Plastic Surgery Key

  I.  AIRWAY A.  Mallampati scores (Fig. 59-1): A high Mallampati score (either 3 or 4) is associated with more difficult mask ventilation and intubation. 1.  Class I: Full visibility of tonsils, uvula, and…

  I.  ANATOMY A.  Definitions 1.  Flap: Segment of tissue that is transferred with its own blood supply (in contrast to graft, which is revascularized from recipient bed). 2.  Pedicle: Base of flap that contains…

GENERAL PRINCIPLES   I.  ANATOMY Bones of the hand and wrist depicted in Figure 39-1 II.  CLASSIFICATION OF FRACTURES A.  Multiple classification schemes 1.  There is at least one classification for each bone fractured in…

  I.  DEVELOPMENT A.  Structures are derived from 1.  Mesoderm (wolffian/müllerian ducts) 2.  Endoderm (cloaca, membrane) 3.  Ectoderm (external genitalia) B.  Wolffian ducts: Epididymis, vas deferens, and seminal vesicles C.  Müllerian ducts: Fallopian tubes, uterus, and upper two-third…

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…

FINGERTIP AND NAILBED INJURIES   I.  OVERVIEW A.  The part of the digit distal to distal interphalangeal (DIP) joint is considered the fingertip (Fig. 41-1). B.  The glabrous skin on the fingertip is specialized…

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…

  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…

  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…

  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…