Reconstructive Facial Plastic Surgery A Problem-Solving - download pdf or read online

By Hilko Weerda

ISBN-10: 3131296410

ISBN-13: 9783131296412

Scientific Univ. of Lubeck, Germany. Translation of the German textual content Plastisch-rekonstruktive Chirurgie im Gesichtsbereich. Ein Kompendium fur Problemlosungen, c1999. Well-illustrated textbook is a step by step surgical advisor. Illustrations are in two-tone.

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The scars should be placed approximately in the RSTLs. If the flaps are sufficiently large and mobile, a defect in the upper columella can be repaired concurrently with the tip defect. a b c d e f Fig. 13 a−f Various designs of the bilobed flap. 32 5 Nasal Region V-Y Advancement Flap of Rieger (1957) (Fig. 14) Larger nasal tip defects can be covered with a Rieger advancement flap based on the side of the nose (Fig. 14a). The glabellar portion of the flap has a a trapezoidal design. The flap is mobilized along the opposite nasal flank, and a V-Y advancement is performed (Fig.

Burow’s triangles are excised below the earlobe and on the neck to close the secondary defect. In the area of the zygomatic arch, the flap should be carefully dissected on the subcutaneous plane to avoid damaging the temporal branch of the facial nerve, which is very superficial in that area. Other options for covering lateral forehead defects are described in the section on reconstructing cheek defects (see Figs. 24). Fig. 6 Lateral forehead defect closed with a rotation flap. a The flap incision is placed approximately 3−4 cm behind the hairline.

This can also be done with mucosa that is mobilized only superiorly or only inferiorly. , their ability to maintain oral continence during eating and drinking. Our suture material of choice for approximating muscle stumps about the lips is 4−0 or 5−0 absorbable, and we prefer 6−0 or 7−0 monofilament for the mucosa. a Mucosal Defects Wedge-Shaped Defects (Fig. 1) Small scars or defects can be excised (Fig. 1a) and closed using a Z-plasty technique (Fig. 1b−d; Defourmentel et al. after Converse 1977).

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Reconstructive Facial Plastic Surgery A Problem-Solving Manual by Hilko Weerda

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