Michigan Manual of Plastic Surgery

 

Description:

Covering the full range of clinical concerns encountered by today’s plastic surgeons, Michigan Manual of Plastic Surgery, Third Edition, remains a portable, practical manual in this fast-changing field. Editors David L. Brown, Widya Adidharma, and Geoffrey E. Hespe, use an easy-to-follow bulleted format to provide expert guidance on fundamental principles and techniques of plastic surgery for skin and soft tissue lesions, the head and neck, facial reconstruction, craniofacial concerns, aesthetic surgery, and surgeries of the breast, hand and upper extremity, trunk, lower extremity, genitalia, and burns. 

 

 

Table of Contents:

 

SECTION I: GENERAL

1 Complex Wound Care

ANATOMY

WOUND HEALING

NORMAL WOUND HEALING

PATHOLOGIC WOUND HEALING

SCARRING

NORMAL SCARRING

PATHOLOGIC SCARRING

MANAGEMENT OF WOUNDS

INITIAL WOUND ASSESSMENT

PHYSICAL EXAMINATION

DÉBRIDEMENT

DRESSINGS

SURGICAL WOUNDS

PEARLS

QUESTIONS YOU WILL BE ASKED

2 Grafts

BASIS OF RECONSTRUCTION

OVERVIEW

EVALUATION

TYPES OF GRAFTS

SKIN GRAFTS

BONE GRAFTS

CARTILAGE GRAFTS

FAT GRAFTING

COMPOSITE GRAFTS

PEARLS

QUESTIONS YOU WILL BE ASKED

3 Flaps

OVERVIEW

FLAP CLASSIFICATION

BLOOD SUPPLY

METHOD OF TRANSFER

TISSUE COMPOSITION (TABLE 3-3)

FLAP MODIFICATIONS

POSTOPERATIVE MANAGEMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

4 Vascularized Composite Allotransplantation

OVERVIEW

DEFINITIONS

TRANSPLANTATION IMMUNOLOGY

TYPES OF ALLOTRANSPLANTATION IN PLASTIC SURGERY

HAND AND UPPER EXTREMITY TRANSPLANTATION

FACE TRANSPLANTATION

ABDOMINAL WALL TRANSPLANTATION

GENITOURINARY TRANSPLANTATION

ETHICAL CONSIDERATIONS

ECONOMIC CONSIDERATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

5 Tissue Expansion

OVERVIEW

BIOLOGIC PROPERTIES OF SKIN

PROCEDURAL CONSIDERATIONS

PRINCIPLES OF TISSUE EXPANDER PLACEMENT

TECHNIQUE

CLINICAL APPLICATIONS

COMPLICATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

6 Fat Grafting

OVERVIEW

FAT GRAFTING TECHNIQUE

HARVESTING

PROCESSING

REINJECTION

OTHER CONSIDERATIONS

SPECIFIC CLINICAL USES

COMPLICATIONS

ADIPOSE-DERIVED STEM CELLS

PEARLS

QUESTIONS YOU WILL BE ASKED

7 Benign and Malignant Skin and Soft Tissue Lesions

OVERVIEW

SKIN EMBRYOLOGY

SKIN HISTOLOGY

BENIGN LESIONS

EPIDERMAL LESIONS

MELANOCYTIC LESIONS

ADNEXAL TUMORS: SEBACEOUS GLANDS, HAIR FOLLICLES, APOCRINE, OR ECCRINE SWEAT GLANDS

SMOOTH MUSCLE TUMOR

CYSTS

FIBROUS LESIONS

OTHER DISORDERS

SKIN MALIGNANCIES

BASAL CELL CARCINOMA

EPIDEMIOLOGY

BCC DISEASE BIOLOGY AND CHARACTERISTICS

TREATMENT OF BCC

SQUAMOUS CELL CARCINOMA

EPIDEMIOLOGY

SCC DISEASE BIOLOGY AND CHARACTERISTICS

SCC TREATMENT OPTIONS

MELANOMA

EPIDEMIOLOGY

MELANOMA DISEASE BIOLOGY AND CHARACTERISTICS

DIAGNOSIS AND STAGING OF MELANOMA

MELANOMA TREATMENT

LESS COMMON SKIN CANCERS

SOFT TISSUE SARCOMAS

EPIDEMIOLOGY

DIAGNOSIS

CLASSIFICATION AND STAGING

SARCOMA MANAGEMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

8 Lymphedema and Vascular Anomalies

LYMPHEDEMA

THE LYMPHATIC SYSTEM

LYMPHEDEMA

DIAGNOSIS

DIFFERENTIAL DIAGNOSIS

STAGING

COMPLICATIONS

TREATMENT

VASCULAR ANOMALIES

VASCULAR TUMORS

VASCULAR MALFORMATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

9 Lasers in Plastic Surgery

OVERVIEW

DEFINITIONS

PROPERTIES

LASER PHYSICS

LASER APPLICATIONS (TABLE 9-1)

SKIN RESURFACING

VASCULAR LESIONS

PIGMENTED SKIN LESIONS

TATTOO REMOVAL

HAIR REMOVAL

FRACTIONAL PHOTOTHERMOLYSIS

LASER SAFETY

PEARLS

QUESTIONS YOU WILL BE ASKED

10 Burns

OVERVIEW OF THERMAL BURN INJURY

PATHOPHYSIOLOGY OF BURN INJURY

SYSTEMIC EFFECTS

INITIAL BURN EVALUATION AND MANAGEMENT

BURN INJURY SEVERITY

DEPTH OF BURN

INHALATION INJURY

CRITERIA FOR TRANSFER TO BURN CENTER

FLUID RESUSCITATION

CIRCUMFERENTIAL BURNS AND ESCHAROTOMY (FIG. 10-3)

