Lip and Cheek Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Lip and Cheek Reconstruction

LIP RECONSTRUCTION   I.  FUNCTIONAL AND AESTHETIC GOALS A.  Oral competence is the primary goal of lip reconstruction. Specifically, this includes maximizing oral aperture, mobility, and sensation. Dribbling of saliva or food results…

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Thoracic and Abdominal Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Thoracic and Abdominal Reconstruction

THORACIC RECONSTRUCTION   I.  FORM AND FUNCTION A.  Protection: Vital organs of the chest B.  Flexibility: The thorax is not a static structure C.  Stability: Necessary for pulmonary function D.  Physiology—inspiration/expiration 1.  Thoracic expansion = negative intrathoracic…

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Hand and Wrist Anatomy and Examination

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Hand and Wrist Anatomy and Examination

  I.  MEETING THE PATIENT A.  ABCs (airway, breathing, circulation) of trauma for all injured patients B.  AMPLE (allergies, medications, past medical history, time of last meal, and events leading to injury) history, and…

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Nasal Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Nasal Reconstruction

  I.  HISTORICAL ORIGINS A.  References of total nasal reconstruction date as far back as 3000 BC India. B.  Local cheek flaps published in “Sushruta Samhita” by Sushruta (India, 700 BC). C.  Adjacent tissue rearrangements…

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Breast Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Breast Reconstruction

  I.  HISTORY 1896 Tansini Latissimus dorsi flap for post-mastectomy coverage 1964 Cronin and Gerow Introduction of silicone implant 1982 Hartrampf TRAM flap 1983 Taylor DIEP flap 1989 Grotting Routine use of…

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Facial Trauma

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Facial Trauma

  I.  EMERGENCY DEPARTMENT (ED) EVALUATION A. History 1.  Mechanism of injury determines the degree of force a.  Interpersonal violence (usually low energy) b.  Motor vehicle accident (usually higher energy) 2.  History, prior facial trauma 3.  Time…

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Thumb Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Thumb Reconstruction

  I.  GENERAL PRINCIPLES A.  Function and goals of reconstruction 1.  Function a.  *Thumb contributes 40% of the hand function. b.  Essential for prehensile hand function c.  Requires contact between the index and the thumb pulp to…

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Burn Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Burn Reconstruction

  I.  PROBLEMS A.  Burn contractures 1.  Tight, shortened scars from tissue deficit 2.  Can form across joint creating limitation of movement 3.  Can involve more than skin: Causes shortening and fibrosis of underlying muscle, fascia,…

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Tendon Injuries and Tendonitis

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Tendon Injuries and Tendonitis

BASICS   I.  STRUCTURE A.  Tendons are strong, dense, uniform connective tissue structures that attach muscles to bones. B.  Consist of long collagen fibrils produced by specialized fibroblasts called tenocytes that are embedded in…

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