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Plastic Surgery: 6-Volume Set
- 5th Edition - September 25, 2023
- Author: Peter C. Neligan
- Language: English
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 3 0 2 8 - 7
Comprehensive and fully up to date, Dr. Peter Neligan’s six-volume masterwork, Plastic Surgery, 5th Edition, remains the gold standard text in this complex area of surgery.… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteComprehensive and fully up to date, Dr. Peter Neligan’s six-volume masterwork, Plastic Surgery, 5th Edition, remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, it features new, full-color clinical photos, procedural videos, and lectures across all six volumes. Bonus material online includes additional text, images, and over 200 procedural videos that help you improve your mastery of the latest techniques.
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Easily find the answers you need with an organization that features separate volumes covering Principles • Aesthetic • Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery • Lower Extremity, Trunk and Burns • Breast • and Hand and Upper Extremity. Each easily readable, individual volume is a standalone comprehensive text full of salient and applicable anatomy and techniques.
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Key procedures include gender affirmation management and surgery, microsurgery and surgery for lymphedema, aesthetic facial surgery, aesthetic body surgery, and the education, training and practice of plastic surgery.
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New digital video preface by Dr. Neligan addresses the changes across all six volumes.
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New treatment and decision-making algorithms added to chapters where applicable.
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New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
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Four new international experts join the editorial team, and lead editor Peter C. Neligan creates a cohesive tone throughout the chapters and content across all six volumes.
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Evidence-based advice from a diverse collection of experts allows you to apply the very latest advances in every area of plastic surgery and ensure optimal outcomes.
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Purchase only the volumes you need or own the entire set, with the ability to search across all six volumes online!
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Plastic and Reconstructive Surgeons (trainee and practicing plastic surgeons)
- Cover image
- Instructions for Online Access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Plastic surgery and innovation in medicine
- Abstract
- Introduction
- Adaptation and change
- Innovation and research
- Collaboration and teamwork
- Documentation, data-gathering, and regulation
- Conclusion
- References
- 2. History of reconstructive and aesthetic surgery
- Abstract
- Historical definition of plastic surgery
- Origin of plastic surgery
- Plastic surgery after the decline of the Roman Empire
- The nineteenth century
- The twentieth century
- Aesthetic surgery
- References
- Further reading
- 3. Applying psychology to routine plastic surgery practice
- Abstract
- Introduction
- What motivates people to seek appearance-altering surgery?
- Does cosmetic surgery meet patients’ needs? The psychological benefits and limitations of cosmetic surgery
- Who is psychologically vulnerable – does vulnerability lead to poorer outcomes?
- How can I manage my patients more effectively?
- Summary
- References
- 4. The role of ethics in plastic surgery and medico-legal issues in plastic surgery
- Abstract
- Introduction
- History of ethics and plastic surgery
- Core ethical principles and plastic surgery
- Patient communication, education, informed consent, and disclosure
- Conflict of interest
- Concurrent and overlapping surgery
- Medical errors
- Expert witness testimony
- Social media and advertising
- Conclusions
- References
- 5. Business principles for plastic surgeons
- Abstract
- Introduction
- Strategy
- Accounting
- Summary of cash flows
- Finance
- Economics
- Marketing
- Operations
- Innovation
- Entrepreneurship
- Sustainable enterprise
- Human resource management
- Legal and regulatory considerations
- Negotiation
- Ethics
- Leadership
- Acknowledgments
- References
- Additional Reading
- 6. Value-based healthcare
- Abstract
- Introduction
- Why value-based healthcare matters in plastic surgery
- Defining value within plastic surgery
- Tools for value-based care in plastic surgery
- Future directions
- Conclusions
- References
- 7. Digital photography in plastic surgery
- Abstract
- Purpose
- Standards in capturing images
- Digital image characteristics
- Composition and positioning
- Archiving and image management
- Digital image processing
- New frontiers
- References
- 8. Pre- and intra-operative imaging for plastic surgery
- Abstract
- Introduction
- Traditional imaging techniques
- Novel intra-operative imaging techniques
- New frontiers in surgical training
- Conclusion
- References
- 9. Patient safety in plastic surgery
- Abstract
- Introduction
- Preoperative
- Intra-operative
- Postoperative
- Conclusions
- References
- 10. Anesthesia and pain management in plastic surgery
- Abstract
- Introduction
- Clinical consequences of inadequate pain relief
- Acetaminophen, nonsteroidal anti-inflammatory drugs, and cyclooxygenase-2 selective inhibitors
- NMDA-receptor antagonists and gabapentinoids
- Opioids
- Local anesthetics
- Summary
- References
- 11. Evidence-based medicine and health services research in plastic surgery
- Abstract
- The best evidence – where do we find it?
- Study design and levels of evidence
- Large-database analysis
- Patient-reported outcomes research
- Utilities and preference-based measures
- Comparative effectiveness research
- The preconditions to credible clinical research in plastic surgery
- Future trends
- Role of electronic health records/integrating data collection into flow of usual care versus research
- What do we do with the outcomes?
- Conclusions
- Acknowledgment
- References
- 12. Patient-reported outcomes in plastic surgery
- Abstract
- Introduction
- Early PROMs in plastic surgery
- Types of PROMs
- Methodology involved in modern PROM development
- Characteristics to consider when selecting a PROM
- Future directions for PROMs in plastic surgery
- Summary
- References
- 13. Health services research in plastic surgery
- Abstract
- What is health services research?
- Eliminating inequities – necessary considerations for impactful work
- Health policy research
- Measuring quality
- Assessing patient-reported outcomes
- Comparative effectiveness
- Collaborative quality improvement
- Implementation science: how to change practice
- Qualitative research methods – an underused approach
- Conclusions
- References
- 14. Principles of cancer management
- Abstract
- Background
- Cancer presentation and initial evaluation
- Cancer diagnosis and treatment planning
- Localized treatments
- Systemic treatments
- Cancer management: the plastic surgeon perspective
- Conclusions
- References
- 15. Wound healing
- Abstract
- Introduction
- The wound healing process
- Abnormal wound healing
- Factors affecting wound healing
- Wound types and treatments
- Wound dressings
- Skin tissue engineering
- Wound imaging and assessment techniques
- Wound healing research
- Future directions and opportunities
- References
- 16. Scar prevention, treatment, and revision
- Abstract
- Personal and social significance of scars
- History and physical examination
- Assessing scars
- Scar biology
- Scar prevention: skin regeneration after repair
- Conditions of excessive scarring
- Prevention
- Treatment
- Scar revision
- Wound dressings and postoperative care
- References
- 17. Skin grafting
- Abstract
- Introduction
- Anatomy and physiology of skin
- The skin graft
- Beyond the graft
- References
- 18. Tissue engineering
- Abstract
- Introduction
- Plastic surgery principles in tissue engineering and the first 40 years
- Case studies of tissue engineering in plastic surgery
- Conclusion and future perspectives
- References
- 19. Repair, grafting, and engineering of cartilage
- Abstract
- Introduction
- Autologous cartilage grafts and applications
- Autologous perichondrial graft
- Cartilage engineering
- References
- 20. Repair and grafting of bone
- Abstract
- Microanatomy and histochemistry
- Principles of bone homeostasis and turnover
- Healing of fractures
- Bone remodeling
- Clinical application of bone transfers
- References
- 21. Repair and grafting of peripheral nerve
- Abstract
- Introduction
- Pathophysiology of nerve injury
- Evaluation of nerve injuries
- Patient selection
- Treatment
- Postoperative care
- Prognosis and outcomes
- Secondary procedures
- Summary
- Acknowledgment
- References
- 22. Repair and grafting fat and adipose tissue
- Abstract
- Introduction
- Basic science
- Historical perspective
- Fat harvesting, preparation, and grafting techniques
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 23. Vascular territories
- Abstract
- Introduction
- Vascular anatomical research
- Historical perspective
- Applications of the angiosome concept
- References
- 24. Flap physiology, classification, and applications
- Abstract
- History
- Classification of flaps
- Flap applications
- Complications
- References
- 25. Principles and techniques of microvascular surgery
- Abstract
- Introduction
- Tools
- Historical perspective
- General principles of microvascular surgery
- Microvascular anastomosis techniques
- General aspects of free flap surgery
- Special techniques and flap modifications
- Postoperative management, complications, and outcomes
- The future of microsurgery
- References
- 26. Tissue expansion and implants
- Abstract
- Introduction
- Basic science of tissue expansion
- Historical perspective
- Patient and tissue expander/implant selection
- Diagnosis/preoperative planning/implant selection
- Treatment and surgical technique
