By Mark L. Urken et al.
Discover a progressive method of reconstructive surgical procedure! Now in its moment version, The Atlas of nearby and unfastened Flaps for Head and Neck Reconstruction provides transparent, seriously illustrated assurance of nearby epidermis, muscle, and musculocutaneous flaps in addition to donor websites from far-off areas of the physique the place vascularized pores and skin, muscle, bone, and nerves might be harvested and transferred to the top and neck.
The Atlas will turn out valuable details to otolaryngologists, plastic surgeons, and common surgeons, who use either neighborhood and unfastened flaps to reconstruct harm to the top and neck attributable to melanoma and trauma. This Atlas offers the health care provider with ideas for gaining knowledge of assorted donor websites had to locate options to nearly each reconstruction challenge. It presents distinct descriptions of the anatomy and harvesting concepts of the main local and free-flap donor websites at present hired in head and neck reconstruction.
The in-depth assurance that readers trust…
• Clinically precise full-color line drawings emphasize right harvesting strategy for all flaps.
• complete procedural discussions tackle appropriate anatomy, flap layout and usage, anatomic diversifications, preoperative and postoperative care, information for warding off strength pitfalls, and harvesting concepts for every donor site.
• Use of unpolluted cadaver dissections offers the main reasonable portrayal of step by step aspect that offers the resident and attending general practitioner an intensive realizing of every donor site.
Plus a wealth of beneficial properties NEW to the second one Edition…
• New chapters handle the submental flap, ulnar forearm flap, anterolateral thigh flap, paramedian brow flap, cervicofacial development flap, and perforator flaps.
• New content material on skin-flap harvesting comprises: addition of the coronoid harvest procedure to the temporalis bankruptcy; addition of the osteocutaneous radial forearm flap to the radial forearm flap bankruptcy; addition of scalp harvest to the bankruptcy at the temporoparietal fascial flap; addition of scapular tip harvest to be used in palatomaxillary reconstruction; and addition of harvest of the IMA and IMV recipient vessels and harvest of the TAC method of vessels to the recipient vessel chapter.
• New demonstrations of flap insetting and layout for a few reconstructions
Read or Download Atlas of Regional and Free Flaps for Head and Neck Reconstruction: Flap Harvest and Insetting PDF
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Extra info for Atlas of Regional and Free Flaps for Head and Neck Reconstruction: Flap Harvest and Insetting
This low incidence of total flap necrosis is a reflection of the constancy of the anatomy and the ease of flap harvest. Partial flap necrosis, however, has been reported at a much greater rate. Schusterman et al. (50) noted a 14% incidence of flap loss involving greater than 50% of the skin surface area. Other large series have reported partial necrosis rates in the range of 4% (40) to 7% (6). Partial necrosis rates were probably a function of the caudal extent of the skin paddle design. Shah et al.
POSTOPERATIVE CARE The use of a suction drainage system in the chest wall donor site is imperative to help avoid the formation of a seroma. Passive and active range of motion and strengthening exercises for the shoulder are instituted within a few days after surgery. Acknowledgments The authors would like to acknowledge the conuibutions of Dr. Hugh F. Biller to the writing of this chapter in the first edition of this book. FIGURE 1·13. The infra mammary skin paddle provides thinner skin and leads to less distortion of the female breast by avoiding medial displacement following closure.
20) described a case in which an "accessory vessel," arising at the level of the scapular spine, was ligated to achieve greater mobilization of the muscle. However, the distal portion of the muscle and overlying skin showed signs of ischemia and became necrotic soon after interruption of this blood supply, despite the fact that the TCA and TCV were intact. In an effort to clarify this situation, it is easiest to begin by providing the classic description of the anatomy of these vessels before discussing the numerous variations.