SCALP RECONSTRUCTION I. ANATOMIC LAYERS OF THE SCALP—ACRONYM SCALP (FIG. 23-1) A. S: Skin B. C: Connective tissue 1. Hair follicles, sweat glands, and fat cells 2. Connective tissue fibers between the galea and skin…
I. INTRODUCTION A. The keys to successful management of necrotizing soft tissue infections are early recognition and prompt aggressive surgical debridement. B. These lesions may present with few external manifestations C. Diffuse internal inflammation…
I. BASICS A. Your “first pass” at reading the article can help you answer a few basic questions, which include 1. How was the study designed? 2. How well was the study executed? 3. What…
I. FACTORS AFFECTING FACIAL AGING A. Chronic sun exposure 1. Ultraviolet (UV) radiation causes DNA damage and production of free radicals resulting in collagen and elastin damage, diminished dermal robustness, loss of skin…
INTRODUCTION I. EPIDEMIOLOGY A. Squamous cell carcinoma (SCC) is the most common cancer involving head and neck mucosal sites (accounts for 90% of malignancies) B. Most often occurs in the sixth and seventh…
INITIAL ASSESSMENT OF WOUNDS I. EXAMINE ETIOLOGY OF THE WOUND AND ASSESS FACTORS THAT PROVIDE THE FOUNDATION FOR WOUND HEALING A. Acute versus chronic (see Fig. 2-1) 1. Origin and duration of wound…
I. OVERVIEW A. Laser is an acronym for light amplification by stimulated emission of B. All lasers have four essential parts 1. A medium (gas, liquid, or solid) that can be excited by stimulated…
RECONSTRUCTIVE GOALS I. PATIENTS UNDERGOING HEAD AND NECK RECONSTRUCTIVE PROCEDURES ARE OFTEN DEBILITATED, AND LONG-TERM SURVIVAL MAY BE POOR. Many cancer patients must also undergo postoperative radiation or chemotherapy. Therefore, the…
I. HISTORICAL PERSPECTIVE A. Perforator flap era began in 1989—Koshima and Soeda described an inferior epigastric artery skin flap without the rectus abdominis muscle for reconstruction of floor-of-mouth and groin defects. II. WHAT…
I. VARIABLES A. Categorical variables (discrete variable) 1. Nominal variable: Variable with two or more categories but no intrinsic order. State of residence (Michigan, New York, etc.) is a nominal variable with 50…