- Postoperative care
- Complications
- References
- 27. Principles of radiation therapy
- Abstract
- Introduction
- Radiation technology
- Historical perspective
- Particle therapy
- Brachytherapy
- Applications
- Physics
- Radiation therapy delivery techniques
- Radiobiology
- Specific toxicities and complications
- Conclusion and future trends
- References
- 28. Lymphedema: pathophysiology and basic science
- Abstract
- Introduction
- Anatomy and physiology
- Etiology of lymphedema
- Pathophysiology of lymphedema
- Risk factors of lymphedema
- Clinical presentation, evaluation, and diagnosis
- Lymphedema classification
- Summary
- References
- 29. Benign and malignant nonmelanocytic tumors of the skin and soft tissue
- Abstract
- Introduction
- Diagnosis
- Pathologic diagnosis
- Treatment
- Radiation therapy
- Benign cutaneous and soft-tissue tumors
- Malignant cutaneous and soft-tissue tumors
- References
- 30. Melanoma
- Abstract
- Introduction
- Clinical evaluation – dermoscopy and confocal
- Benign melanocytic lesions
- Predisposing conditions
- Melanoma
- Staging
- Other histopathological features
- Follow-up and imaging
- Surgical considerations and management
- Lymph node dissection (lymphadenectomy)
- Distant metastases
- Systemic therapy for melanoma
- Radiotherapy
- References
- 31. Implants and biomaterials
- Abstract
- Metals
- Historical perspective
- Polymers
- Ceramics
- Adhesives and glues
- Skin substitutes
- Bioprosthetic mesh
- Amniotic/placental-based materials
- Addressing the foreign body response
- Future materials
- References
- 32. Transplantation in plastic surgery
- Abstract
- Introduction
- Transplant immunology
- History of transplantation in plastic surgery
- VCA program requirements
- Selection of patients and donors
- Surgical approach
- Postoperative care
- Outcomes
- Future of VCA
- References
- 33. Technology innovation in plastic surgery: a practical guide for the surgeon innovator
- Abstract
- Introduction
- The idea
- Determining the value
- Funding
- Intellectual property
- Institutional technology transfer
- FDA regulatory approval process
- AI/ML device regulatory approval process
- Starting clinical trials in plastic surgery
- Innovating for global health and low- and middle-income countries
- Conflict of interest
- Innovations in plastic surgery
- References
- 34. Robotics in plastic surgery
- Abstract
- Introduction
- Transoral robotic reconstructive surgery (TORRS)
- Robotic microsurgery
- Robotic flap harvest
- Limitations of robotic surgery
- New frontiers in robotic plastic surgery
- Conclusion
- References
- 35. Digital technology in plastic surgery
- Abstract
- Introduction
- Digital technology before the first consultation
- Digital technology during the office visit
- Perioperative digital technology
- Digital technology between patient visits (including long-term follow-up)
- Digital technology in plastic surgery education and training
- Digital technology for the advancement of plastic surgery (research and clinical outcomes and advocacy)
- References
- 36. Aesthetic improvement through noninvasive technologies
- Abstract
- Introduction
- Cryolipolysis
- Magnetic resonance contouring
- Radiofrequency energy devices (RFED)
- Ultrasound
- Low-level laser therapy (LLLT)
- Discussion
- References
- 37. Education and teaching in plastic surgery
- Abstract
- Introduction
- Medical education theory
- Adult learning theory
- The evolution of plastic surgery education
- Standardizing graduate medical education outcomes
- The future of plastic surgery education
- Conclusion
- References
- 38. Global plastic surgery
- Abstract
- Introduction
- Suggested guidelines for participation in global plastic surgery
- Ethical considerations
- Conclusion
- References
- 39. Gender-affirming surgery
- Abstract
- Introduction
- General preoperative evaluation
- Chest and breast gender-affirming surgery
- Genital gender-affirming surgery
- Facial gender affirmation surgery
- Conclusions
- References
- Index
- Confidence is ClinicalKey
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Managing the aesthetic surgery patient
- Abstract
- Societal interest in cosmetic surgery
- Patient motivation for cosmetic surgery
- Special patient groups
- The initial consultation
- Second and subsequent consultations
- Saying “no” to a potential patient
- Saying “yes”: what is involved?
- Postoperative follow-up
- The unsatisfactory outcome
- Managing the unhappy patient
- Conclusion
- References
- 2. Principles of practice management and social media for cosmetic surgery
- Abstract
- Identifying your brand: a roadmap to your entire practice
- Staffing
- Physical space
- Digital marketing and website
- Reputation management
- Social media
- Conclusion
- References
- Section I: Aesthetic Anesthesia Techniques
- 3. Essential elements of patient safety in aesthetic plastic surgery
- Abstract
- Introduction
- Why do medical errors happen?
- The three pillars of patient safety
- Telemedicine
- Conclusions
- References
- 4. Pain management in plastic surgery
- Abstract
- Introduction
- Opioid epidemic
- Opioids
- Acetaminophen, nonsteroidal anti-inflammatory drugs, and selective COX-2 inhibitors
- Adjuvant multimodal medications
- Tumescent analgesia
- Regional anesthesia
- Epidural anesthesia
- Putting it all together: multimodal analgesia (MMA) regimen
- References
- 5. Anatomic blocks of the face and neck
- Abstract
- Introduction
- Anatomic blocks of the face
- Conclusion
- References
- 6. Local anesthesia
- Abstract
- Introduction
- Combining local anesthetic agents with oral analgesics and anxiolytic agents (benzodiazepines)
- Current practice
- Summary
- References
- Section II: Aesthetic Surgery of the Face
- 7. Non-surgical skin care and rejuvenation
- Abstract
- Introduction
- Cleansers
- Moisturizers
- Retinoids
- Sunscreens
- Summary
- References
- 8.1. Editors’ perspective: injectables and non-surgical resurfacing techniques
- 8.2. Injectables and resurfacing techniques: Soft-tissue fillers
- Abstract
- Introduction
- The pathophysiology of wrinkles
- Classification of fillers
- Historical perspective
- Injection technique
- Indications and applications
- Use and dosage of hyaluronidase
- Contraindications and considerations
- Complications and their treatment
- Special considerations for energy-based devices and facelift procedures
- Conclusion
- References
- 8.3. Injectables and resurfacing techniques: Botulinum toxin/neurotoxins
- Abstract
- Botulinum toxin types
- Upper face
- Midface
- Lower face
- References
- 8.4. Injectables and resurfacing techniques: Lasers in aesthetic surgery
- Abstract
- Introduction
- Basic science of resurfacing procedures
- Diagnosis and clinical evaluation
- Patient selection and treatment
- Contraindications
- Post-procedure care
- Complications
- Disclosures
- References
- 8.5. Injectables and resurfacing techniques: Chemical peels
- Abstract
- Medium-depth trichloroacetic acid (TCA) peels
- Deep chemical peels
- Patient evaluation
- Preoperative planning
- Preparation of the solution
- Intraoperative routine
- Factors determining the depth of the peel
- Judging the depth of the peel
- Full-face peel
- Aftercare
- Variation of peels
- Results
- Complications
- Conclusion
- References
- 8.6. Minimally invasive multimodal facial rejuvenation
- Abstract
- Introduction
- Rejuvenation: changing attitudes and new procedures
- Techniques
- Conclusion
- References
- 9.1. Editors’ perspective: surgical facial rejuvenation
- 9.2. Facial anatomy and aging
- Abstract
- Introduction
- Regions of the face
- Surgical anatomy of the face, layered anatomy, SMAS, facial spaces and retaining ligaments
- Anatomy over the cavities in the skeleton
- Facial spaces
- Retaining ligaments of the face
- Aging changes of the face
- Facial spaces and retaining ligaments
- Bone changes
- Regional changes observed with the aging face temple and forehead
- The midcheek
- Lower face
- Considerations for correcting aging changes of the face based on facial anatomy
- Placement of sutures
- Summary
- Acknowledgments
- References
- 9.3. Principles and surgical approaches of facelift
- Abstract
- Introduction
- Anatomy and patient presentation
- Historical perspective
- Patient selection
- Anatomic assessment
- Surgery
- Choice of procedure
- Ancillary techniques
- Dressings and drains
- Postoperative care
- Early complications
- Late complications
- Facial analysis, anthropometrics and concepts of facial shape
- References
- 9.4. Facelift: Facial rejuvenation with loop sutures: the MACS lift and its derivatives
- Abstract
- Introduction
- Considerations of the facial aging process
- Patient evaluation
- Matching the correct procedure to each deformity
- Surgical strategy and technique
- Postoperative care and complications
- References
- 9.5. Facelift: Platysma-SMAS plication
- Abstract
- Introduction
- Technique ( and )
- Evaluation
- Discussion
- Conclusion
- References
- 9.6. Facelift: Lateral SMASectomy facelift
- Abstract
- Senior author’s personal philosophy
- Historical perspective
- Surgical technique
- Postoperative care
- Complications
- Further reading
- 9.7. Facelift: The extended SMAS technique in facial rejuvenation
- Abstract
- Introduction
- Anatomic considerations
- Retaining ligaments
- Aesthetic analysis and treatment planning
- Radial expansion
- Surgical technique: extended SMAS dissection
- Variations in extended SMAS technique to affect a restoration in facial shape
- Vectors of fat elevation: facial asymmetry
- SMAS fixation
- Correction of platysma bands and cervical obliquity
- Summary
- References
- 9.8. High SMAS facelift: combined single flap lifting of the jawline, cheek, and midface
- Abstract
- Introduction
- Fundamental concepts in rejuvenation of the face
- Lamellar dissection and bidirectional tissue shifts
- Recognizing the components of the aging change of the face and employing logical solutions to improve them
- Preoperative planning
- Preoperative preparations
- Anesthesia
- Surgical technique
- Assessing completeness of SMAS flap dissection
- Neck lift
- SMAS suspension and proper SMAS vector
- SMAS suspension in the narrow face
- SMAS suspension when the temporal incision is along the temporal hairline