BURN WOUND CARE

NUTRITIONAL SUPPLEMENTATION

SURGICAL MANAGEMENT OF BURN WOUNDS

COVERAGE OPTIONS

BURNS OF THE FACE, EYES, AND EARS

BURNS OF THE HANDS AND FEET

GENITAL BURNS

OPHTHALMOLOGIC INJURY

ELECTRICAL INJURY

MECHANISM OF INJURY

SYSTEMIC EFFECTS

INITIAL MONITORING

FLUID RESUSCITATION

COMPARTMENT SYNDROME CAN OCCUR AFTER HIGH-VOLTAGE INJURY TO AN EXTREMITY

CHEMICAL BURNS

GENERAL APPROACH TO CHEMICAL BURNS

TYPES OF CHEMICAL BURNS (TABLE 10-1)

SPECIFIC TYPES OF CHEMICAL BURNS

INJURY TO EYES

FROSTBITE

PATHOPHYSIOLOGY

SPECTRUM OF COLD INJURY (TABLE 10-2)

PATHOPHYSIOLOGY AND STAGING

TREATMENTS AND OUTCOMES

PROGNOSIS

STEVENS-JOHNSON SYNDROME AND TOXIC EPIDERMAL NECROLYSIS

ETIOLOGY

CLASSIFICATION

PRESENTATION

TREATMENT

OUTCOMES

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

11 Burn Reconstruction

OVERVIEW

TECHNIQUES IN ACUTE BURN CARE THAT CAN DECREASE LONG-TERM RECONSTRUCTIVE NEEDS

MAJOR RECONSTRUCTIVE CHALLENGES FOLLOWING BURN INJURIES

SURGICAL TECHNIQUES

CONTRACTURE RELEASE

LOCAL TISSUE REARRANGEMENTS (SEE CHAPTER 4)

GRAFTS

DERMAL SUBSTITUTES

FLAPS

TISSUE EXPANSION (SEE CHAPTER 5 FOR FURTHER DETAILS)

NONSURGICAL OPTIONS

CONSIDERATIONS FOR SPECIFIC ANATOMIC AREAS

FACIAL BURNS

MOUTH

EYEBROW

EYELID

NOSE

EAR

NECK AND CHIN

SCALP

BREAST

AXILLA

ELBOW (TABLE 11-1)

HAND

PERINEUM

FOOT

HETEROTOPIC OSSIFICATION

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

12 Preoperative Cardiopulmonary Risk Stratification and Prophylaxis

PULMONARY

AIRWAY

CARDIOVASCULAR

RISK STRATIFICATION AND PROPHYLAXIS FOR ENDOCARDITIS

AMERICAN HEART ASSOCIATION GUIDELINES FOR PERIOPERATIVE β-BLOCKADE

VENOUS THROMBOEMBOLISM

ANESTHETIC CONSIDERATIONS

PECTORAL BLOCKS

LOCAL ANESTHETIC SYSTEMIC TOXICITY

MALIGNANT HYPERTHERMIA

PEARLS

QUESTIONS YOU WILL BE ASKED

SECTION II: CRANIOFACIAL

13 Cleft Lip

OVERVIEW

EPIDEMIOLOGY

ETIOLOGY

EMBRYOLOGY/PATHOPHYSIOLOGY

CLASSIFICATIONS

RELEVANT LIP ANATOMY

CLEFT ANATOMY

EVALUATION

MANAGEMENT

EARLY INTERVENTIONS

TIMING OF REPAIR

GOALS OF REPAIR

KEY LANDMARKS (FIG. 13-3)

SURGICAL TECHNIQUES

UNILATERAL CL REPAIR

BILATERAL CL REPAIR—MILLARD (FIG. 13-6)

POSTOPERATIVE CARE

GENERAL CONSIDERATIONS

COMPLICATIONS

SECONDARY RHINOPLASTY

QUESTIONS YOU WILL BE ASKED

14 Cleft Palate

OVERVIEW

EPIDEMIOLOGY

NORMAL PALATE ANATOMY

CP ANATOMY AND CLASSIFICATION

PALATAL EMBRYOLOGY

ETIOLOGY

INITIAL EVALUATION

MANAGEMENT

GOALS

REPAIR TECHNIQUES

ADJUNCTIVE TECHNIQUES

POTENTIAL COMPLICATIONS OF CP REPAIR

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

15 Velopharyngeal Insufficiency

OVERVIEW

VELOPHARYNGEAL ANATOMY AND PHYSIOLOGY OF SPEECH PRODUCTION

PREOPERATIVE EVALUATION

TREATMENT

COMPLICATIONS

QUESTIONS YOU WILL BE ASKED

16 Craniosynostosis and Craniofacial Syndromes

CRANIOFACIAL EMBRYOLOGY AND DEVELOPMENT

CRANIOSYNOSTOSIS

OVERVIEW

NONSYNDROMIC CRANIOSYNOSTOSIS

DEFORMATIONAL PLAGIOCEPHALY (POSITIONAL HEAD DEFORMITY, OR POSITIONAL PLAGIOCEPHALY)

