By Mark L. Urken et al.
Discover a progressive method of reconstructive surgical procedure! Now in its moment version, The Atlas of nearby and loose Flaps for Head and Neck Reconstruction can provide transparent, seriously illustrated assurance of nearby epidermis, muscle, and musculocutaneous flaps in addition to donor websites from far away areas of the physique the place vascularized dermis, muscle, bone, and nerves could be harvested and transferred to the pinnacle and neck.
The Atlas will end up beneficial info to otolaryngologists, plastic surgeons, and normal surgeons, who use either local and unfastened flaps to reconstruct harm to the pinnacle and neck because of melanoma and trauma. This Atlas presents the health care provider with ideas for getting to know diversified donor websites had to locate options to nearly each reconstruction challenge. It offers precise descriptions of the anatomy and harvesting recommendations of the most important nearby and free-flap donor websites at present hired in head and neck reconstruction.
The in-depth insurance that readers trust…
• Clinically specific full-color line drawings emphasize right harvesting approach for all flaps.
• complete procedural discussions tackle suitable anatomy, flap layout and usage, anatomic adaptations, preoperative and postoperative care, assistance for warding off power pitfalls, and harvesting options for every donor site.
• Use of unpolluted cadaver dissections presents the main sensible portrayal of step by step element that offers the resident and attending health practitioner an intensive knowing of every donor site.
Plus a wealth of gains NEW to the second one Edition…
• New chapters deal with 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 approach 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 approach 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
Schuller D, Daniels R, King M: Analysis of frequency of pulmonary atelectasis in patients undergoing pectoralis major musculocutaneous flap reconstruction. Head Neck 1994;16:25. 50. Schusterman M, Kroll S, Weber R, Byers R, Guillamondegui 0, Goepfert H: Intraoral soft tissue reconstruction after cancer ablation: a comparison of the pectoralis major flap and the free radial forearm flap. Am J Surg 1991;162:397. 51. Shah JP, Haribhakti V, Loree TR, Sutaria P: Complications of the pectoralis major myocutaneous flap in head and neck reconstruction.
In addition, one of the pectoral nerves Iarrow) is seen exiting the pectoralis minor and must be transsected to achieve additional mobilization of the muscle. FIGURE 1-22. The muscular attachments to the humerus are transsected while keeping the vascular pedicle in full view to prevent injury to the nutrient supply. It is imperative to obtain good hemostasis as the lateral portion of the muscle is transsected. This is the most common location for postoperative bleeding to occur. PECTORALIS MAJOR Pectoralis Major Flap FIGURE 1-23.
PECTORALIS MAJOR Pectoralis Major Flap FIGURE 1-23. A close-up view of the undersurface of the muscle reveals the vascular pedicle and transsected muscle fibers coursing across the axilla to insert on the humerus. FIGURE 1-24. Atunnel is created for the passage of the pectoralis flap into the neck. Adequate undermining must be achieved to prevent compression of the vascular pedicle. The ability to comfortably pass four fingers into this tunnel is usually deemed adequate. A distal incision has been made in the deltopectoral flap for the purpose of delay to improve the vascular supply in the event that it is needed.