- SMAS suspension with a trifurcated SMAS flap
- SMAS suspension when interzygomatic widening is not desired
- Trimming and management of the posterior margin of the SMAS flap
- Skin flap trimming and closure
- Dressings
- Postoperative care
- Summary
- References
- 9.9. The lift-and-fill facelift
- Abstract
- Introduction
- Basic science/disease process
- Anatomy
- Patient selection, evaluation and planning
- Treatment/surgical technique
- Postoperative care
- Outcome, prognosis, complications
- References
- 9.10. Neck rejuvenation
- Abstract
- Introduction
- Anatomy and the effect of aging
- Historical perspective
- Effects of aging/disease process
- Preoperative assessment
- Non-surgical options
- Surgical options
- Liposuction
- Anterior (submental) incision
- Direct excision of neck skin and Z-plasty
- Management of the submandibular glands
- Postoperative care
- Complications
- References
- 9.11. Male facelift
- Abstract
- Introduction
- Aging of the male face and male facial aesthetics
- Treatment strategies in the male patient
- Preoperative planning in the male facelift patient
- Preoperative preparations in the male patient
- Anesthesia in the male facelift patient
- Surgical technique
- Ancillary procedures and alternative strategies in the male patient
- Postoperative care of the male facelift patient
- Summary
- Case examples
- Declaration
- Acknowledgment and retention of rights
- References
- 9.12. Secondary facelift irregularities and the secondary facelift
- Abstract
- Introduction
- Strategy in treating the secondary facelift patient
- Patient considerations
- Technical considerations in secondary facelift
- Conclusion
- Case studies
- Declaration
- Acknowledgment
- References
- 9.13. Perioral rejuvenation, including chin and genioplasty
- Abstract
- Perioral anatomy and aesthetics
- Chin deformities and procedure selection
- Lip surgical corrections
- Conclusions
- References
- 9.14. Facial feminization
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Diagnosis, indications, pre- and postoperative management
- Outcomes, complications and future directions
- Upper third and hair
- Middle third
- Lower third and neck
- References
- 10. Editors’ perspective: brow and eye
- 11. Forehead rejuvenation
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Patient presentation
- Patient selection
- Surgical techniques
- Postoperative care
- Outcomes
- Complications
- Secondary procedures
- References
- 12. Endoscopic brow lift
- Abstract
- Introduction
- Anatomic considerations
- Brow considerations
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis and complications
- Final considerations
- Further reading
- 13. Blepharoplasty
- Abstract
- Introduction
- Basic science/disease process
- Historical perspective
- Diagnosis/patient presentation
- Patient selection
- Treatment/technique ( &)
- Postoperative care
- Complications
- Special considerations
- References
- 14. Secondary blepharoplasty
- Abstract
- Introduction
- Anatomy
- Corneal protection
- Pathophysiology and anatomical changes of the aging eyelid
- Patient evaluation
- Procedures/techniques
- Complications in blepharoplasty
- Conclusion
- References
- 15. Asian facial cosmetic surgery
- Abstract
- Introduction
- Asian blepharoplasty
- Asian rhinoplasty
- Historical perspective
- Asian facial bone surgery
- Asian facelift
- Historical perspective
- Acknowledgment
- References
- 16. Facial fat grafting
- Abstract
- Introduction
- Diagnosis/patient presentation
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Nanofat, platelet-rich plasma, platelet-rich fibrin, and concentrated growth factors
- Conclusion
- References
- 17. Editors’ perspective: nose
- 18. Nasal analysis and anatomy
- Abstract
- Introduction
- Blood supply
- Nerve supply
- Intrinsic and extrinsic nasal musculature
- Nasal ligaments
- Nasal bones, cartilages, and septum
- References
- 19. Open technique rhinoplasty
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment surgical technique
- Correction of specific deformities
- Postoperative care
- Outcomes, prognosis, complications
- Secondary procedures
- References
- 20. Closed technique rhinoplasty
- Abstract
- Introduction
- The anatomy and science necessary for surgical success
- The structural nasal layers
- Patterns of secondary deformity
- The effect of rhinoplasty on the airway
- Patient selection
- Basic nasal aesthetics
- Parameters of rhinoplasty planning
- Surgical technique
- Turbinectomy
- Prioritizing the septal graft specimen for augmentation
- Routine postoperative care
- Selection and use of additional graft donor sites and other augmentation materials
- The postoperative course
- Variations on the standard
- Problems in the postoperative course
- Secondary rhinoplasty
- How to understand our most unhappy patients
- References
- 21. Airway issues and the deviated nose
- Abstract
- Introduction
- Anatomy
- Historical perspective
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes/prognosis/complications
- Secondary procedures
- References
- 22. Secondary rhinoplasty
- Abstract
- Introduction
- Analysis
- Operative techniques
- Common secondary problems
- Postoperative care
- Complications and untoward results
- References
- 23. Otoplasty and ear reduction
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 24. Hair restoration
- Abstract
- Introduction
- Patient selection
- Historical perspective
- Preoperative marking (Fig. 24.1)
- Technique–
- Postoperative care
- Case examples
- Conclusion and key summary points
- References
- Section III: General Aesthetic Surgery
- 25.1. Editors’ perspective: liposuction
- 25.2. Liposuction: a comprehensive review of techniques and safety
- Abstract
- Introduction
- Operative considerations
- Wetting solutions and perioperative fluid management
- Treatment options
- Postoperative care
- Complications
- Emerging technology
- Conclusion
- References
- 25.3. Correction of liposuction deformities with the SAFE liposuction technique
- Abstract
- Introduction
- Challenges of repeat liposuction
- The dose–response curve
- Adjunctive energy modalities
- Paradigms for the treatment of fat
- Indications and contraindications
- Patient evaluation
- Preoperative planning and preparation
- Surgical technique
- Preventing contour deformities
- Ancillary procedures
- Postoperative care
- Results and outcomes
- Problems and complications
- 26. Editors' perspective: abdominal contouring
- 27. Abdominoplasty
- Abstract
- Introduction
- Patient selection and screening
- Anatomy
- Preoperative planning and preparation
- Historical perspective
- Informed consent
- Perioperative management
- Contraindications to abdominoplasty
- Patient positioning and superwet local anesthesia
- Nuisances, untoward sequelae, and complications
- Combined procedures: abdominoplasty and breast surgery or intra-abdominal pelvic surgery with concomitant abdominal contouring
- Significance of operative procedure length
- Related considerations in abdominoplasty
- Abdominoplasty surgical markings
- Summary
- References
- 28. Lipoabdominoplasty with anatomical definition: a new concept in abdominal aesthetic surgery
- Introduction
- Principles of the lipoabdominoplasty with anatomical definition
- Patient selection
- Marking
- Surgical technique
- Suture, drainage, therapeutics, and postoperative care
- Special cases
- Results
- Comments
- Conclusion
- References
- 29. Editors’ perspective: truncal contouring
- 30. Bra-line back lift
- Abstract
- Introduction/overview
- Treatment goals and planned outcomes
- Preoperative planning and preparation
- Patient evaluation
- Preoperative markings
- Patient positioning
- Procedural approach
- Potential complications and management
- Postprocedural care
- Outcomes and evidence
- Summary
- References
- 31. Belt lipectomy
- Abstract
- Introduction
- Basic science and disease process
- Historical perspective
- Diagnosis and patient presentation
- Treatment/surgical techniques
- Postoperative care
- Outcomes/prognosis/complications
- References
- 32. Circumferential approaches to truncal contouring in massive weight loss patients: the lower lipo-bodylift
- Abstract
- Introduction
- Patient selection and screening
- Treatment goals and planned outcomes
- Preoperative planning and preparation
- Markings
- Patient positioning
- Procedural approach
- Potential complications and management
- Postoperative care
- Outcomes
- Conclusions
- References
- 33. Circumferential approaches to truncal contouring: autologous buttocks augmentation with purse-string gluteoplasty
- Abstract
- Introduction
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes and complications
- References
- 34. Circumferential approaches to truncal contouring: Lower bodylift with autologous gluteal flaps for augmentation and preservation of gluteal contour
- Abstract
- Introduction
- Gluteal hypoplasia in the massive weight loss and aesthetic patient
- Development of techniques
- Aesthetic analysis
- BMI and procedural indications
- Gluteal flap selection
- Clinical anatomy
- Operative markings
- Operative technique
- Complications
- Perioperative care and safety
- Summary
- References
- 35.1. Editors’ perspective: buttock augmentations
- 35.2. Buttock augmentation with implants
- Abstract
- Gluteal aesthetic ideals
- Topographical anatomy
- Aesthetic analysis
- Diagnosis/patient presentation
- Ethnic considerations
- Patient selection
- Aesthetic goals
- Buttock implants ( )
- Implant placement and selection
- Anatomic planes of dissection for implant placement
- Implant shape selection
- Implant size selection
- Intramuscular implant surgical technique
- Subfascial implant surgical technique
- Postoperative care
- Complications
- Conclusion
- References
- Further reading
- 35.3. Buttock shaping with fat grafting and liposuction
- Abstract
- Expert commentary on gluteal fat grafting
- Introduction
- Gluteal aesthetic ideals
- Diagnosis/patient presentation
- Patient selection
- Fat grafting surgical technique
- Historical perspective
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Expert commentary on gluteal fat grafting*Daniel A. Del Vecchio* Dedicated to D. Ralph Millard, MD
- What’s in a name?
