Plastic Surgery Key

Figure 39.1 Trapezius flap. Introduction The trapezius muscle, with its unique triangular shape and great length, extends from the occiput down to the 12th thoracic vertebra and consists of descending,…

Introduction The pectoralis major myocutaneous flap for reconstruction was first described in 1968. Its application in the head and neck region, however, was not reported until Ariyan’s publication in 1979….

Introduction The rectus abdominis muscle (RAM) flap and its variations are some of the most important flaps used in reconstructive surgery. Its popularity is explained by the location of its…

Introduction The omentum flap was one of the first free flaps reported in the literature but long before that, its use as pedicled flap for intra- and extra-abdominal reconstructions was…

Introduction The deltopectoral (DP) fasciocutaneous flap, also known as the Bakamjian flap, is an important reconstructive tool that has been used for a wide variety of reconstructive problems in head…

Introduction The supraclavicular flap was reported first by Lamberty in 1979. The flap was not reported on further until Pallua reported its use in cases of neck contracture reconstruction in…

Introduction The temporoparietal fascia flap (TPFF) is the thinnest, most pliable flap in the body, and can be used for moderate sized defects of up to 12 × 14 cm. The TPFF is…

Introduction Figure 31.1 Forehead flap. Over the years, numerous local flaps have been utilized for closure of facial defects. Owing to the robust blood supply of the facial soft tissues,…

Introduction A failed free flap is a challenge for every microsurgeon no matter how experienced. When a flap is lost, the patient and family are disappointed, and disturbed over the…

Introduction Achieving success in microvascular free tissue transfers requires more than the technical ability to proficiently perform microvascular anastomoses. Preoperative planning, choice of recipient vessels, intraoperative execution of dissection, elevation…