By Hilko Weerda
Drawing on a long time of working room and instructing adventure, Dr. Weerda and his group supply a whole advisor to reconstructive innovations for facial, head, and neck defects during this eagerly awaited moment variation. Their systematic, step by step process, with an emphasis on meticulous preoperative making plans, review of possible choices, and choice of the easiest strategy, guarantees optimum effects for all patients.
Special good points of the second one edition:
- Includes greater than 1,500 sequential illustrations of every process, besides full-color intraoperative photos and earlier than and after surgical effects
- reports the entire diversity of neighborhood, nearby, and loose flaps utilized in the reconstruction of facial constructions, with chapters on myocutaneous island flaps, delto-pectoral flaps, and unfastened microvascular transplants written by way of famous practitioners
- deals new and extended sections on dermabrasion, loose flaps, removing of cranium bone for contemporary illness reconstruction, tool sets/trays, and extra
- Covers the full scope of the sector, from easy rules, anatomy, wound therapeutic, and scar revision to disorder closings in each one facial area, bone grafts, and the groundbreaking auricular reconstructive ideas built via Dr. Weerda
Focusing at the questions, difficulties, and technical options most ordinarily encountered in daily perform, this compact booklet might be necessary to either the beginner and more matured physician. it's packed with the insights, knowledge, and adventure of a number one world wide specialist, and should be saved shut to hand as a refresher, instructing advisor, encyclopedia of facial plastic concepts, and traditional working room reference.
Read Online or Download Reconstructive Facial Plastic Surgery: A Problem-Solving Manual PDF
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Extra resources for Reconstructive Facial Plastic Surgery: A Problem-Solving Manual
Example text
Ned, and the island flap is pulled through. c Closure of all defects . a b Fig. 10 Trapezoidal V-Y advancement of Rieger (can also reach the nasal tip; see Fig. 14) . 26 and Fig. 23). Both small and larger defects can be managed in this way. The first lobe of the flap is moved into the primary defect, the second lobe is moved into the defect created by the first lobe, and the other secondary defect is closed by cheek mobilization (Fig. 8a, b). The angle between the primary defect and first lobe should approximately equal the angle between the first and second lobes, and all the angles should be 90° or less if possible.
A Fig. 5a, b triangles. Modifications of defect closure using Burow’s b Modifications of defect closure using Burow’s 22 3 Coverage of Defects a Fig. 6a, b triangles. a b Modifications of defect closure using Burow’s V-Y and V-Y-S Advancement of Argamaso (1974) (Figs. 10) b Fig. 7a, b Modifications of defect closure using Burow’s triangles. a b c The V-Y advancement and double V-Y-S advancement of Argamaso (1974) are special designs used for releasing contracted scars, for columellar reconstruction from the upper lip, and for lengthening the frenulum (Fig.
B c 47 e d Below we shall illustrate some special flap designs that can be used when the flaps described above are inadequate for reconstruction. Flap Advancement of Burow (1855) (Fig. 22). Wedge-shaped defects in the nasal sidewall can be closed using a simple Burow's advancement flap. The scars run along the nose at the boundary of the esthetic unit (see Fig. 19) and in the nasolabial fold. Median Cheek Rotation of Sercer and Mündich (1962) (Fig. 23) Rotating the cheek medially on a superiorly based flap results in scars at the boundary of the esthetic units.