to follow up nerve regeneration after decompression. As a refinement of sensory nerve testing the PSSD (Pressure-specified-sensorydevice) introduced by A.
A The distal end of the ligament is reached; b the complete transection - the edges of the ligament are now visible 46 G. Meissl and W. Girsch: One Portal Technique Fig. 8. You can rotate the cannula and the scope about 180 degree. The paraneurium and the median nerve is now visible. You can follow the median nerve by careful blunt dissection to decide if the nerve is damaged like an hour-glass or not and to decide a neurolyses is necessary or not References Agee J, Tortosa R, Berry D, Peimer C (1990) Endoscopic release of the carpal tunnel: a randomized prospective multicenter study.