SYNDROMIC CRANIOSYNOSTOSIS

FUNCTIONAL SEQUELAE OF CRANIOSYNOSTOSIS

TREATMENT

CRANIOFACIAL (TESSIER) CLEFTS

BRANCHIAL ARCH SYNDROMES AND HEMIFACIAL MICROSOMIA

TREACHER COLLINS-FRANCESCHETTI COMPLEX (MANDIBULOFACIAL DYSOSTOSIS, FIG. 16-3C)

HEMIFACIAL (CRANIOFACIAL) MICROSOMIA

GOLDENHAR-GORLIN SYNDROME (OCULOAURICULOVERTEBRAL DYSPLASIA; FIG. 16-3D)

QUESTIONS YOU WILL BE ASKED

17 Reconstruction of Congenital Ear Deformities

EXTERNAL EAR EMBRYOLOGY AND ANATOMY

RECONSTRUCTION OF CONGENITAL EAR DEFORMITIES

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

18 Orthognathic Surgery

OVERVIEW

DENTITION

DENTAL ANATOMY

TERMINOLOGY

ANGLE CLASSIFICATION (EDWARD HARTLEY ANGLE, “FATHER OF MODERN ORTHODONTICS”)

ORTHOGNATHIC SURGERY EVALUATION

HISTORY AND PHYSICAL EXAMINATION

RADIOGRAPHIC (CEPHALOMETRIC) EVALUATION

DIAGNOSES AND GENERAL MANAGEMENT

GENERAL MANAGEMENT CONSIDERATIONS

OPERATIVE TECHNIQUES

POSTOPERATIVE CONSIDERATIONS

POSTOPERATIVE CARE

COMPLICATIONS

QUESTIONS YOU WILL BE ASKED

19 Facial Palsy

OVERVIEW

FACIAL NERVE ANATOMY AND FUNCTION

ETIOLOGIES OF FACIAL PALSY

EVALUATION OF FACIAL PALSY

TREATMENT OF FACIAL PALSY

NONSURGICAL MANAGEMENT

SURGICAL MANAGEMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

20 Facial Trauma

PATIENT EVALUATION

FACIAL SOFT TISSUE INJURIES

FACIAL FIELD BLOCKS

LACERATION REPAIR

FACIAL FRACTURE EVALUATION AND MANAGEMENT

MANDIBLE FRACTURES

ZYGOMA FRACTURES

ORBITAL FRACTURES

NASAL BONE FRACTURES

NOE FRACTURES

FRONTAL BONE/SINUS FRACTURES

MAXILLARY FRACTURES

TEMPORAL BONE TRAUMA

PALATE FRACTURES

PANFACIAL FRACTURES

QUESTIONS YOU WILL BE ASKED

21 Scalp and Calvarial Reconstruction

SCALP RECONSTRUCTION

ANATOMY

SCALP RECONSTRUCTIVE LADDER (FIG. 21-4)

SCALP TRAUMA

OTHER CONSIDERATIONS IN SCALP RECONSTRUCTION

CALVARIAL RECONSTRUCTION

ANATOMIC LAYERS OF THE CRANIUM

PRINCIPLES OF CALVARIAL RECONSTRUCTION

OPERATIVE PLANNING AND TIMING

ALLOPLASTIC CRANIOPLASTY MATERIALS

AUTOLOGOUS CRANIOPLASTY MATERIALS

SOFT TISSUE IN CRANIOPLASTY

PEARLS

QUESTIONS YOU WILL BE ASKED

22 Ear Reconstruction

ETIOLOGIES AND CONSIDERATIONS

TUMOR

TRAUMA

THERMAL INJURES

RECONSTRUCTION OF ACQUIRED AURICULAR DEFORMITIES

PARTIAL-THICKNESS DEFECTS

FULL-THICKNESS DEFECTS

THE AMPUTATED EAR

NONMICROSURGICAL OPTIONS

MICROVASCULAR REPLANTATION

PEARLS

QUESTIONS YOU WILL BE ASKED

23 Eyelid Reconstruction

OVERVIEW

EYELID ANATOMY AND PHYSIOLOGY (FIG. 23-1)

PREOPERATIVE ASSESSMENT

RECONSTRUCTION OF EYELID AND CANTHAL DEFECTS

PARTIAL-THICKNESS EYELID DEFECTS (FIG. 23-5)

FULL-THICKNESS EYELID DEFECTS (FIG. 23-5)

LATERAL CANTHAL DEFECTS

MEDIAL CANTHAL DEFECTS

RECONSTRUCTION OF THE CANALICULAR SYSTEM

LACRIMAL APPARATUS (FIG. 23-9)

CANALICULAR REPAIR (FIG. 23-10)

LACRIMAL BYPASS SURGERY FOR A BLOCKED LACRIMAL DRAINAGE SYSTEM

PEARLS

QUESTIONS YOU WILL BE ASKED

24 Eyelid Malposition

ECTROPION

MANAGEMENT

ENTROPION

MANAGEMENT

LID RETRACTION

MANAGEMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

25 Nasal Reconstruction

PREOPERATIVE CONSIDERATIONS

ASSESSING THE DEFECT

HISTORY AND PHYSICAL

NASAL ANATOMY

NASAL SUBUNITS

LAYERS (SUPERFICIAL TO DEEP)

RELEVANT VASCULAR SUPPLY

INNERVATION (FIG. 25-3)

APPROACHES TO NASAL RECONSTRUCTION

GENERAL PRINCIPLES

BONE/CARTILAGE RECONSTRUCTION

RECONSTRUCTION OF NASAL LINING

RECONSTRUCTION OF NASAL CUTANEOUS DEFECTS

COMPLICATIONS

RHINOPHYMA

FEATURES AND ETIOLOGY

MANAGEMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

26 Lip and Cheek Reconstruction

LIP RECONSTRUCTION

OVERVIEW

EVALUATION AND CONSIDERATIONS

APPROACHES TO PARTIAL-THICKNESS LIP DEFECTS

APPROACHES TO FULL-THICKNESS LIP DEFECTS (FIG. 26-4)

