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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.
Written by three experienced consultants with a large skin cancer practice and international reputations for excellence, this book provides comprehensive practical solutions to defects in the head and neck region that are confronted by the clinician in day-to-day practice. Essential information is first provided on anesthesia, defect assessment and individual flaps, while the core chapters focus on the reconstruction of specific defects at specific sites. The defects and reconstructive solutions are depicted by means of sequential, clinically relevant line drawings that are complemented by clear supporting text highlighting the intricacies and nuances of the procedure and the decision-making process. Helpful algorithms at the end of each chapter summarize the solutions. This book will be ideal for use in daily practice by clinicians and trainees and will assist in achieving excellent cosmetic outcomes in this aesthetically sensitive part of the body.
Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation. Local and Regional Flaps in Head & Neck Reconstruction is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed. Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike.
This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.
A beautifully illustrated, multimedia guide to facial soft-tissue reconstruction from leading clinicians Principles of Facial Reconstruction: A Subunit Approach to Cutaneous Repair, Third Edition by distinguished clinicians Wayne F. Larrabee Jr., David A. Sherris, Jeffrey C. Teixeira, and esteemed contributors presents evidence-based facial reconstruction techniques that simplify flap design based on location and defect. The book's primary focus is soft-tissue defects of moderate size rather than larger flap reconstructions. Building on the acclaimed prior editions, the third edition features new content and images. Key surgical principles are detailed graphically in an easy-to-navigate, concise layout. The two opening chapters cover a review of soft-tissue biomechanics and physiology, followed by fundamentals of wound closure, wound healing, grafts, and flaps. The seven consistently organized anatomic chapters present a brief overview of the anatomy of the region, followed by succinct descriptions of surgical approaches for relevant subunits in that region. The final two chapters provide details on free flaps and graft harvesting techniques. The reader-friendly format enables quick determination of the most reliable reconstruction options for repair of the scalp, forehead, eyes, nose, cheek, ears, and lips and chin. Key Features Firsthand experience from renowned experts on the most reliable defect reconstructions Full-color clinical photographs, around 500 high-quality illustrations, and diagrams provide precise insights on key surgical concepts Following a facial unit principle, decision-making algorithms guide readers on selection of the most effective flap or graft for each case This is a must-have resource for plastic surgeons, otolaryngologists, and oral-maxillofacial surgeons, and dermatology residents and fellows, as well as surgeons specializing in the field of facial plastic surgery.
This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals – the basic procedures, how to get started, and technical tips – as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book’s final chapters are focused on assessment, decision-making an d lessons learned – essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications. Rather than demonstrate exactly how to execute flaps, the book’s primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.
With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. It includes chapters and expert commentaries from more than 100 authors and world-renowned leaders in the field, while brand-new cases and high-quality illustrations focused on flap harvest, markings, and reconstruction keep you abreast of today's latest developments. - Includes high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. - Detailed case studies illustrate how to optimize every aspect of care for the reconstructive surgery patient, including the postoperative period and long-term follow-up. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices. - Expanded video library of narrated surgical procedures covers most of the flaps used in reconstructive surgery. - Brand-new section on reconstruction takes an algorithmic approach to the reconstruction of defects around the body. - Features chapters covering the entire spectrum of reconstructive surgery, including head and neck reconstruction, chest wall reconstruction, abdominal wall, upper and lower extremity, and facial reanimation. - Content focuses on both local and free flaps. - New section on reconstructive transplant surgery highlights major topics such as face and hand transplantations, abdominal wall transplantation, uterus transplantation, and nerve allotransplantation.
A unique combination text and atlas gives you expert guidance on facial reconstruction DVD with video of 35 procedures Facial Flap Surgery delivers ready-to-use insights making surgical protocols more accessible than ever. Combining a text and atlas, this two-in-one resource also features an all-inclusive, yet streamlined presentation that is packed with hundreds of photographs and drawings that take you step by step through every procedure. Facial Flap Surgery begins with an incisive review of the bioanatomy and mechanics of tissue movement, highlighting how to mobilize soft tissue to reconstruct cutaneous operative wounds. Next is an unsurpassed overview of all flap types, including some never published before: from advancement flaps to rotation and banner flaps. Another section examines the repair of specific facial features, including the nose, ear, lip, and temple. Last, complications such as hematomas and flap failure are covered, helping you achieve the best possible outcomes. FEATURES Illuminates the biomechanical properties and need-to-know subtypes of each flap category An atlas of real-life cases that aids you in determining which type of flap will provide optimal surgical outcomes for any patient In-depth chapters explain how to effectively utilize each of the flaps in surgeries for specific facial regions Companion DVD filled with 35 video clips offers an unmatched tutorial that takes you through the preparation and successful use of facial flaps in multiple facial regions
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.
Ablative tumor surgery of the head and neck region often results in severe cosmetic and functional deformities. In these cases, microvascular free-tissue transfer enables three-dimensional reconstruction of head and neck defects. The selection of adequate donor tissue and a profound knowledge of the human anatomy and the various harvesting techniques are paramount in ensuring successful reconstruction. Reflecting current surgical approaches, this book presents the most frequently used flaps in head and neck surgery, including detailed overviews as well as their respective pearls and pitfalls. Moreover, each section contains a synopsis and pre-operative checklist. The overlay-technique merges high-quality-photographs with drawings and precisely illustrates the step-to-step descriptions of the different flap harvesting techniques, making this manual in pocket size an unique and accessible reference for both doctors in training and specialists in the field of otolaryngology, head and neck, plastic, maxillofacial and skull base surgery.