Nerve transfers
Synopsis ■ Nerve injuries are often devastating, with associated pain and impaired function. ■ Motor nerve injuries must be managed expeditiously, because regenerating axons must reach target muscle prior to…
Back reconstruction
Synopsis ■ Reconstruction of the soft tissues of the back at first may seem to be a daunting task compounded by large wounds, unfamiliar and segmental anatomy, radiation, hardware, and…
Cleft lip repair
Synopsis Unilateral lip repair Principles of unilateral cleft lip repair ▪ Presurgical nasoalveolar molding. ▪ Modification of surgical techniques. ▪ Mohler rotation incision. ▪ Mucosal flaps for nasal floor reconstruction,…
Lower extremity reconstruction
Synopsis ■ The reconstructive surgery for the lower extremity has evolved from a staged approach to proving best solutions for functional and cosmetic outcome. ■ This chapter covers the classical…
Reduction mammaplasty and gynecomastia
Synopsis ▪ Macromastia, or mammary hypertrophy, is a disease process which can result in physical and psychological symptoms. ▪ Macromastia symptoms rarely improve without surgical intervention, which typically results in…
Chest reconstruction
Synopsis ▪ Rigid chest wall support may be achieved with mesh, acellular dermal matrix, or autogenous material such as tensor fascia lata (TFL). Of these, alloplastic mesh is most prone…
Local flaps for facial coverage
Synopsis ▪ Always consider the defect when planning a flap. ▪ Assess availability and laxity of local tissue. ▪ Rob Peter to pay Paul but only if Peter can afford…
Cleft palate
Synopsis ▪ Normal speech is the primary goal of cleft palate repair; minimizing effects of maxillary growth is also important but ultimately secondary. ▪ Cleft palate repair prior to 1…
Facial injuries
Synopsis ▪ The teachings of John Converse, Nicholas Georgiade, and Reed Dingman provided the benchmark for an entire generation of surgeons in facial injury repair. ▪ The treatment concepts discussed…