APPROACHES TO SUBTOTAL AND TOTAL LIP DEFECTS

POSTOPERATIVE CARE

CHEEK RECONSTRUCTION

CHEEK ANATOMY

PREOPERATIVE CONSIDERATIONS

RECONSTRUCTIVE OPTIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

27 Head and Neck Masses and Neoplasms

OVERVIEW

DIFFERENTIAL DIAGNOSIS OF NECK MASSES

DIAGNOSTIC STUDIES

SALIVARY GLAND NEOPLASMS

SALIVARY GLAND ANATOMY

BENIGN SALIVARY NEOPLASMS

MALIGNANT SALIVARY NEOPLASMS

MALIGNANT SALIVARY NEOPLASM MANAGEMENT

SQUAMOUS CELL CARCINOMA OF THE HEAD AND NECK

EPIDEMIOLOGY

PATHOLOGY

ANATOMY

EVALUATION

PHYSICAL EXAMINATION

TREATMENT

MANAGEMENT OF THE NECK

COMPLICATIONS

FOLLOW-UP

PEARLS

QUESTIONS YOU WILL BE ASKED

28 Principles of Head and Neck Reconstruction

GENERAL PRINCIPLES

RECONSTRUCTION BY ANATOMIC REGION

THE MIDFACE

THE MANDIBLE

THE NECK

THE ORAL CAVITY

THE TONGUE

THE HYPOPHARYNX

COMPLICATIONS

CHYLE LEAK

PHARYNGOCUTANEOUS FISTULA

CAROTID BLOWOUT

PEARLS

QUESTIONS YOU WILL BE ASKED

SECTION III: UPPER EXTREMITY

29 Hand and Wrist Anatomy and Examination

EVALUATION OF THE PATIENT

HISTORY

THE QUICK HAND EXAM

VASCULATURE

ARTERIAL SUPPLY (FIG. 29-2)

VENOUS DRAINAGE

NERVE

TENDONS AND MUSCLES

FLEXOR TENDONS

EXTENSOR TENDONS

INTRINSIC MUSCLES

BONE AND JOINTS ANATOMY

WRIST

CARPUS

FINGERS

TOURNIQUET USE

INCISIONS ON THE HAND

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

30 Basics of Fixation

GENERAL CONCEPTS

FIXATION METHODS

PEARLS

31 Congenital Upper Extremity Anomalies

OVERVIEW

FAILURE OF FORMATION

TRANSVERSE FAILURE OF FORMATION (CONGENITAL AMPUTATION)

RADIAL DEFICIENCY

ULNAR DEFICIENCY

CENTRAL RAY DEFICIENCY “CLEFT HAND”

FAILURE OF DIFFERENTIATION

SYNDACTYLY

RADIOULNAR SYNOSTOSIS

CAMPTODACTYLY

CONGENITAL CLASPED THUMB

CLINODACTYLY

DUPLICATION

THUMB DUPLICATION

ULNAR POLYDACTYLY

CENTRAL POLYDACTYLY

MIRROR HAND

OVERGROWTH

MACRODACTYLY

UNDERGROWTH

THUMB HYPOPLASIA/ABSENCE (FIG. 31-2)

BRACHYDACTYLY

CONGENITAL CONSTRICTION BAND SYNDROME

CONSTRICTION RING SYNDROME/AMNIOTIC BAND SYNDROME (FIG. 31-3)

GENERALIZED SKELETAL DEFORMITIES

CONGENITAL TRIGGER FINGER

ARTHROGRYPOSIS

OTHER DEFORMITIES

MADELUNG DEFORMITY

CONGENITAL DISLOCATION OF THE RADIAL HEAD

PEARLS

QUESTIONS YOU WILL BE ASKED

32 Brachial Plexus Injuries

OVERVIEW

ANATOMY (TABLE 32-1, FIG. 32-1)

