By Joseph M. Serletti, Peter J. Taub, Liza C. Wu, David J. Slutsky
Authored by way of best specialists within the box, present Reconstructive surgical procedure is a accomplished source that prepares you for the main demanding situations, whereas providing you with an effective snatch of the basics. The content material of the book--logically geared up by means of anatomic region--is supported via greater than 1,300 state of the art illustrations and images, the majority of that are in complete color.
Current Reconstructive surgical procedure starts with a worthy evaluation of the foundations of wound therapeutic and wound fix. Its next chapters meticulously research pertinent reconstructive issues and current the most recent surgical protocols for all accidents and disabilities, from burn reconstruction and cranium base surgical procedure to the administration of hand infections. present Reconstructive surgical procedure grants insights derived from the authors' monstrous event as practitioners, mixed with information from new and landmark reports. This distinct consultant has every thing you want to expectantly practice either universal and unusual reconstructive procedures--so you could increase functionality and approximate a typical visual appeal in your sufferers.
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Extra info for Current Reconstructive Surgery
It is unaffected by temperature and is strong. When used for full-thickness defects, it can ﬁll intracranial dead space—a problem with bone cranioplasty. When used as an onlay, bony overcorrection can FIGURE 3-3. Example of a PMMA frontal cranioplasty. Intraoperative view shows completed PMMA cranioplasty. ALLOPLASTIC CRANIOFACIAL IMPLANTS • 27 FIGURE 3-4. Example of a porous polyethylene implant used to reconstruct the right frontal area. This implant was fabricated using 3D CT scan data. which allows ﬁbrous ingrowth.
Signiﬁcant soft tissue depression at the donor site occurs less often and appears less noticeable than with the typical S-GAP donor site. This results both in an improved postoperative appearance and 20 • CHAPTER 2 also allows a greater amount of beveling and fat harvest with the ﬂap in thin patients. However, this scar is more exposed with high-cut swimsuits. The I-GAP ﬂap, as is the S-GAP ﬂap, is a thick ﬂap and is sometimes difﬁcult to inset in the irradiated chest after skin excision. If irradiated skin will be removed, and there will be a large skin requirement, the abdomen may be the better choice for patients who have the tissue available.
With the exception of interposition grafts used to reconstruct segmental load-bearing defects of the maxilla and mandible where only autogenous bone is appropriate for reconstruction, the majority of cranial replacement, internal orbit reconstruction, and, particularly, facial skeleton augmentation, is done with alloplastic implants (Figure 3-1). BIOCOMPATIBILITY The implant materials used are biocompatible. Biocompatibility implies that there is an acceptable reaction between the implant material and the host.