By Mark L. Urken et al.
Discover a innovative method of reconstructive surgical procedure! Now in its moment version, The Atlas of local and unfastened Flaps for Head and Neck Reconstruction grants transparent, seriously illustrated insurance of local epidermis, muscle, and musculocutaneous flaps in addition to donor websites from far-off areas of the physique the place vascularized dermis, muscle, bone, and nerves could 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 local and unfastened flaps to reconstruct harm to the top and neck attributable to melanoma and trauma. This Atlas presents the general practitioner with options for getting to know diverse donor websites had to locate recommendations to almost each reconstruction challenge. It offers distinct descriptions of the anatomy and harvesting ideas of the key local and free-flap donor websites at the moment hired in head and neck reconstruction.
The in-depth insurance that readers trust…
• Clinically designated full-color line drawings emphasize right harvesting strategy for all flaps.
• complete procedural discussions deal with proper anatomy, flap layout and usage, anatomic diversifications, preoperative and postoperative care, suggestions for fending off power pitfalls, and harvesting suggestions for every donor site.
• Use of clean cadaver dissections presents the main lifelike portrayal of step by step element that provides the resident and attending doctor a radical knowing of every donor site.
Plus a wealth of positive aspects NEW to the second one Edition…
• New chapters tackle 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 contains: addition of the coronoid harvest method 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 process of vessels to the recipient vessel chapter.
• New demonstrations of flap insetting and layout for a few reconstructions
Read Online 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
I have not found such extensive dissection to be necessary in the routine application of this flap to defects of the lateral skull, the midface, the neck, and the oral cavity. The primary advantages of this flap, aside from the arc of rotation, are the thinness and pliability of the tissue compared with that of other regional musculocutaneous flaps. The donor defect is also well camouflaged on the patient's back. Preservation of the function of the upper trapezius muscle fibers can often be accomplished by mobilizing only that portion of the muscle needed to transfer the skin to the defect ( 12).
As classically described, theTCA arises from the thyrocervical trunk and courses along the posterior triangle of the neck toward the trapezius muscle (Fig. 2-2). The TCA divides into a superficial branch, which passes over the levator scapulae to run on the undersurface of the trapezius muscle, and a deep branch, which passes under the levator scapulae, descending along the medial aspect of the scapula, deep to the rhomboid minor muscle (Fig. 2-1). The superficial branch of the TCA divides into descending and ascending branches.
The lower extent of the flap design is somewhat controversial; some authors report reliable skin vascularity up to 15 em below the inferior border of the scapula (22). The angiosome concept provides some insight into what the safe caudal extent of this skin flap should be. The blood supply to the trapezius muscle allows it to be divided into three separate angiosomes. The TCA supplies the angiosome of the lateral cephalad portion of the muscle; the cervical paraspinous perforators supply the medial cephalad angiosome.