Principles of microsurgery

Although a basic understanding of the principles of microsurgical technique, skills, and instruments is important in the development of microsurgical technique, nothing replaces the benefits of the actual clinical experience. The major reason is the special environment and challenges that await the surgeon who performs microsurgical techniques in the oral and maxillofacial region. The surgeon should apply his or her basic knowledge skills to laboratory experiences, including learning the theoretical and practical portions of microvascular and microneurosurgery. A laboratory experience should be followed by the performance of clinical microsurgical procedures with an experienced microsurgeon. No one technique or instrument works for all microsurgeons, but adherence to the basic principles defined in this article layes the groundwork for success in microsurgery.