EPIDEMIOLOGY

PATHOLOGY

PREOPERATIVE EVALUATION

HISTORY

PHYSICAL EXAM

DIAGNOSTIC STUDIES

MANAGEMENT

GENERAL TREATMENT CONCEPTS

POSTOPERATIVE CARE

ADJUNCT PROCEDURES

PEARLS

QUESTIONS YOU WILL BE ASKED

33 Distal Radius and Ulna Fractures

DISTAL RADIUS FRACTURES

OVERVIEW

EVALUATION

TREATMENT

ASSOCIATED DISTAL RADIAL ULNAR JOINT INJURIES

OVERVIEW

EVALUATION

MANAGEMENT

ULNAR STYLOID FRACTURES

PEARLS

QUESTIONS YOU WILL BE ASKED

34 Carpal Fractures and Dislocations

OVERVIEW

CARPAL FRACTURES

SCAPHOID FRACTURES

OTHER CARPAL FRACTURES

CARPAL DISLOCATIONS

KINEMATICS

PERILUNATE INJURY

PEARLS

QUESTIONS YOU WILL BE ASKED

35 Phalangeal and Metacarpal Fractures and Dislocations

OVERVIEW

CLASSIFICATION OF FRACTURES

GENERAL TREATMENT

POSTOPERATIVE CARE

PHALANGEAL FRACTURES

DISTAL PHALANX FRACTURES

MIDDLE AND PROXIMAL PHALANX FRACTURES

METACARPAL FRACTURES

EVALUATION

METACARPAL HEAD FRACTURES

METACARPAL NECK FRACTURES

METACARPAL SHAFT FRACTURES

METACARPAL BASE FRACTURES

THUMB METACARPAL FRACTURES

COMPLICATIONS

DISLOCATIONS

GENERAL CONSIDERATIONS

DISTAL INTERPHALANGEAL (DIP) JOINT DISLOCATIONS

PIP JOINT DISLOCATIONS

MCP JOINT DISLOCATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

36 Traumatic Amputation Injuries

OVERVIEW

INITIAL ASSESSMENT

GOALS OF PRIMARY AND REVISION AMPUTATION

DISTAL FINGER AMPUTATIONS

ASSESSMENT

MANAGEMENT

FLAP OPTIONS FOR FINGERTIP REPAIR

PROXIMAL FINGER AMPUTATIONS

AMPUTATIONS THROUGH DISTAL INTERPHALANGEAL JOINT (DIPJ)/PIPJ

MIDDLE AND PROXIMAL PHALANX AMPUTATIONS

METACARPAL AND CARPAL AMPUTATIONS

RAY AMPUTATIONS

CARPAL AMPUTATIONS

Amputations at and Proximal to the Wrist

REPLANTATION

INITIAL EVALUATION

INDICATIONS FOR REPLANTATION

CONTRAINDICATIONS

PREOPERATIVE CARE

OPERATIVE TECHNIQUES

POSTOPERATIVE CARE

OUTCOMES

PEARLS

QUESTIONS YOU WILL BE ASKED

37 Fingertip and Nail Bed Injuries

OVERVIEW

EPIDEMIOLOGY

ANATOMY

INITIAL EVALUATION

NAIL BED INJURIES

SUBUNGAL HEMATOMA

NAIL BED LACERATION

NAIL BED AVULSION

COMMON COMPLICATIONS

FINGER TIP FRACTURES

FINGERTIP FRACTURE

TUFT FRACTURE

SHAFT FRACTURE

EPIPHYSEAL (BASE) FRACTURES

PEARLS

QUESTIONS YOU WILL BE ASKED

38 Tendon Injuries and Tendonitis

OVERVIEW

TENDON PRINCIPLES

TENDON INJURY HISTORY

FLEXOR TENDON INJURIES

EVALUATION

TREATMENT OF FLEXOR TENDON INJURIES

MANAGEMENT OF FLEXOR TENDON INJURY BY ZONE

POSTOPERATIVE CARE

COMPLICATIONS

EXTENSOR TENDON INJURIES

EVALUATION

MANAGEMENT OF EXTENSOR TENDON INJURIES BY ZONE

POSTOPERATIVE CARE

COMPLICATIONS

TENDINITIS

PEARLS

QUESTIONS YOU WILL BE ASKED

39 Tendon Transfers

OVERVIEW

PREOPERATIVE PLANNING

EVALUATION

TIMING

DONOR TENDON AND MUSCLE ASSESSMENT

TENDON TRANSFERS FOR SPECIFIC NERVE PALSIES

RADIAL NERVE PALSY

MEDIAN NERVE PALSY

ULNAR NERVE PALSY

STATIC BLOCK PROCEDURES

PEARLS

QUESTIONS YOU WILL BE ASKED

40 Thumb Reconstruction

OVERVIEW

GENERAL CONSIDERATIONS

EVALUATION

TREATMENT

INDICATIONS FOR RECONSTRUCTION

SOFT TISSUE LOSS WITH ADEQUATE LENGTH

SUBTOTAL AMPUTATION WITH QUESTIONABLE LENGTH

TOTAL AMPUTATION WITH PRESERVATION OF THE BASAL JOINT

TOTAL LOSS WITH DESTRUCTION OF THE BASAL JOINT

POSTOPERATIVE CARE

PEARLS

QUESTIONS YOU WILL BE ASKED

41 Soft Tissue Coverage of the Upper Extremity

GENERAL CONSIDERATIONS

GOALS

EVALUATION

TREATMENT OVERVIEW

SPECIFIC SOFT TISSUE RECONSTRUCTION OPTIONS

LOCAL FLAPS FOR FINGER RECONSTRUCTION

LOCAL AND REGIONAL FLAPS FOR HAND, WRIST, AND FOREARM RECONSTRUCTION

ELBOW WOUND COVERAGE

COMMON FREE FLAP RECONSTRUCTION

PERFORATOR FLAPS

POSTOPERATIVE CONSIDERATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

42 Hand Infections

GENERAL CONSIDERATIONS