- GFG patient subtypes and preoperative considerations
- The staged versus the revision GFG patient
- Comorbidities
- Author’s current technique
- Concluding comments
- 36. Upper limb contouring
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- References
- 37. Medial thigh
- Abstract
- Introduction
- Anatomy
- Patient selection and pre-surgical assessment
- Pre-thighplasty liposuction
- Surgical considerations
- Preoperative markings
- Intra-operative approach
- Complications
- Conclusions
- References
- 38. Post-bariatric reconstruction
- Abstract
- Obesity
- Methods of weight reduction
- Incidence and decision-making for body contouring post-bariatric surgery
- Diagnosis/presentation/evaluation
- Patient selection/timing of surgery
- Surgical techniques by anatomic region
- Staging and combination procedures
- Complications/secondary procedures
- Body contouring centers of excellence
- References
- 39. Energy devices in aesthetic surgery
- Abstract
- Introduction
- Background
- Ultrasound-assisted liposuction
- Historical perspective
- Laser-assisted liposuction
- Energy-based skin tightening
- Historical perspective
- Summary
- References
- 40. Aesthetic genital surgery
- Abstract
- Introduction
- Male genital aesthetic surgery
- Female genital aesthetic surgery
- Conclusion
- References
- Index
- Confidence is ClinicalKey
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- Part 1: Craniofacial, Head and Neck Surgery
- 1. Management of craniomaxillofacial fractures
- Abstract
- Initial evaluation of the facial trauma patient
- Historical perspective
- Principles of facial fracture repair
- Management of specific injury types
- References
- 2. Scalp and forehead reconstruction
- Abstract
- Introduction
- Anatomy
- Benign lesions of the scalp and forehead
- Scalp reconstruction: non-microsurgical techniques
- Forehead reconstruction: non-microsurgical techniques
- Tissue expansion for scalp and forehead reconstruction
- Forehead and scalp reconstruction: microsurgical techniques
- The role of composite tissue allograft transplantation in reconstruction of the scalp and calvarium
- References
- 3. Aesthetic nasal reconstruction
- Abstract
- Introduction
- Patient assessment and surgical timing
- The traditional approach
- Historical perspective
- The modern approach to nasal reconstruction (Box 3.1)
- Skin cover options for small or superficial defects
- Skin cover options for large, deep, and adversely located defects
- Management of the donor site for forehead flaps
- Restoring nasal contour and support: recreating a subsurface architecture (Box 3.5)
- Nasal lining restoration options
- Principles of free flap nasal reconstruction
- Reconstruction of the midfacial defect with an inadequate platform
- Management of primary intranasal lining injury,
- Outcomes, prognosis, and complications following nasal reconstruction
- Revisionary surgery
- References
- 4. Auricular construction
- Abstract
- Introduction
- History of microtia and ear reconstruction
- Epidemiology
- Embryology
- Growth
- Anatomy
- Etiology
- Congenital ear anomalies excluding microtia
- Microtia
- Acquired partial ear defects
- Amputations
- Conclusions
- References
- 5. Secondary treatment of acquired cranio-orbital deformities
- Abstract
- Introduction
- Relevant anatomy
- Historical perspective
- Classification of acquired cranial deformity
- Classification of acquired orbital deformity
- Preoperative assessment and surgical planning
- Reconstruction of acquired cranial vault deformity
- Reconstruction of acquired orbital deformity
- Summary
- References
- 6.1. Computerized surgical planning: introduction
- Abstract
- 6.2. Three-dimensional virtual planning in orthognathic surgery
- Abstract
- Introduction
- Pre-surgical orthodontic preparation
- Goals of pre-surgical orthodontic treatment
- Developing a 3D virtual plan
- Surgical planning software
- Orienting the 3D craniofacial volume in space
- Processing and registering 3D data to create a virtual patient for simulation of surgical movements
- Generation of 2D images
- Three-dimensional identification of landmarks
- Three-dimensional simulations for the craniomaxillofacial skeleton
- Step-by-step surgical simulation: double-jaw surgery
- Evidence in support of use
- Conclusions
- References
- 6.3. Computerized surgical planning in head and neck reconstruction
- Introduction
- Techniques
- Applications
- Technical aspects
- Maxillofacial trauma
- Conclusion/future directions
- References
- 7. Introduction to post-oncologic reconstruction
- Abstract
- 8. Overview of head and neck soft-tissue and bony tumors
- Abstract
- Mucosal squamous cell carcinoma
- Salivary gland tumors
- Bone tumors and lesions
- Nerve lesions
- References
- 9. Post-oncologic midface reconstruction: the Memorial Sloan-Kettering Cancer Center and MD Anderson Cancer Center approaches
- Abstract
- Introduction
- Diagnosis and treatment
- Conclusions
- References
- 10. Local flaps for facial coverage
- Abstract
- Introduction
- Blood supply to facial skin
- Local flap terminology
- Local flap classification
- Pearls and principles
- Scalp
- Forehead
- Lower eyelid
- Upper eyelid and eyebrow
- Cheeks
- Nose
- Lips
- Ear
- Conclusion
- References
- 11. Lip reconstruction
- Abstract
- Goals of reconstruction and anatomic considerations
- Historical perspective
- Assessment of a lip defect
- Vermilion reconstruction
- Upper lip reconstruction
- Lower lip reconstruction
- Total lip reconstruction
- Postoperative considerations
- Complications and secondary procedures
- Conclusions
- References
- 12. Oral cavity, tongue, and mandibular reconstructions
- Abstract
- Introduction
- Basic anatomy/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection and decision-making
- Treatment/surgical technique
- Postoperative care
- Outcome, prognosis, and complications
- Secondary procedures
- Acknowledgments
- References
- 13. Hypopharyngeal, esophageal, and neck reconstruction
- Abstract
- Introduction
- History
- Anatomy
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes and complications
- Secondary procedures
- References
- 14. Secondary facial reconstruction
- Abstract
- Introduction
- Patient selection and evaluation
- Historical perspective
- Treatment/surgical principles
- Case examples of secondary facial reconstruction
- Postoperative care
- Timing, complications, and outcomes
- References
- 15. Facial paralysis
- Abstract
- Introduction
- Facial anatomy and function
- Patient presentation
- Classification of facial paralysis
- Surgical and non-surgical therapy
- Conclusion and future perspectives
- References
- 16. Surgical management of facial pain, including migraines
- Abstract
- Introduction
- Types of facial pain
- Overview of migraine headache surgery
- Diagnosis of peripheral nerve compression headache trigger sites
- Treatment of peripheral nerve compression headache trigger sites
- Complications of migraine surgery
- Migraine surgery outcomes
- Conclusion
- References
- 17. Facial feminization
- Abstract
- Introduction to facial feminization surgery
- Evaluation, diagnosis, and planning
- Facial feminization procedures: the upper third
- Facial feminization procedures: the middle third
- Facial feminization procedures: the lower third
- Facial feminization procedures: the neck
- Preparation and surgery
- Postoperative care
- Management of complications
- Final remarks
- References
- Part 2: Pediatric Surgery: edited by Joseph E. Losee
- 18. Embryology of the craniofacial complex
- Abstract
- Introduction
- The craniofacial complex
- Distinguishing head from tail
- Patterning the craniofacial complex
- Genesis of the cranial neural crest
- Migration and differentiation of the neural crest
- Organization of the pharyngeal arches
- Disorders of arch development
- Building the face
- Facial fusions and clefting defects
- Palatogenesis
- The neurocranial base
- Cranial vault and sutures
- Conclusions
- References
- Section I: Clefts
- 19.1. Unilateral cleft lip: introduction
- History
- Anatomy
- Embryology
- Preoperative care
- Postoperative care
- Complications
- References
- 19.2. Rotation advancement cheiloplasty
- Abstract
- Introduction
- Preoperative plan
- Operative technique
- Postoperative care
- Postoperative maintenance of nasal shape
- Outcomes, prognosis, and complications
- Conclusion
- References
- 19.3. Extended Mohler repair
- Abstract
- Introduction
- Treatment philosophy
- Evolution of technique
- Markings
- Technical aspects of surgery
- Results
- References
- 19.4. Anatomic subunit approximation approach to unilateral cleft lip repair
- Abstract
- Introduction
- Nomenclature and subunits
- Surgical goals and principles
- Historical perspective
- Mechanics of the repair
- Plan
- Executing the repair
- Case examples
- References
- 20. Repair of bilateral cleft lip
- Abstract
- Introduction
- Presentation
- Historical perspective
- Preoperative dentofacial orthopedics
- Operative techniques
- Technical modifications for bilateral variations
- Outcomes
- Conclusion
- References
