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The development of flap surgery parallels the increasing complexity of soft-tissue defects needing reconstruction. Random and pedicled flaps as well as free muscle and fasciocutaneous flaps have helped to reconstruct single soft-tissue defects. The multiplicity of defects needing reconstruction and donor-site morbidity in addition to tailored reconstruction have called for a revision of flap concepts in favor of perforator flaps. Unfortunately, we are faced with increasingly complex reconstructive issues. New reconstructive techniques, such as the Ilizarov method, have made orthopedic reconstruction after high energy and complex trauma possible. Revision surgeries after tumor resection and plastic surgery have brought about soft-tissue defects associated with extensive fibrosis and necrosis. As a result, previously nonsalvageable limbs have been salvaged. The reconstructive surgeons are faced with the following situations: multiple soft-tissue defects, extensive fibrosis, possibility of major vessel loss, and possibility of damage of several perforators.
The development of flap surgery parallels the increasing complexity of soft-tissue defects needing reconstruction. Random and pedicled flaps as well as free muscle and fasciocutaneous flaps have helped to reconstruct single soft-tissue defects. The multiplicity of defects needing reconstruction and donor-site morbidity in addition to tailored reconstruction have called for a revision of flap concepts in favor of perforator flaps. Unfortunately, we are faced with increasingly complex reconstructive issues. New reconstructive techniques, such as the Ilizarov method, have made orthopedic reconstruction after high energy and complex trauma possible. Revision surgeries after tumor resection and plastic surgery have brought about soft-tissue defects associated with extensive fibrosis and necrosis. As a result, previously nonsalvageable limbs have been salvaged. The reconstructive surgeons are faced with the following situations: multiple soft-tissue defects, extensive fibrosis, possibility of major vessel loss, and possibility of damage of several perforators.
Editors Din Lam and Robert Strauss review important areas in Local and Regional Flaps of the Head and Neck. Articles will include: Basic flap design, Palatal island flap, Tongue flap, Facial artery musculomucosal flap /Nasolabial flap, Lip reconstruction, Temporalis system, Submental island flap, Platysmal flap, Cervicofacial flap, Paramedian flap, Supraclavicular/Trapezius system, Pectoralis flap, Latissiums Dorsi flaps, and more!
Local Flaps in Facial Reconstruction brings you the detailed visual guidance and unmatched expertise you need to achieve the best results for the full range of facial flap procedures. Full-color clinical photographs and line drawings—along with high-quality surgical video clips—capture the latest facial reconstruction practices and effective methods like reconstruction of skin defects on the head and neck following tumor removal or trauma. Perspectives from facial plastic surgeons, dermatologists, ophthalmologists, and otolaryngologists help you take all of these considerations into account in treatment planning. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Make the most effective clinical decisions with a better understanding of the anatomy, physiology, and biomechanics of the skin Understand skin flap anatomy and physiology—vital to the performance of successful local flap reconstruction for facial defects. Implement the latest techniques with updated coverage of new wound closure techniques and materials (including glues and adhesives), scar revision, complications, and vascular abnormalities. Watch clips of key surgical procedures, including reconstructive surgery of the nose and lip. Avoid pitfalls and achieve the best outcomes thanks to a step-by-step approach to each procedure, complete with tips and tricks of the trade from leading experts. Minimize flap ischemia and other complications with proper preoperative planning and surgical techniques. Visualize what to look for and how to proceed with high-quality illustrations of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, and rhombic flaps. Access the full text, image collection, and video clips online at Expert Consult.