NECROTIZING FASCIITIS

PYOGENIC FLEXOR TENOSYNOVITIS

DEEP HAND SPACE INFECTIONS

SEPTIC ARTHRITIS

CELLULITIS

BITES

ANIMAL BITES

HUMAN BITES

FINGERTIP INFECTIONS

FELON

ACUTE PARONYCHIA

CHRONIC PARONYCHIA

HERPETIC WHITLOW

OSTEOMYELITIS

PEARLS

QUESTIONS YOU WILL BE ASKED

43 Compartment Syndrome and High-Pressure Injections

COMPARTMENT SYNDROME

OVERVIEW

COMPARTMENTS OF THE UPPER EXTREMITY

DIAGNOSIS

TREATMENT

UNTREATED COMPARTMENT SYNDROME

HIGH-PRESSURE INJECTION INJURIES

OVERVIEW

PRESENTATION

HISTORY AND PHYSICAL EXAMINATION

TREATMENT

PEARLS

44 Hand Tumors

OVERVIEW

BENIGN SOFT TISSUE TUMORS

GANGLION CYSTS

EPIDERMAL INCLUSION CYSTS

GIANT CELL TUMOR OF TENDON SHEATH

GLOMUS TUMORS

MALIGNANT SOFT TISSUE TUMORS

GENERAL CONSIDERATIONS

EPITHELIOID AND SYNOVIAL CELL SARCOMA

BENIGN BONE AND CARTILAGE TUMORS

ENCHONDROMA

GIANT CELL TUMOR (GCT) OF THE BONE

ANEURYSMAL BONE CYST

OSTEOID OSTEOMA/OSTEOBLASTOMA

MALIGNANT BONE AND CARTILAGE TUMORS

CHONDROSARCOMA

OSTEOSARCOMA

EWING SARCOMA

GENERAL MANAGEMENT PRINCIPLES OF PATIENTS WITH UPPER EXTREMITY MALIGNANT TUMORS

PEARLS

QUESTIONS YOU WILL BE ASKED

45 Nerve Injuries, Neuromas, and Compression Syndromes

NERVE ANATOMY AND INJURY

PERIPHERAL NERVE ANATOMY (SEE FIG. 45-1)

CHRONOLOGY OF NERVE INJURY

CLASSIFICATION OF NERVE INJURY (TABLES 45-1 AND 45-2)

DIAGNOSIS OF NERVE INJURY

NERVE REPAIR

TIMING OF NERVE REPAIR

PRIMARY NERVE REPAIR

TYPES OF NERVE REPAIR

NERVE TRANSFER

NERVE GRAFTING

Types of Nerve Grafts

COMMONLY USED DONOR NERVES

NEUROMA

PATHOPHYSIOLOGY OF NEUROMA FORMATION

NEUROMA TREATMENT

COMPRESSION SYNDROMES

PATHOPHYSIOLOGY OF NERVE COMPRESSION

MEDIAN NERVE (SEE FIG. 45-3A)

ULNAR NERVE (SEE FIG. 45-3B)

RADIAL NERVE (SEE FIG. 45-3C)

THORACIC OUTLET SYNDROME

PEARLS

QUESTIONS YOU WILL BE ASKED

46 Rheumatoid Arthritis, Osteoarthritis, and Dupuytren Contracture

RHEUMATOID ARTHRITIS (RA)

OVERVIEW

PREOPERATIVE EVALUATION

TREATMENT

TENOSYNOVITIS

SWAN-NECK DEFORMITY

BOUTONNIÈRE DEFORMITY

TENDON RUPTURES (TABLE 46-2)

RHEUMATOID NODULES

ULNAR DRIFT AT MP JOINT

CAPUT ULNA

RADIOCARPAL DESTRUCTION

RHEUMATOID ELBOW

OSTEOARTHRITIS

GENERAL CONSIDERATIONS

HISTORY AND EVALUATION

NONOPERATIVE TREATMENT

SURGICAL TREATMENT

THUMB CMC JOINT ARTHRITIS

DUPUYTREN DISEASE

GENERAL

EPIDEMIOLOGY

ANATOMY

INDICATIONS FOR TREATMENT

NONOPERATIVE TREATMENT

OPERATIVE TREATMENT

PEARLS

QUESTIONS YOU WILL BE ASKED

SECTION IV: BREAST AND BODY RECONSTRUCTION

47 Breast Augmentation, Mastopexy, and Augmentation Mastopexy

PREOPERATIVE WORKUP FOR ANY BREAST SURGERY

MEDICAL HISTORY

PHYSICAL EXAMINATION

PREOPERATIVE MAMMOGRAM

BREAST AUGMENTATION

PREOPERATIVE CONSULTATION

SURGICAL APPROACHES

COMPLICATIONS

BREAST CANCER DETECTION IN AUGMENTED WOMEN

SILICONE IMPLANT CONTROVERSY

MASTOPEXY AND AUGMENTATION MASTOPEXY

PATHOPHYSIOLOGY OF PTOSIS

PREOPERATIVE CONSULTATION

SURGICAL APPROACHES

COMPLICATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

48 Reduction Mammoplasty, Top Surgery, and Gynecomastia

BREAST REDUCTION (REDUCTION MAMMOPLASTY)

PREOPERATIVE CONSULTATION

SURGICAL APPROACHES

COMPLICATIONS

GENDER-AFFIRMING CHEST RECONSTRUCTION

CRITERIA FOR SURGERY

PREOPERATIVE CONSULTATION

FEMALE TO MALE CHEST RECONSTRUCTION

MALE TO FEMALE CHEST RECONSTRUCTION

GYNECOMASTIA

EPIDEMIOLOGY AND ETIOLOGY

PREOPERATIVE CONSULTATION

SURGICAL APPROACHES

PEARLS

QUESTIONS YOU WILL BE ASKED

49 Breast Disease

ANATOMY AND DEVELOPMENT OF THE BREAST

GLAND

BLOOD SUPPLY (FIG. 49-1)

INNERVATION

LYMPHATIC DRAINAGE

DEVELOPMENT

CLINICAL EVALUATION OF BREAST MASSES

HISTORY

PHYSICAL EXAMINATION

BENIGN BREAST DISEASE

BENIGN BREAST DISEASE TYPES (TABLE 49-1)