- 21.1. Cleft palate: introduction
- Abstract
- History and evolution of palatoplasty
- Anatomy
- Embryology
- Preoperative care
- Postoperative care
- Complications
- References
- 21.2. Straight line repair with intravelar veloplasty (IVVP)
- Abstract
- Introduction
- Aims of surgery
- Anatomy
- Timing of the operation
- Equipment
- Preparation for surgery
- Surgical procedure
- Postoperative management
- Outcomes
- Summary and key points
- References
- 21.3. Double opposing Z-palatoplasty
- Abstract
- Introduction
- Relevant palatal anatomy (Fig. 21.3.4)
- Z-plasty design
- Goals of Furlow palatoplasty
- Comparison with other palate repair techniques
- Surgical indications and timing
- Surgical technique (Fig. 21.3.6; )
- Postoperative management
- Surgical outcomes
- Conclusion
- References
- 21.4. Buccal myomucosal flap palate repair
- Abstract
- The four key concepts of the ACRP
- Treatment plan development
- Examples of treatment planning
- In-depth surgical descriptions
- Summary: the evolution of a surgeon
- References
- 21.5. The buccal fat pad flap
- Abstract
- Introduction
- History
- Anatomy
- Indications
- Surgical technique
- Outcomes
- Complications
- Conclusions
- References
- 21.6. Oral fistula closure
- Abstract
- Introduction
- Clinical features
- Etiology
- Incidence
- Prevention
- Classification
- Treatment
- Conclusion
- References
- 21.7. Alveolar clefts
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient perspective
- Treatment/surgical technique
- Outcomes, prognosis, and complications
- Conclusion/future directions
- References
- 21.8. Orthodontics in cleft lip and palate management
- Abstract
- Introduction
- Infancy
- Primary dentition
- Transitional dentition
- Orthodontic tooth movement to regenerate a homologous lyophilized bone graft combined with platelet rich plasma to reconstruct the alveolar cleft: “Chinchilla– Alvarado Orthodontic Protocol”
- Outcomes and benefits
- Other considerations
- Permanent dentition
- Growth and orthodontic treatment
- Conclusion
- References
- 21.9. Velopharyngeal dysfunction
- Abstract
- Introduction
- Anatomy and physiology of the velopharynx
- Basic science/disease process of velopharyngeal dysfunction
- Diagnosis/patient presentation
- Treatment/surgical techniques
- Assessment of outcome
- References
- 21.10. Secondary deformities of the cleft lip, nose, and palate
- Abstract
- Introduction
- Examination and evaluation
- Unilateral cleft lip
- Bilateral cleft lip
- Cleft palate
- Cleft nasal deformity
- Conclusion
- References
- 21.11. Cleft and craniofacial orthognathic surgery
- Abstract
- Introduction
- Midface, lower face, and dental anatomy
- Anatomy and physiology
- Pathophysiology of common dentofacial deformities
- Preoperative evaluation
- Surgical timing – traditional vs. surgery first
- Preoperative treatments
- Management approach to common lower face skeletal deformities
- Operative techniques
- Postoperative care and recovery
- Outcomes and complications
- Surgical alternatives: distraction osteogenesis
- Conclusion
- References
- Section II: Craniofacial
- 22. Pediatric facial fractures
- Introduction
- General principles
- Diagnosis and presentation
- Treatment
- Outcomes, prognosis, and complications
- Secondary procedures
- Cranial base and skull fractures
- Orbital fractures
- Nasal and naso-orbito-ethmoid fractures
- Maxillary, zygomaticomaxillary complex and midface fractures
- Mandible fractures
- Future directions: 3D modelling to enhance surgical planning, hardware customization, and patient education
- Conclusions
- References
- 23. Orbital hypertelorism
- Abstract
- Introduction
- Basic science and disease process
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 24. Craniofacial clefts
- Abstract
- Introduction
- Classification of craniofacial clefts
- Epidemiology and etiologic factors
- Clinical presentation of Tessier craniofacial clefts
- Surgical treatment algorithms
- Outcomes and complications
- Summary
- References
- 25.1. Craniosynostosis: introduction
- Abstract
- Introduction
- Classification
- Epidemiology and incidence
- Historical perspective
- Embryology – cranial development
- Anatomy
- Growth and development
- Genetics
- Etiology and pathophysiology
- Functional aspects of craniosynostosis
- Preoperative imaging
- Diagnosis
- Single suture synostosis
- Multiple suture synostosis
- Minor suture synostosis
- Syndromic craniosynostosis
- Nonsyndromic craniosynostosis with a genetic mutation
- References
- 25.2. Nonsyndromic craniosynostosis
- Abstract
- Introduction
- Multidisciplinary team approach
- Timing of surgery
- Surgical techniques
- Perioperative and postoperative care
- Outcomes
- Secondary procedures
- References
- 25.3. Multisutural syndromic synostosis
- Abstract
- Introduction
- Cephalocranial disproportion and increased intracranial pressure
- Early craniofacial surgical techniques to achieve cephalocranial proportion
- Midface surgery in middle childhood
- Orthognathic surgery in late adolescence
- Protocolized approach to cephalocranial disproportion
- References
- 25.4. Neurosurgical and developmental issues in craniosynostosis
- Abstract
- Introduction
- Etiology of neurodevelopment in craniosynostosis
- Neural dysfunction in craniosynostosis
- The impact of surgical correction
- Psychological, behavioral, and emotional outcomes
- Conclusion
- References
- 26. Craniofacial microsomia
- Abstract
- Introduction
- Basic science/disease process
- Pathology
- Diagnosis/patient presentation
- Treatment/surgical technique
- Conclusion
- References
- 27. Idiopathic progressive hemifacial atrophy
- Abstract
- Introduction
- Historical perspective
- Clinical manifestations
- Medical therapy and surgical treatment
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 28. Robin sequence
- Abstract
- Definition and epidemiology
- Historical perspective
- Clinical presentation
- Evaluation
- Management
- Secondary procedures
- Unanswered questions
- References
- 29. Treacher Collins syndrome
- Abstract
- Introduction
- Systemic literature review of current treatments
- Conclusions and recommendations
- References
- Section III: Pediatrics
- 30. Congenital melanocytic nevi
- Abstract
- Introduction
- Basic science/disease process
- Historical perspective
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- References
- 31. Vascular anomalies
- Abstract
- Introduction
- Vascular tumors
- Vascular malformations
- Vascular malformation overgrowth syndromes
- Conclusions
- References
- 32. Pediatric chest and trunk deformities
- Abstract
- Introduction
- Embryology
- Thoracic wall defects and abnormalities
- Abdominal wall defects
- Posterior defects
- References
- 33. Pediatric tumors
- Abstract
- Congenital masses
- Vascular masses
- Muscular masses
- Nervous system masses
- Epithelial-derived masses
- Lipomatous masses
- Fibroblastic masses
- References
- 34. Conjoined twins
- Abstract
- Introduction
- Etiology and embryology
- Incidence and classifications
- Historical perspective
- Diagnosis
- Obstetric and immediate postnatal management
- Operative and anesthetic team considerations
- Plastic surgery principles and operative management
- Postoperative management
- Conclusions
- References
- Index
- Confidence is ClinicalKey
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Comprehensive lower extremity anatomy
- Abstract
- The gluteal region
- The thigh
- The leg
- The ankle and foot
- Conclusion
- References
- 2. Management of lower extremity trauma
- Abstract
- Introduction
- Basic science
- Diagnosis and patient presentation
- Patient selection
- Treatment and surgical techniques
- Complications
- Summary
- References
- Section I: Lower Extremity Surgery
- 3.1. Lymphedema: introduction and editors' perspective
- Abstract
- References
- 3.2. Imaging modalities for diagnosis and treatment of lymphedema
- Abstract
- Introduction
- Lymphoscintigraphy
- Near-infrared fluorescent imaging
- Ultrasonography
- Magnetic resonance imaging
- Further imaging modalities
- Imaging modality selection algorithm
- Conclusion
- References
- 3.3. Lymphaticovenular bypass
- Abstract
- Introduction
- Background
- Clinical approach
- Lymphaticovenular bypass for subclinical lymphedema
- Conclusion
- References
- 3.4. Vascularized lymph node transplant
- Abstract
- History of VLNT
- Mechanism of VLNT
- Indications for VLNT
- Types of VLNT
- Outcomes
- Complications
- Summary
- References
- 3.5. Debulking strategies and procedures: liposuction of leg lymphedema
- Abstract
- Introduction
- Excess subcutaneous adiposity and chronic lymphedema
- Other research regarding adipose tissue deposition
- How to assess the efficacy of liposuction
- Preoperative planning
- Operative technique
- Postoperative care
- How CCT and liposuction works in clinical practice – an example
- Controlled compression therapy (CCT)
- Liposuction and postoperative success
- The lymphedema team
- How liposuction helps
- When to use liposuction to treat lymphedema – patient selection
- When liposuction should never be used
- Can the outcome be reproduced?
