EVALUATION OF A NECK MASS I. HISTORY A. Age of patient 1. Young patients are more frequently associated with congenital and infectious processes 2. Older patients more frequently have neoplastic and malignant processes B. Duration…
ANATOMY I. COLLAGEN: Most abundant connective tissue protein in mammals. A. Twenty types of identified collagen; most abundant types are: 1. *Type I: Skin, tendon, and mature scar have a 4:1 ratio of…
VASCULAR ANOMALIES I. CLASSIFICATION: Classification of vascular anomalies was historically very confusing (i.e., “cavernous hemangioma”); current nomenclature favors biology over tradition. Most vascular anomalies can be classified as one of the…
I. FAT GRAFTING A. Background 1. Eugene Hollander documented the first known use of fat in surgical enhancement in 1912 when he used this technique in patients presenting with lipoatrophy of the face….
I. EMBRYOLOGY A. Ectoderm: Epidermis, pilosebaceous glands, apocrine glands, eccrine sweat glands, nails B. Mesoderm: Langerhans cells, macrophages, mast cells, Merkel cells, fibroblasts, blood vessels, lymph vessels, fat cells C. Neuro-ectoderm: *Melanocytes, nerves, specialized…
MICROSURGERY I. DEFINITIONS A. Microsurgery: Surgery with the aid of an operating microscope. Includes vascular, neural, lymphatic, otologic, and ophthalmologic surgeries. B. Microvascular surgery: Anastomosis of small vessels with illuminated magnification. C. Reconstructive microsurgery:…
I. INTRODUCTION A. Definition 1. An artificial filling device is used to grow and expand local tissue to reconstruct an adjacent soft tissue defect when primary closure is not possible. 2. A silicone elastomer…
I. DEFINITION A. Composite tissue consists of a “composite” of nonsolid organ tissues including skin, bone, muscle, nerve, and fat. B. May also be referred to as a vascularized composite allograft (VCA). This…