NONPROLIFERATIVE BENIGN BREAST DISEASE

PROLIFERATIVE BENIGN BREAST DISEASE

PROLIFERATIVE BENIGN BREAST DISEASE WITH ATYPIA

PREMALIGNANT (NONINVASIVE) BREAST DISEASE

LOBULAR CARCINOMA In Situ

DUCTAL CARCINOMA IN SITU OR INTRADUCTAL CARCINOMA

PAGET DISEASE OF THE NIPPLE

MALIGNANT (INVASIVE) BREAST DISEASE

EPIDEMIOLOGY

EVALUATION AND DIAGNOSIS

TYPES OF INVASIVE BREAST CANCER

GRADING

PROGNOSTIC MARKERS

STAGING

TREATMENT OF MALIGNANT BREAST DISEASE

SPECIAL CONSIDERATIONS

MALE BREAST CANCER

PEARLS

QUESTIONS YOU WILL BE ASKED

50 Breast Reconstruction

PREOPERATIVE EVALUATION

GOALS

HISTORY

PHYSICAL EXAM

BREAST RECONSTRUCTION DECISION ALGORITHM (FIG. 50-1)

TIMING OF RECONSTRUCTION

TYPE OF MASTECTOMY INCISION

RECONSTRUCTIVE OPTIONS

IMPLANT-BASED RECONSTRUCTION

AUTOLOGOUS RECONSTRUCTION

AUGOLOGOUS FAT GRAFTING IN BREAST RECONSTRUCTION

NIPPLE-AREOLAR RECONSTRUCTION

RECONSTRUCTION OF LUMPECTOMY DEFECTS (ONCOPLASTIC BREAST SURGERY)

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

51 Thoracic Reconstruction

OVERVIEW

ANATOMY

EVALUATION AND INITIAL MANAGEMENT

HISTORY

IMAGING AND STUDIES

ETIOLOGY OF CHEST WALL DEFECTS

INFECTION

NEOPLASM

IATROGENIC (IE, OSTEORADIONECROSIS)

CONGENITAL

TECHNICAL ASPECTS OF RECONSTRUCTION AND MATERIALS

SKELETAL DEFECTS

SOFT TISSUE COVERAGE

PEARLS

52 Abdominal Reconstruction

OVERVIEW

ANATOMY AND PHYSIOLOGY

FORM AND FUNCTION

ETIOLOGY OF ABDOMINAL WALL DEFECTS

SURGICAL MANAGEMENT OF ABDOMINAL WALL DEFECTS

MIDLINE ABDOMINAL HERNIATION

RECONSTRUCTION WITH AUTOGENOUS TISSUE

ABDOMINAL WALL TRANSPLANT

COMPLICATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

53 Perineal, Penile, and Vaginal Reconstruction

OVERVIEW

DEVELOPMENT

ANATOMY

PENILE AND SCROTAL RECONSTRUCTION

PENILE RECONSTRUCTION

SCROTAL RECONSTRUCTION

MALE PERINEAL DEFECTS

VAGINAL RECONSTRUCTION

CONGENITAL ABSENCE

ACQUIRED DEFECTS

ACQUIRED ABSENCE OF THE VULVA

ACQUIRED ABSENCE OF THE VULVA

LABIAPLASTY

PEARLS

QUESTIONS YOU WILL BE ASKED

54 Gender-Affirming Pelvic Surgery

OVERVIEW

DEFINITIONS

GENERAL CONCEPTS OF GENDER-AFFIRMING SURGERY

CRITERIA FOR SURGERY

TRANSMALE PELVIC GENDER-AFFIRMING SURGERY

METOIDIOPLASTY

PHALLOPLASTY

SCROTOPLASTY

TRANSFEMALE PELVIC GENDER-AFFIRMING SURGERY

PENILE INVERSION VAGINOPLASTY

SIGMOID VAGINOPLASTY

PEARLS

QUESTIONS YOU WILL BE ASKED

55 Pressure-Induced Skin and Soft Tissue Injuries

PRESSURE INJURY DIAGNOSIS AND MANAGEMENT

PREVENTION

DIAGNOSIS/WORK-UP

MANAGEMENT OF PRESSURE INJURIES

TREATMENT OVERVIEW

WOUND DRESSINGS (STAGE III/IV SORES)

SOFT TISSUE INFECTIONS (STAGE III/IV SORES)

BONE INFECTIONS (OM)

SURGICAL MANAGEMENT

PREOPERATIVE AND INTRA OPERATIVE CONSIDERATIONS FOR WOUND CLOSURE

FLAPS AND OTHER PROCEDURES

NONOPERATIVE TREATMENT (STAGE III/IV)

POSTOPERATIVE CARE (STAGE III/IV WOUND CLOSURES)

POSSIBLE COMPLICATIONS (FLAP PROCEDURES) AND OUTCOMES

PEARLS

QUESTIONS YOU WILL BE ASKED

56 Lower Extremity Reconstruction

OVERVIEW

GOALS

ANATOMY AND PHYSIOLOGY

ETIOLOGY OF LOWER EXTREMITY WOUNDS AND INJURIES

LOWER EXTREMITY RECONSTRUCTION

EVALUATION

CONSIDERATIONS IN LOWER EXTREMITY RECONSTRUCTION

TECHNICAL ASPECTS OF RECONSTRUCTION

RECONSTRUCTIVE CHOICES BY LOCATION

CHRONIC ULCERS AND THE DIABETIC FOOT

GENERAL CONSIDERATIONS

ETIOLOGY

TREATMENT AND RECONSTRUCTION

PEARLS

QUESTIONS YOU WILL BE ASKED

THINGS TO DRAW

SECTION V: AESTHETICS

57 Evaluation of Facial Aging

OVERVIEW

COMPONENTS OF FACIAL AGING (FIG. 57-1)