- References
- 3.6. Debulking strategies and procedures: excision
- Abstract
- Chen-modified Charles procedure
- Radical reduction with preservation of perforators (RPP procedure),
- Excisional therapy for genital lymphedema–
- Follow-up
- Surgical limitations
- Summary
- References
- 4. Lower extremity sarcoma reconstruction
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation/imaging
- Historical perspectives
- Patient profile/general considerations/treatment planning
- Treatment/surgical resection techniques
- Reconstructive options for lower extremity preservation
- Postoperative care
- Secondary procedures
- Outcomes, prognosis, and complications
- References
- 5. Reconstructive surgery: lower extremity coverage
- Abstract
- Introduction
- History
- Principles
- Treatment approach
- Special considerations
- Postoperative care
- Muscle/musculocutaneous flaps
- Fasciocutaneous/perforator flap
- Compound flaps
- Supermicrosurgery
- References
- 6.1. Diagnosis, treatment, and prevention of lower extremity pain
- Abstract
- Introduction
- Etiology of lower extremity pain
- Diagnosis and patient selection
- Treatment options for lower extremity pain
- Postoperative management
- Prevention of lower extremity pain
- Alternative treatment measures
- Conclusion
- References
- 6.2. Targeted muscle reinnervation in the lower extremity
- Abstract
- Introduction
- Physiology of targeted muscle reinnervation
- Indications for targeted muscle reinnervation in the lower extremity
- General concepts and principles
- Targeted muscle reinnervation in primary amputations
- Targeted muscle reinnervation in secondary amputations
- Targeted muscle reinnervation in very proximal lower extremity amputations
- Targeted muscle reinnervation in minor amputations of the foot
- Targeted muscle reinnervation for symptomatic neuromas in non-amputees
- Future directions
- Conclusions
- References
- 6.3. Lower extremity pain: regenerative peripheral nerve interfaces
- Abstract
- Introduction
- Pathophysiology of neuropathic lower extremity pain from symptomatic neuromas
- Treatment of lower extremity pain from symptomatic neuromas
- Regenerative peripheral nerve interface
- Technique to perform RPNI surgery
- Future directions
- Conclusion
- Disclosure statement
- References
- 7. Skeletal reconstruction
- Abstract
- Introduction
- Biology of bone healing and grafting
- Historical perspective
- Methods of skeletal reconstruction
- Patient evaluation
- Reconstruction by anatomic areas
- Postoperative care
- Conclusion
- References
- 8. Foot reconstruction
- NON-PRINT ITEMAbstract
- Introduction
- Angiosomes of the foot
- Clinical relevance of the angiosome model
- Patient evaluation and diagnosis
- Management
- Surgical techniques for soft-tissue reconstruction
- Reconstruction by anatomic location
- Summary
- References
- 9.1. Diabetic foot: introduction
- Abstract
- Introduction
- Risk factors for diabetic foot wounds
- Patient-centered outcomes
- Multidisciplinary team and beyond
- IWGDF practical guidelines
- Conclusion
- REFERENCES
- 9.2. Diabetic foot: management of wounds and considerations in biomechanics and amputations
- Abstract
- Principles of wound healing
- Biomechanical considerations
- Partial foot amputations
- Conclusion
- References
- 9.3. Diabetic foot: management of vascularity and considerations in soft-tissue reconstruction
- Abstract
- Introduction
- Reconstructive options
- Surgical planning
- Cases
- References
- Section II: Trunk, Perineum, and Transgender
- 10. Trunk anatomy
- Abstract
- Surface anatomy and skin considerations (Fig. 10.1)
- Skin perfusion and angiosome concept (Fig. 10.2)
- Anterior chest
- Axilla
- Back
- Abdomen and flank
- Groin
- Perineum
- Buttock
- Bones
- References
- 11. Reconstruction of the chest
- Abstract
- Introduction
- Etiology
- Chest wall biomechanics and pathophysiology
- Evaluation of the defect and functional goals
- Medical optimization and preparation of the wound bed
- Skeletal reconstruction
- Soft-tissue reconstruction
- Rectus abdominis
- Postoperative care
- Congenital chest wall deformities
- Conclusion
- References
- 12. Reconstruction of the posterior trunk
- Abstract
- Introduction
- Anatomy
- Flaps for reconstruction of the posterior trunk
- Other flaps
- Special clinical scenarios
- Perioperative care
- Techniques for soft-tissue reconstruction in the posterior trunk
- Algorithmic approach to reconstruction of the posterior trunk
- References
- 13. Abdominal wall reconstruction
- Abstract
- Introduction
- Abdominal wall anatomy and physiology
- Blood supply to the abdominal skin and musculature
- Nerve supply and innervation of the muscles
- Abdominal wall muscle function
- Tissue apposition
- Midline hernia repair
- Conclusion
- References
- 14.1. Gender confirmation surgery: diagnosis and management
- Abstract
- Epidemiology
- Change in coverage over time – Affordable Care Act
- WPATH
- Expanded societal support/paradigm shift
- Terminology
- WPATH Standards of Care
- Mental health practitioners
- Adolescent therapy
- Hormone therapy
- Multidisciplinary treatment
- Patient satisfaction following gender confirmation surgery
- Barriers to patient care
- Preoperative assessment
- Goals of therapy
- Arrangements for aftercare
- Conclusion
- References
- 14.2. Gender confirmation surgery, male to female: vaginoplasty
- Abstract
- Preoperative assessment
- Penile inversion vaginoplasty
- Patient positioning and preparation
- Harvest of skin flaps and grafts
- Penile disassembly and inversion
- Dissection of vaginal cavity
- Creation of neoclitoris
- Inset of grafts/flaps and closure
- Intestinal vaginoplasty
- Peritoneal flaps
- Complications
- Postoperative care
- Conclusion
- References
- 14.3. Gender affirmation surgery, female to male: phalloplasty; and correction of male genital defects
- Abstract
- Patient selection
- Phalloplasty
- Metoidioplasty
- Considerations in other genital defects
- References
- 14.4. Breast, chest wall, and facial considerations in gender affirmation
- Abstract
- Introduction
- WPATH guidelines
- Chest masculinization
- Breast augmentation
- Facial feminization surgery
- Conclusions
- References
- 15. Reconstruction of acquired vaginal defects
- Abstract
- Introduction
- Anatomic considerations
- Diagnosis
- Historical perspective
- Patient selection/preoperative considerations
- Treatment/surgical technique
- Postoperative care
- Complications, prognosis, and outcomes
- References
- 16. Pressure sores
- Abstract
- Introduction
- Basic science
- Diagnosis
- Patient evaluation
- Treatment
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 17. Perineal reconstruction
- NON-PRINT ITEMAbstract
- Introduction
- History of perineal reconstruction
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, complications
- References
- Section III: Burn Surgery
- 18. Burn, chemical, and electrical injuries
- Abstract
- Synopsis
- Epidemiology
- Risk factors
- Evolution of burn medicine
- Pathophysiology of burn injuries
- Physiological consequences of thermal skin burns
- Acute burn trauma management
- Complications
- Rehabilitation
- Managing scar hypertrophy and contracture
- References
- 19. Extremity burn reconstruction
- Abstract
- Introduction
- Burns of the upper extremity
- Operative wound management of acute burns of the extremities
- Therapy considerations
- Reconstruction of lower extremity burns
- References
- 20. Management of the burned face and neck
- Abstract
- Introduction
- Anatomy and pathophysiology
- Acute facial burn management
- Management of facial post-burn deformities
- Reconstruction of specific areas
- Acid burns
- Future directions
- Conclusion
- References
- 21. Pediatric burns
- Abstract
- Introduction
- Basic science
- Initial assessment
- Wound management
- Medical management
- Rehabilitation
- Reconstruction
- References
- Index
- Confidence is ClinicalKey
- Instructions for Online Access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Lecture Video Contents
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- Section I: Aesthetic Breast Surgery
- 1. Preoperative assessment and planning of the aesthetic breast patient
- Abstract
- Introduction
- Patient factors
- Implant factors
- Surgical factors
- Conclusion
- References
- 2. Current status of breast implants
- Abstract
- Introduction
- History of breast implants
- Implant shape
- Indications for anatomical implants
- Indications for round implants: when anatomical implants are not necessary
- Device fill in the modern era: the implant gel
- The implant surface
- Summary
- References
- 3. Primary breast augmentation with implants
- Introduction
- Indication
- Patient selection
- Patient consultation
- Patient examination and implant selection
- Operative technique
- In the OR
- Pitfalls and how to address
- Postoperative care
- Summary
- References
- 4. Autologous fat transfer: fundamental principles and application for breast augmentation
- Abstract
- History
- Principles of 3D tissue grafting
- Percentage graft survival vs. percentage recipient site augmentation
- Breast augmentation technique that abides by the recognized principles
- Factors improving the recipient
- Adjunctive procedures to improve breast augmentation
- Totally autologous breast augmentation case examples
- Conclusion
- References
- 5. Augmentation mastopexy
- Abstract
- Introduction: a historical perspective
- Definition and classification of ptosis
- Diagnosis, patient presentation, and counseling
- Anatomic factors in augmentation mastopexy
- Selecting the appropriate mastopexy incision
- Implant selection
- One- versus two-stage augmentation mastopexy
- Preoperative preparation
- Treatment/surgical technique
- Special considerations
- Postoperative care
- Complications and secondary procedures
- Outcomes
- References
- 6. Mastopexy after massive weight loss
- Abstract
- Introduction
- Diagnosis/patient presentation
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Special considerations
- Conclusion
- References
- 7. Prevention and management of complications following breast augmentation and mastopexy
- Abstract
- Introduction
- Breast augmentation – complications and revisional approach
- Mastopexy – complications and revisions
- Augmentation mastopexy – complications and revisions
- Conclusion
- References
- 8. Short scar breast reduction
- Abstract
- Introduction
- Breast reduction principles
- Superomedial pedicle vertical breast reduction
- Applied anatomy
- Indications and contraindications
- Preoperative Assessment
- Operative technique (see )
- Intraoperative and postoperative care
- Complications
- Summary
- References
- 9. Reduction mammaplasty with inverted-T techniques
- Abstract
- Introduction
- Breast anatomy
- Historical Perspective
- The inverted-T skin pattern
- Treatment/surgical technique
- Special circumstances
- Postoperative care
- Complications
- Conclusion
- References
- 10. Breast implant illness: diagnosis and management
- Abstract
- Introduction
- ASIA syndrome and other silicone incompatibility syndromes
