Atlas of Regional and Free Flaps for Head and Neck by Mark L. Urken et al.

By Mark L. Urken et al.

Discover a progressive method of reconstructive surgical procedure! Now in its moment version, The Atlas of nearby and loose Flaps for Head and Neck Reconstruction grants transparent, seriously illustrated insurance of local pores and skin, muscle, and musculocutaneous flaps in addition to donor websites from far away areas of the physique the place vascularized pores and skin, muscle, bone, and nerves may be harvested and transferred to the top and neck.

The Atlas will end up worthwhile info to otolaryngologists, plastic surgeons, and common surgeons, who use either local and unfastened flaps to reconstruct harm to the top and neck attributable to melanoma and trauma. This Atlas offers the physician with suggestions for getting to know assorted donor websites had to locate strategies to nearly each reconstruction challenge. It offers particular descriptions of the anatomy and harvesting options of the most important neighborhood and free-flap donor websites at present hired in head and neck reconstruction.

The in-depth insurance that readers trust…
• Clinically exact full-color line drawings emphasize right harvesting approach for all flaps.
• complete procedural discussions handle proper anatomy, flap layout and usage, anatomic diversifications, preoperative and postoperative care, tips for warding off power pitfalls, and harvesting strategies for every donor site. 
• Use of clean cadaver dissections presents the main life like portrayal of step by step aspect that offers the resident and attending physician a radical knowing of every donor site.

Plus a wealth of positive aspects NEW to the second one Edition…
• New chapters tackle the submental flap, ulnar forearm flap, anterolateral thigh flap, paramedian brow flap, cervicofacial development flap, and perforator flaps.
• New content material on skin-flap harvesting comprises: addition of the coronoid harvest strategy to the temporalis bankruptcy; addition of the osteocutaneous radial forearm flap to the radial forearm flap bankruptcy; addition of scalp harvest to the bankruptcy at the temporoparietal fascial flap; addition of scapular tip harvest to be used in palatomaxillary reconstruction; and addition of harvest of the IMA and IMV recipient vessels and harvest of the TAC method of vessels to the recipient vessel chapter.
• New demonstrations of flap insetting and layout for a few reconstructions 

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Extra resources for Atlas of Regional and Free Flaps for Head and Neck Reconstruction: Flap Harvest and Insetting

Sample text

L,giosome of the superior epigastric artery and vein. l,giosome. This hypothesis maintains that the reduction of the pressure gradient from the pectoral artery, as it traverses the system of choke vessels that surround the internal mammary Subclavius m. 17 tenitory, leads to a tenuous blood supply in the skin oveJ:~­ lying the upper abdomen. nus was evident by the poor staining of skin in this region following ink injections of the peaoral artery. Reid and 'Thylor (44) noted the stainiDa of a netWork of vessels on the surface of the rectus sheath, which gives credence to the suggestion that this layer should be harvested along with skin e:xtensions distal to the territory of the pectoralis major.

Variations in the origin of the TCA and the DSA are the rule, rather than the exception (Fig. 2-2). Both branches may arise independently from the second or third part of the subclavian artery. The importance of this variation is that the vessels may then run a circuitous course, intertwined in the brachial plexus, before passing out of the posterior triangle either over (TCA) or under (DSA) the levator scapulae. This variation has no bearing on the superior trapezius flap or the LTIMF. However, the utility of the lateral island flap depends greatly on the complete mobilization of the TCA and TCV, which is impossible when the artery courses through the brachial plexus.

21 Z2 CHAPTER1 Pectoralis Major Flap FIGURE 1-20. The plane of dissection between the pectoralis major and pectoralis minor is avascular, and separation can be done largely by blunt dissection. The cuff of muscle that is left attached to the sternum in the region of the 2nd and 3rd interspaces preserves the vascular supply to the deltopectora I flap. FIGURE 1-21. The pectoral branch of the thoracoacromial artery lsmsllsrraws) is easily visualized on the undersurface of the pectoralis major. The vascular pedicle is usually located along the medial aspect of the pectoralis minor.

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