FACIAL ANATOMICAL CHANGES WITH AGING

EXACERBATING FACTORS

PEARLS

QUESTIONS YOU WILL BE ASKED

58 Nonoperative Facial Rejuvenation

FACIAL AGING

FACTORS AFFECTING FACIAL AGING

STIGMATA

NONOPERATIVE REJUVENATION OPTIONS

CHEMICAL PEELS

LASERS IN AESTHETIC SURGERY (TABLE 58-1)

DERMABRASION AND MICRODERMABRASION

BOTULINUM TOXIN

INJECTABLES

PEARLS

QUESTIONS YOU WILL BE ASKED

59 Periocular Rejuvenation: Blepharoplasty, Eyelid Ptosis, and Brow Lift

UPPER EYELID BLEPHAROPLASTY

PREOPERATIVE ASSESSMENT

OPERATIVE APPROACHES AND VARIATIONS

POSTOPERATIVE CARE AND COMPLICATIONS

LOWER EYELID BLEPHAROPLASTY

PREOPERATIVE ASSESSMENT

OPERATIVE APPROACHES AND VARIATIONS

POSTOPERATIVE CARE AND COMPLICATIONS

UPPER EYELID PTOSIS

PREOPERATIVE ASSESSMENT

TYPES OF EYELID PTOSIS

OPERATIVE APPROACHES AND VARIATIONS

POSTOPERATIVE CARE AND COMPLICATIONS

BROW LIFT

ANATOMY (SEE TABLE 59-2)

NERVES

PREOPERATIVE ASSESSMENT

OPERATIVE APPROACHES AND VARIATIONS

POSTOPERATIVE CARE AND COMPLICATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

UPPER EYELID BLEPHAROPLASTY

LOWER EYELID BLEPHAROPLASTY

UPPER EYELID PTOSIS

BROW LIFT

60 Rhinoplasty

NASAL ANATOMY (FIG. 60-1)

PREOPERATIVE CONSIDERATIONS

GOALS AND PATIENT SELECTION

PREOPERATIVE ASSESSMENT

KEY PRINCIPLES OF RHINOPLASTY

EXPOSURE

SPECIFIC COMPONENTS OF RHINOPLASTY

COMPLICATIONS

SECONDARY RHINOPLASTY

PRESERVATION RHINOPLASTY

PEARLS

QUESTIONS YOU WILL BE ASKED

61 Face-lift and Neck Lift

OVERVIEW

PRINCIPLES OF FACIAL REJUVENATION

ANATOMY

INDICATIONS AND PATIENT ASSESSMENT

FACE-LIFT AND NECK-LIFT (RHYTIDECTOMY) TECHNIQUE

INCISION DESIGN

OPERATIONS/APPROACHES

PERIOPERATIVE MANAGEMENT

COMPLICATIONS

FACIAL AUGMENTATION WITH FACIAL IMPLANTS

PEARLS

QUESTIONS YOU WILL BE ASKED

62 Genioplasty

OVERVIEW

RELEVANT ANATOMY

TERMINOLOGY

EVALUATION

SURGICAL APPROACH AND OPTIONS

SURGICAL APPROACH

OSSEOUS GENIOPLASTY

ALLOPLASTIC GENIOPLASTY

CHIN AUGMENTATION USING FILLER OR FAT GRAFTING

POSTOPERATIVE CARE

DRESSINGS, CARE, AND RESTRICTIONS

COMPLICATIONS

PEARLS

QUESTIONS YOU WILL BE ASKED

63 Gender-Affirming Facial Surgery

OVERVIEW

EVALUATION

NON-OPERATIVE AND OPERATIVE TECHNIQUES

NONSURGICAL ADJUNCTS

FOREHEAD AND EYEBROWS

NOSE

CHEEKS AND LIPS

MANDIBLE

THYROID CARTILAGE

PEARLS

QUESTIONS YOU WILL BE ASKED

64 Liposuction, Panniculectomy, and Abdominoplasty

BODY CONTOURING OVERVIEW

PATIENT HISTORY

PHYSICAL EXAMINATION

MASSIVE WEIGHT LOSS PATIENTS

LIPOSUCTION

OVERVIEW

TYPES OF LIPOSUCTION

ABDOMINOPLASTY

OVERVIEW

PREOPERATIVE EVALUATION

SURGICAL TECHNIQUES

PEARLS

QUESTIONS YOU WILL BE ASKED

65 Brachioplasty and Thighplasty

BRACHIOPLASTY

PATIENT HISTORY

GOALS

ANATOMY

SURGICAL MANAGEMENT

COMPLICATIONS

THIGHPLASTY

EXAMINATION

ANATOMY

SURGICAL APPROACH

COMPLICATIONS

QUESTIONS YOU WILL BE ASKED

SECTION VI: OTHER

66 How to Excel During Your Plastic Surgery Sub-Internship

FINDING THE RIGHT PROGRAM TO VISIT

PREPARING FOR YOUR AWAY ROTATION

ONCE YOU ARRIVE

ONCE YOU LEAVE

Index

 

An aparitie	8 noi 2023
Autor	David L. Brown MD, Widya Adidharma MD, Geoffrey Eckerson Hespe MD
Dimensiuni	127 x 203 mm
Editura	LWW
Format	Paperback
ISBN	9781975197391
Limba	Engleza
Nr pag	740
Versiune digitala	DA