New clinical cases, enlarged photographs, new abstracts and algorithms, and more make the 4th Edition of Local Flaps in Facial Reconstruction your state-of-the-art resource for achieving optimal results for the full range of facial flap procedures. It offers detailed visual guidance and unmatched expertise from prominent surgeons in facial plastic surgery, ophthalmology, and dermatology, reflecting the multi-specialty nature of this dynamic field. Full-color clinical photographs and line drawings, along with high-quality surgical video clips, capture the latest, most effective facial reconstruction practices and methods. Clearly demonstrates practical and effective methods of reconstruction of skin defects in a variety of sizes, configurations, and locations on the head and neck. Covers the basic concepts of flap physiology, design, and mechanics of flap transfer, including multiple clinical examples for each flap; the second section describes the use of local flaps in reconstruction of individual facial structures including the auricles, lips, eyelids, cheeks, forehead, and nose. Contains many new clinical cases, new abstracts preceding each chapter, new algorithms for selecting the preferred local flap, an updated and expanded bibliography, newer approaches to facial reconstruction, and enlarged photographs to better view flap design, planes of dissection, and methods of flap transfer. Offers new, more complex clinical cases of nasal reconstruction, as well as updated coverage of new wound closure techniques and materials. Includes an outstanding video library demonstrating the design, dissection, and transfer of the majority of local flaps and grafts currently in use today, accompanied by expert commentary. Features more than 2,300 superb illustrations and photographs of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, rhombic flaps, and mucosal flaps.
With a large number of clinical photographs, Making Decisions and Avoiding Complications in Skin Flaps is an atlas intended for the surgeon who already has a grasp of the fundamentals and mechanics of flap repair, but may need additional ideas on selecting an appropriate flap for a given defect. Divided into three sections, the book begins with a s
The essential, step-by-step surgical guide on reconstructive flaps for head and facial defects Often referred to as the mirror of the soul, the face is indelibly entwined with a person's appearance and personality. This presents a particular challenge when reconstructive surgery is required. The goal of every reconstructive surgeon is to repair damage as inconspicuously as possible with minimal scarring while restoring prior function. Jackson's Local Flaps in Head and Neck Reconstruction, Third Edition by renowned plastic surgeons Peter C. Neligan, J. Brian Boyd, and David Mathes honors the two widely acclaimed prior editions of this landmark resource by the late master plastic surgeon, educator, and prolific author Ian T. Jackson. The new edition features updated and streamlined content, simplified references, colorized illustrations, and procedural videos. The book includes nine chapters, starting with two foundational chapters that discuss the advantages of local flaps, skin biomechanics, surgical planning, principles of skin and soft tissue movement, the utility of Burow's triangles, and use of diverse flaps, followed by patient management. Each of the procedural chapters focuses on a specific area, with step-by-step reconstruction techniques for the scalp, forehead, eyelids, nasal area, cheeks, ears, and lips. The reader-friendly book provides plastic surgeons of all levels with a simple yet elegant approach to managing reconstructive problems commonly encountered in practice. Key Highlights Firsthand pearls on recently introduced flaps including perforator and propeller Each procedural chapter includes discussion of impacted anatomy and aesthetics, imaging, different types of flaps, challenges, surgical pearls, and summary tables for quick review Abundant illustrations and operative photos depict step-by-step solutions for reconstructive challenges of the head and neck Twenty-two high-quality surgical videos provide visual insights on how to treat specific defects using a diverse spectrum of flap techniques All aesthetic and reconstructive surgeons will benefit from consulting this invaluable, reader-friendly resource for daily practice based on the beloved classic.
This issue of Hand Clinics will focus on flap reconstruction. Flap reconstruction is a very large part of upper extremity surgery following a traumatic injury. This issue will cover the entire process including anatomy, decision-making strategies on where to source/harvest flaps, and a large number of papers tailored to specific surgical procedures: different parts of the hand and upper extremity, pediatric reconstruction, and aesthetics.
Authored by experts in the field, this brand-new reference presents a systematic approach to which flap or graft to use in which clinical situation and how to cut and move the skin. More than 350 full-color photographs and line drawings offer you step-by-step guidance and demonstrates reconstructive procedures, including cutting, positioning, and suturing of flaps and grafts. Includes numerous reconstructive options for each specific region of the face, and explains why one may be better than another in a given situation. Features several chapters on the use of flaps and grafts in facial reconstruction and describes the finer points of their design, execution, and application. Discusses complications and pitfalls and how to avoid them. Devotes an entire chapter to facial anatomy with an emphasis on practical landmarks and danger areas. Uses a consistent format throughout for ease of reference.