Craniosynostosis and Craniofacial Syndromes

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Craniosynostosis and Craniofacial Syndromes

  I.  CRANIOFACIAL EMBRYOLOGY AND DEVELOPMENT A.  Skeletal tissues of head and face derive from mesenchyme and cranial neural crest cells B.  Bone formed through both endochondral and intramembranous ossification (Fig. 27-1) 1.  Skull development…

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Malignant Skin and Soft Tissue Lesions

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Malignant Skin and Soft Tissue Lesions

  I.  SKIN EMBRYOLOGY A.  Epidermis: Ectoderm B.  Dermis: Mesoderm C.  Other cells 1.  Melanocytes: Neural crest 2.  Merkel cells: Neural cells 3.  Langerhans cells: Mesenchymal II.  SKIN HISTOLOGY A.  Epidermis 1.  Keratinocytes a.  Primary cell in epidermis b.  Start in basal layer…

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Pressure Sores

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Pressure Sores

  I.  PRESSURE SORE DIAGNOSIS AND MANAGEMENT A.  Definition: Necrosis and ulceration of tissue from pressure B.  Etiology/mechanism 1.  *Tissue ischemia from external pressures exceeding the closing pressure of nutrient capillaries (32 mmHg) for a…

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Breast Disease

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

ANATOMY AND DEVELOPMENT OF THE BREAST   I.  GLAND A.  Boundaries 1.  Superior: Second rib or clavicle 2.  Inferior: Sixth rib 3.  Medial: Sternal edge 4.  Lateral: Midaxillary line, extends into axilla as axillary tail of Spence…

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Rhinoplasty

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

  I.  NASAL ANATOMY (FIG. 30-1) A.  Skin: The thickness of nasal skin is a crucial consideration during preoperative analysis 1.  Thickness varies between ethnic populations 2.  Thin skin will readily reveal the underlying structural…

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Cleft Lip

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Cleft Lip

  I.  OVERVIEW A.  Cleft lip (CL) and cleft lip and palate (CLP) versus cleft palate (CP) only 1.  CL and CLP are the same entity along a morphologic continuum (Fig. 25-1) 2.  “CP only”…

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Hand Infections, Compartment Syndrome, and High-Pressure Injections

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Hand Infections, Compartment Syndrome, and High-Pressure Injections

HAND INFECTIONS   I.  GENERAL CONSIDERATIONS A.  Risk factors 1.  Diabetes 2.  IV drug abuse 3.  Immunocompromised state 4.  Alcoholism B.  Most common organisms 1.  *Staphylococcus aureus a.  *80% of all infections b.  Rising incidence of methicillin-resistant Staphylococcus aureus (MRSA) 2.  Streptococcus…

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