Lower Extremity Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Lower Extremity Reconstruction

TRAUMA AND OPTIONS FOR RECONSTRUCTION   I.  GOALS A.  Form: Major component of body image B.  Function: Provides stability, organ of sensation, mobility. An intact leg without function is a hindrance to rehabilitation and…

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Congenital Upper Extremity Anomalies

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Congenital Upper Extremity Anomalies

  I.  OVERVIEW OF CONGENITAL UPPER EXTREMITY ANOMALIES A.  Incidence 1.  Approximately 0.2% of all live births 2.  Most common: Syndactyly, polydactyly, and camptodactyly 3.  95% sporadic 4.  Frequently associated with cardiac, hematopoietic, and tumorous conditions due…

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Local Anesthetics

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Local Anesthetics

PHARMACOLOGY OF LOCAL ANESTHETICS   I.  CHEMISTRY A.  Local anesthetic (LA) molecules consist of three components, each of which contributes distinct properties to the molecule: 1.  Aromatic ring: Determines lipid solubility and hence potency….

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Eyelid Reconstruction

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Eyelid Reconstruction

  I.  EYELID ANATOMY AND PHYSIOLOGY (FIG. 19-1) A.  The primary function of the eyelids is protection of the globe. B.  The upper eyelid is dynamic, whereas the lower eyelid acts as a static…

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Flaps

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Flaps

  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…

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Penile and Vaginal Reconstruction, Gender Surgery

Jul 31, 2016 by in Aesthetic plastic surgery Comments Off on Penile and Vaginal Reconstruction, Gender Surgery

  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…

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