- Science on trial: changing sources of medical information
- Self-described symptoms in women with breast implants-BII
- Current BII literature
- Social media and BII
- Current theories on the potential etiology of BII
- Treatment
- Conclusion
- References
- 11. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): diagnosis and management
- Abstract
- Introduction
- Lymphoma background
- BIA-ALCL pathogenesis
- Epidemiology
- Diagnosis and treatment
- Staging
- Clinical characteristics and outcomes
- Setting research priorities
- Medico-legal considerations
- Reporting of cases
- Conclusions
- References
- 12. A critical analysis of irrigation solutions in breast surgery
- Abstract
- Introduction
- The breast is a clean-contaminated site
- Biofilms and breast implants
- History of breast pocket irrigation
- Antibacterial solutions
- In vitro analyses
- Capsular contracture
- Skin and soft tissue infection
- Breast implant-associated ALCL
- Conclusion
- References
- 13. Imaging and surveillance in patients with breast implants
- Abstract
- Introduction
- Integrating HRUS into your plastic surgery practice
- Clinical studies of HRUS and breast implant evaluation
- Conclusions
- References
- 14. Breast implant explantation: indications and strategies to optimize aesthetic outcomes
- Abstract
- Indications for breast explantation
- Explantation techniques: capsule management
- Explantation techniques: adjunctive aesthetic procedures
- Conclusion
- References
- 15. Management strategies for gynecomastia
- Abstract
- Introduction
- Presentation
- Etiology and diagnostic evaluation
- Histopathological variations
- Treatment
- Outcomes
- Pitfalls
- Conclusions
- References
- 16. Management options for gender affirmation surgery of the breast
- Abstract
- Background
- Gender-affirming care
- Gender-affirming mastectomy
- Gender-affirming breast augmentation
- Conclusions
- References
- Section II: Reconstructive Breast Surgery
- 17. Preoperative evaluation and planning for breast reconstruction following mastectomy
- Abstract
- Introduction
- Breast cancer history and considerations
- Stage
- Nipple-sparing mastectomy
- Contralateral prophylactic mastectomy
- Reconstructive options
- Radiation
- Chemotherapy
- Hormone and biologic therapies
- Host factors
- Surgical history
- Medications
- Physical exam, photography, and preoperative imaging
- Conclusions
- References
- 18. Perfusion assessment techniques following mastectomy and reconstruction
- Abstract
- Introduction
- Perfusion imaging in implant-based breast reconstruction
- Imaging in autologous tissue transfer
- Conclusion
- References
- 19. Introduction to prosthetic breast reconstruction
- Abstract
- Introduction
- Anaplastic large cell lymphoma
- Breast implant illness
- Acellular dermal matrix
- Subpectoral placement of prosthetic devices
- Prepectoral placement of prosthetic devices
- Two-stage versus one-stage reconstruction
- Conclusions
- References
- 20. One- and two-stage prepectoral reconstruction with prosthetic devices
- Abstract
- One-stage prepectoral reconstruction
- Two-stage prepectoral reconstruction
- Conclusions
- References
- 21. One-stage dual-plane reconstruction with prosthetic devices
- Abstract
- Introduction
- Direct-to-implant breast reconstruction
- Preoperative considerations
- Surgical planning (Table 21.1)
- Intraoperative technique: immediate subpectoral DTI reconstruction with ADM
- Postoperative considerations
- References
- 22. Two-stage dual-plane reconstruction with prosthetic devices
- Abstract
- History
- Preoperative evaluation
- Dual-plane tissue-expander reconstruction
- Implant exchange
- Complications
- Conclusions
- References
- 23. Two-stage prosthetic reconstruction with total muscle coverage
- Abstract
- Introduction
- Preoperative counseling
- Procedure selection
- Surgical technique: two-stage reconstruction
- Advantages/disadvantages
- References
- 24. Skin reduction using “smile mastopexy” technique in breast reconstruction
- Abstract
- Introduction
- Surgical technique
- Results
- Limitations
- Conclusion
- References
- 25. Management of complications of prosthetic breast reconstruction
- Abstract
- Introduction
- Predicting the risk of complications
- Timing of complications
- Managing complications
- Aesthetic complications
- Conclusion
- References
- 26. Secondary refinement procedures following prosthetic breast reconstruction
- Abstract
- Introduction
- Autologous fat grafting
- NAC repositioning
- Animation deformity correction
- Breast augmentation mammaplasty
- Breast reduction mammaplasty
- Reduction/augmentation-mastopexy
- References
- 27. Introduction to autologous breast reconstruction with abdominal free flaps
- Abstract
- Introduction
- References
- 28. Breast reconstruction with the pedicle TRAM flap
- Abstract
- Introduction
- History
- Anatomy
- Initial markings
- Surgical timing/preoperative planning
- Patient selection
- Surgical procedure
- The “Bikini Inset” in delayed TRAM flaps in irradiated breasts ( )
- TRAM flap modifications
- Postoperative care
- Outcomes, prognosis, risk factors, complications
- Secondary procedures
- References
- 29. Breast reconstruction with the latissimus dorsi flap
- Abstract
- Introduction
- Operative strategy
- Anatomy
- Patient marking
- Historical perspective
- Surgical technique
- Defect preparation
- Flap elevation
- Pedicle identification
- Flap inset
- Device placement
- Delayed breast reconstruction
- Immediate breast reconstruction
- Final closure: postoperative care
- Second stage reconstruction
- Immediate breast reconstruction
- Delayed breast reconstruction
- Autologous reconstruction
- Lumpectomy reconstruction
- Revision reconstruction
- Complications
- Summary
- References
- 30. Autologous breast reconstruction with the DIEP flap
- Abstract
- Introduction
- History
- Patient selection
- Choosing the recipient vessels
- Anatomy of internal mammary vessels
- Vascular anatomy and relevance to lower abdominal tissue transfer
- Perfusion zones
- Perforator mapping
- Perforator selection
- Strategies to maximize flap volume
- Enhanced recovery after surgery
- Preoperative preparation
- Surgical technique
- Microvascular flap transfer (see Videos 30.4 & 30.5 Video 30.4 Video 30.5 )
- Closure of the donor site and fashioning of the umbilicus
- Flap orientation, inset, and shaping
- Advances in DIEP breast reconstruction
- Postoperative care
- Complications
- Secondary surgical procedures
- Conclusion
- References
- 31. Autologous breast reconstruction with the free TRAM flap
- Abstract
- Introduction
- Basic science/anatomy
- Patient selection
- Preoperative planning using angiography
- Surgical technique
- Postoperative care
- Complications
- Conclusion
- References
- 32. Autologous breast reconstruction with the superficial inferior epigastric artery (SIEA) flap
- Abstract
- Introduction
- Preoperative evaluation and indications
- Pre-surgical preparation
- SIEA flap elevation
- Recipient vessel preparation
- Flap inset
- Flap monitoring
- Postoperative care
- References
- 33. Introduction to autologous reconstruction with alternative free flaps
- Abstract
- Introduction
- Gluteal perforator flaps
- Medial thigh flaps
- Posterior thigh flaps
- Lumbar artery perforator flap
- Clinical review
- References
- 34. Gluteal free flaps for breast reconstruction
- Abstract
- Introduction
- History
- Patient selection and considerations
- Preoperative perforator mapping
- Operative approach ( & )
- Postoperative care
- Revision surgery
- Complications and management
- Conclusion
- References
- 35. Autologous breast reconstruction with medial thigh flaps
- Abstract
- Introduction
- History
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, complications
- Double TUG flaps for one breast
- Secondary procedures: TUG plus…
- References
- 36. Autologous breast reconstruction with the profunda artery perforator (PAP) flap
- Abstract
- Introduction
- Historical perspective
- Basic science/anatomy
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes and complications
- Secondary procedures
- Trends/alterations
- Conclusion
- References
- 37. Autologous reconstruction with the lumbar artery perforator (LAP) free flap
- Abstract
- Introduction
- The lumbar artery perforator (LAP) flap anatomy
- Historical perspective
- Patient selection
- Surgical technique
- Postoperative care
- Outcome, prognosis and complications
- Conclusion
- References
- 38. Hybrid breast reconstruction: combining flaps and implants
- Abstract
- Introduction
- Hybrid breast reconstruction
- Plane of implant placement
- Timing of implant placement
- Radiation therapy
- Surgical technique: immediate hybrid breast reconstruction
- Summary
- References
- 39. Innervation of autologous flaps
- Abstract
- Introduction
- Breast sensation anatomy
- Understanding nerve anatomy and physiology
- Neurotization techniques
- Innervated implant-based reconstruction
- Outcomes
- Future directions
- References
- 40. Stacked and conjoined flaps
- Introduction
- Patient selection and preoperative assessment
- Surgical technique
- LAP flap
- PAP flap
- Recipient site preparation
- Microsurgery
- Inset
- Postoperative care
- Outcomes
- Conclusions
- References
- 41. Management of complications following autologous breast reconstruction
- Abstract
- Introduction
- Systemic complications
- Breast complications
- Preventing complications
- Conclusion
- References
- 42. Enhanced recovery after surgery (ERAS) protocols in breast surgery: techniques and outcomes
- Abstract
- Introduction
- Components of an ERAS protocol
- Preoperative optimization
- Regional blocks
- Anesthesia ERAS considerations
- Summary
- References
- 43. Secondary procedures following autologous reconstruction
- Abstract
- Introduction
- Procedures
- Conclusion
- References
- 44. Introduction to oncoplastic breast surgery
- Abstract
- Introduction
- Safety and efficacy of oncoplastic surgery
- Immediate reconstruction of the partial mastectomy deformity
- Volume displacement techniques
- Volume replacement techniques
- Conclusions
- References
- 45. Partial breast reconstruction using reduction and mastopexy techniques
- Abstract
- Introduction
- Surgical technique
- Outcomes
- Conclusion
- References
- 46. Oncoplastic breast reconstruction: local flap techniques
- Abstract
- Introduction
- Indications
- Historical perspective
- Contraindications
- Anatomy
- Surgical technique
- Secondary procedures
- References
- 47. Surgical and non-surgical management of breast cancer-related lymphedema
- Abstract
- Introduction
- Basic science
- Historical perspective
- Clinical evaluation
- Non-surgical treatment
- Diagnostic imaging
- Preoperative patient selection
- Surgical treatments
- Liposuction
- Conclusion
- References
- 48. Breast reconstruction and radiotherapy: indications, techniques, and outcomes
- Abstract
- Introduction
- Radiotherapy in breast cancer
- Partial breast reconstruction and radiotherapy
- Breast reconstruction and postmastectomy radiotherapy
- Breast reconstruction in pre-irradiated tissue
- Conclusion
- References
