BACKGROUND: The physiological tremor may cause difficulties in microsurgery. The arm rest and the support of the outside hand edge on the skull reduces the tremor to 10th proportion at the end of the microsurgical instruments. METHODS: The new fingertip support technique consists of the I-III finger support, which holds the instruments, on the bridge (Bethlehem bridge) above the operation area. This technique shows the method at the lateral suboccipital approach. RESULTS: The tremor at the end of the instruments is effectively reduced. CONCLUSION: By this technique the microsurgical work may became more precise.
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