Reconstructive surgery

Local Flaps

Oct 24, 2019 by in Reconstructive surgery Comments Off on Local Flaps

Summary Local flaps can provide immediate definitive wound closure but at the expense of distant incisions and increased repair complexity. Although geometric flaps are well described and popular, the human…

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Pedicled Flaps

Oct 24, 2019 by in Reconstructive surgery Comments Off on Pedicled Flaps

Summary Two distinct flaps, the paramidline forehead flap and the nasolabial flap, are most suitable for nasal reconstruction. Although they should not be considered interchangeable, either pedicle flap can be…

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Eyelid Reconstruction

Oct 24, 2019 by in Reconstructive surgery Comments Off on Eyelid Reconstruction

Summary Normal eyelid structure and function is critical for ocular protection. Multiple aesthetic subunits coalesce in the periocular region. Complex anatomy can be broken down into two basic subunits: the…

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Lip Reconstruction

Oct 24, 2019 by in Reconstructive surgery Comments Off on Lip Reconstruction

Summary The lip has significant functional and aesthetic requirements. The upper and lower lips are different in both function and anatomy. The lower lip is somewhat featureless, while the upper…

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Split-Thickness Skin Grafting

Oct 24, 2019 by in Reconstructive surgery Comments Off on Split-Thickness Skin Grafting

Summary Split-thickness skin grafting can provide large volumes of color-matched skin for head and neck reconstruction with minimal donor-site morbidity. Split-thickness skin graft harvesting from the scalp provides thick color-matched…

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Ear Reconstruction

Oct 24, 2019 by in Reconstructive surgery Comments Off on Ear Reconstruction

Summary Do not let exposed cartilage become an issue, almost all cartilage defects with intact perichondrium will heal well secondarily. The majority of ear reconstruction cases can be done with…

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Complex Nasal Defects

Oct 24, 2019 by in Reconstructive surgery Comments Off on Complex Nasal Defects

Summary There are two flaps most applicable to complex nasal defects—the nasolabial flap and the forehead flap. Only the forehead flap can provide enough robust tissue to reliably treat lining…

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Cellular and Tissue-Based Wound Care

Oct 24, 2019 by in Reconstructive surgery Comments Off on Cellular and Tissue-Based Wound Care

Summary The utility of cellular and tissue-based wound care products in soft-tissue facial reconstruction is dependent on careful patient selection and wound management. Cellular and tissue-based products can be used…

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Cheek Reconstruction

Oct 24, 2019 by in Reconstructive surgery Comments Off on Cheek Reconstruction

Summary There are three anatomic zones, the suborbital, preauricular, and buccomandibular (zones 1, 2 and 3, respectively), to consider when reconstructing the cheek. Direct closure, even for large defects, often…

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