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…
Thermal Injury: Acute Care and Grafting
I. SCOPE OF THE PROBLEM FOR THERMAL INJURY A. Burns are a major source of morbidity: Approximately 2 million burns occur per year. B. Burns result in over 60,000 hospitalizations and nearly 6,000…
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…
Congenital Ear and Ear Reconstruction
I. EXTERNAL EAR ANATOMY AND DEVELOPMENT A. Embryology of the External Ear 1. Auricle a. Arises from six condensations of mesoderm known as the Hillocks of His during the sixth week of gestation…
Body Contouring
I. HISTORY A. The patient’s weight should be stable for 3 to 6 months for optimal results. B. Medical comorbidities such as diabetes, heart disease, chronic obstructive pulmonary disease (COPD), and deep venous…
Facial Paralysis
I. FACIAL NERVE ANATOMY AND FUNCTION A. The facial nerve, or cranial nerve VII, has separate motor and sensory divisions 1. Motor division a. Originates from the facial motor nucleus within the pons b. Dorsal…
Orthognathic Surgery
I. OVERVIEW A. From Greek-Ortho: “Straight” or “correct” + Gnath: “jaw” B. Goals of treatment include restoration of form and function 1. Restoration of ideal facial proportions 2. Restoration of functional occlusion for mastication II. DENTITION…
Brachial Plexus Injuries
I. ANATOMY (FIG. 47-1) NERVES AND MUSCLE INNERVATION (MM.) A. Roots (C5–T1): Formed from ventral rami 1. C5: Dorsal scapular→rhomboid minor, rhomboid major mm. 2. C5–C7: Long thoracic→serratus anterior mm. 3. C5–C8: Small root branches→scalenes,…
Cleft Palate
I. OVERVIEW AND EPIDEMIOLOGY A. Isolated cleft palate (CP) must be differentiated from cleft lip and palate (CLP) B. CP 1. 0.5 in 1,000 2. Involves the secondary palate only (posterior to incisive foramen) 3. No…
