Coverage of Defects
10.1055/b-0034-99026 Coverage of Defects Local Flaps Local flaps are flaps that are raised from tissues in the immediate vicinity of the defect. Advancement Flaps Advancement Flap of Burow (1855) (…
Myocutaneous Island Flaps
10.1055/b-0034-99035 Myocutaneous Island FlapsK. Sommer, S. Remmert, H. Weerda Pectoralis Major Island Flap ( Fig. 12.1 ) Flap type: Myocutaneous island flap of the axial pattern type (see Figs. 1.3…
Basic Principles of Facial Surgery
10.1055/b-0034-99025 Basic Principles of Facial Surgery Suture Materials and Techniques We use atraumatic cutting needles for the skin, and we generally use round needles for the mucosa. Our suture material…
Harvesting Bone Graft from the Iliac Crest
10.1055/b-0034-99038 Harvesting Bone Graft from the Iliac Crest Autogenous bone is needed for the reconstruction of defects or to correct cosmetic deformities. Along with the tibia, fibula, scapula, and ribs,…
Rib Cartilage
10.1055/b-0034-99034 Rib Cartilage Cartilage is a bradytrophic tissue (scant blood supply) and, as such, is excellent for reconstruction and augmentation of the trachea, nose, cheek, skin, and ear (Weerda 1985a)….
Dermabrasion
10.1055/b-0034-99040 Dermabrasion Dermabrasion is surgical scraping performed with a high-speed motorized handpiece (e.g., Aesculap) that delivers speeds of 15,000 to 25,000 rpm or higher. A large carborundum or diamond abrasive…
Harvesting Split Calvarian Bone Graft
10.1055/b-0034-99039 Harvesting Split Calvarian Bone Graft Calvarian bone graft is usually parietal and harvested above the end of the temporal muscle (see Fig. 10.93 ). It can be used for…
Deltopectoral Flap
10.1055/b-0034-99036 Deltopectoral FlapS. Remmert, K. Sommer, H. Weerda Although this flap (see Fig. 12.1a , 5) is credited to Bakamjian (1965), it was first mentioned in the German literature during…
Forehead Region
10.1055/b-0034-99027 Forehead Region For smaller facial defects, an attempt is made to achieve coverage by means of flap advancement or local flaps ( Plate 1 ). Keep in mind that…