- 49. Robotic-assisted autologous breast reconstruction
- Abstract
- Introduction
- Robotic-assisted latissimus dorsi harvest (RALDH)
- The RoboDIEP: robotic-assisted deep inferior epigastric perforator flaps for breast reconstruction
- Limitations
- Conclusion
- References
- 50. Total breast reconstruction by external vacuum expansion (EVE) and autologous fat transfer (AFT)
- Abstract
- Introduction
- Indications
- Contraindications
- Fundamental principles and basis for the technique
- Basic concepts of fat grafting
- The surgery
- Complementary procedures: the reverse abdominoplasty and fat transfer (RAFT)
- Complications and risks of the procedure
- Case examples
- Delayed reconstruction
- Conclusion
- References
- 51. Current options for nipple reconstruction
- Abstract
- Introduction
- General principles
- Surgical techniques
- Areolar reconstruction
- Nipple reconstruction
- Tissue engineering
- 3D tattooing
- Conclusion
- References
- Index
- Confidence is ClinicalKey
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- Plastic surgery contributions to hand surgery
- Origins of hand surgery
- Principles of plastic surgery and their application to hand surgery
- Origins of modern hand surgery
- Developments after World War II
- The era of microsurgery
- Recent developments
- Future directions
- Section I: Principles of Hand Surgery
- 1. Anatomy and biomechanics of the hand
- Abstract
- Introduction
- Skin, subcutaneous tissue, and fascia
- Bones and joints
- Muscles and tendons
- Blood supply
- Peripheral nerves
- Conclusion
- References
- 2. Examination of the upper extremity
- Abstract
- Obtaining a patient history
- Physical examination specific to the hand
- Physical examination specific to the forearm
- Physical examinations specific to the elbow
- Physical examination of thoracic outlet syndrome
- Physical examination of the upper extremity in children
- References
- 3. Diagnostic imaging of the hand and wrist
- Abstract
- Introduction
- Radiography
- Historical perspective
- Ultrasonography
- Computed tomography
- Magnetic resonance imaging
- Vascular imaging techniques for the upper extremity
- Radionuclide imaging
- Safety in fluoroscopy
- Future directions – Artificial Intelligence in radiology and point of care imaging
- References
- 4. Anesthesia for upper extremity surgery
- Abstract
- Introduction
- Anatomy
- Pharmacology of local anesthetics
- Regional anesthesia techniques
- Wide-awake local anesthesia no tourniquet (WALANT)
- Complications
- Outcomes
- Special considerations
- Perioperative pain management
- References
- 5. Principles of internal fixation
- Abstract
- Introduction
- Patient selection
- Preoperative imaging
- Treatment/surgical technique
- Postoperative care
- Summary
- References
- Section II: Trauma Reconstruction
- 6. Nail and fingertip reconstruction
- Abstract
- Introduction
- Anatomy
- Acute injury
- Reconstruction of fingertip injuries
- Additional considerations
- Summary
- References
- 7. Hand fractures and joint injuries
- Abstract
- Introduction
- Anatomy
- Classification of fractures and dislocations
- Fracture stabilizationfixation and return to function
- Pediatric fractures
- Open fractures
- Bone gaps
- Diagnosis
- Treatment: fingers
- Treatment: thumb
- Complications
- Secondary procedures
- Hardware removal, tenolysis, capsulotomy
- Future directions
- References
- 8. Fractures and dislocations of the wrist and distal radius
- Abstract
- Introduction
- Historical perspective
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment and surgical techniques
- Future directions
- References
- 9. Flexor tendon injuries and reconstruction
- Abstract
- Introduction
- Basic science
- Historical perspective
- Diagnosis
- Treatment/surgical techniques
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Future directions
- References
- 10. Extensor tendon injuries
- Abstract
- Introduction
- Historical perspective
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Conclusion
- Future directions
- References
- 11. Replantation
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Future directions
- References
- 12. Reconstructive surgery of the mutilated hand
- Abstract
- Introduction
- Goal of management of mutilated hand injury
- Assessment of the mutilated hand
- To salvage or not to salvage? Value of scoring and classification systems
- Debridement
- Envisioning the plan of reconstruction
- Vascular reconstruction in the mutilated upper extremity
- Stabilization of the skeleton
- Soft−tissue cover
- Major degloving injuries of the upper limb
- Complications
- References
- 13. Thumb reconstruction: Non-microsurgical techniques
- Abstract
- Introduction
- Historical perspective
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Future directions
- References
- 14. Thumb reconstruction: Microsurgical techniques
- Abstract
- Introduction
- Diagnosis/patient presentation
- Historical perspective
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Debates in thumb reconstruction with toe-to-hand surgery
- Future directions
- References
- Section III: Specific Disorders
- 15. Infections of the hand
- Abstract
- Introduction
- Basic science/disease process
- Historical perspective
- Diagnosis/patient presentation
- Patient selection
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Future directions
- References
- 16. Tumors of the hand
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Treatment/surgical treatment by tissue of origin
- Postoperative care
- Outcomes, prognosis, and complications
- Future directions
- References
- 17. Dupuytren’s disease
- Abstract
- Basic science and disease process
- Surgical anatomy of the palmar fascia in the hand and fingers and involvement in Dupuytren’s disease
- Clinical disease process
- Clinical assessment
- Treatments
- Rehabilitation
- Outcome, prognosis, and complications
- Future directions
- Acknowledgments
- References
- 18. Osteoarthritis in the hand and wrist
- Abstract
- Introduction/epidemiology
- Basic science/disease process
- Historical perspective
- Pathophysiology
- Diagnosis
- Management of OA of the fingers
- Distal interphalangeal joint (DIP) arthritis
- Proximal interphalangeal (PIP) joint arthritis
- Metacarpophalangeal (MCP) joint arthritis
- Management of OA of the thumb
- OA of the wrist
- Future directions
- References
- 19. Rheumatologic conditions of the hand and wrist
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/presentation
- Patient selection
- Treatment/surgical technique
- Summary
- Future directions
- References
- 20. Occupational disorders of the hand
- Introduction
- Patient history and examination
- Knowledge of the disease process and its causation
- The role of force and repetition
- Return to work
- Measuring impairment
- Summary and future directions
- References
- Section IV: Nerve Disorders
- 21. Nerve entrapment syndromes
- Abstract
- Pathophysiology of chronic nerve compression
- Clinical examination of upper extremity nerve entrapments
- Electrodiagnostic studies (EDS)
- Median nerve entrapments
- Ulnar nerve entrapments
- Radial nerve entrapments
- Other nerve compressions of the upper extremity
- Future directions
- References
- 22. Peripheral nerve repair and reconstruction
- Abstract
- Introduction
- Basic science and natural history
- Diagnosis and presentation
- Clinical examination
- Patient selection
- Treatment and surgical techniques
- Postoperative care
- Outcome
- Postoperative dysfunction
- Future perspectives
- References
- 23. Brachial plexus injuries: adult and pediatric
- Abstract
- Introduction
- History of brachial plexus reconstruction
- Adult brachial plexus injury
- Pediatric brachial plexus injury (obstetric brachial plexus palsy)
- References
- 24. Tetraplegia
- Abstract
- Introduction
- Basic science/disease process
- Classification of the tetraplegic upper extremity
- Patient presentation and patient selection
- Surgical reconstruction
- Future directions
- Conclusions
- References
- 25. Tendon transfers
- Abstract
- Introduction
- General principles of tendon transfers
- Radial nerve palsy
- Low median nerve palsy
- High median nerve palsy
- Low ulnar nerve palsy
- High ulnar nerve palsy
- Tendon transfers for combined nerve injuries
- Summary
- Future directions
- References
- 26. Nerve transfers
- Abstract
- Introduction
- Basic science
- Diagnosis and patient presentation
- Patient selection
- Examples of nerve transfer procedures for specific injury patterns
- Postoperative care
- Postoperative patient evaluation
- Outcomes and prognosis
- Secondary procedures
- Future directions
- References
- 27. Free-functioning muscle transfer
- Abstract
- Introduction
- Historical perspective
- Patient selection
- Preoperative planning
- Surgical technique of the free-functioning gracilis transfer
- Complications
- Future directions
- References
- Section V: Challenging Disorders
- 28. The ischemic hand
- Abstract
- Introduction
- Raynaud’s phenomenon
- Historical perspective
- Basic science
- Diagnosis/patient presentation
- Patient selection
- Treatment
- Treatment algorithm
- Postoperative care
- Outcomes, prognosis, and complications
- Future directions
- References
- 29. The spastic hand
- Abstract
- Introduction
- Patient presentation
- Patient selection and timing of surgery
- Treatment
- Future directions
- Conclusions
- References
- 30. The stiff hand
- Abstract
- Introduction
- Etiology, basic science, anatomy, and clinical examination
- Treatment
- Outcomes
- Future directions
- References
- 31. The painful hand
- Abstract
- Introduction
- Assessment
- Diagnosis/pathologies
- Non-surgical management
- Surgical treatment
- Summary
- References
- Section VI: Congenital Disorders
- 32. Congenital hand I: Embryology, classification, and principles
- Abstract
- Introduction
- Limb development (embryology)
- The development/differentiation of specific tissues
- Anomalies of limb development and their classification
- Assessment of the child and family
- Diagnosis
- Principles of surgical management
- References
- 33. Congenital hand II: Malformations – whole limb
- Abstract
- Poland syndrome
- Ulnar dimelia and mirror hand
- Radioulnar synostosis
- Madelung deformity
- References
- 34. Congenital hand III: Malformations – abnormal axis differentiation – hand plate: proximodistal and radioulnar
- Abstract
- Proximodistal
- Radioulnar
- References
- 35. Congenital hand IV: Malformations – abnormal axis differentiation – hand plate: unspecified axis
- Abstract
- Syndactyly
- Clinodactyly
- Kirner deformity
- Apert hand
- References
- 36. Congenital hand V: Deformations and dysplasias – variant growth
- Abstract
- OMT classification of deformation
- Pediatric trigger thumb
- Congenital trigger fingers
- Constriction ring sequence
- OMT classification of dysplasia
- Macrodactyly
- Future directions
- References
- 37. Congenital hand VI: Dysplasias – tumorous conditions
- Abstract
- Introduction
- Diagnosis/patient presentation
- Treatment/surgical technique
- Postoperative care
- Vascular anomalies
- Vascular tumors
- Vascular tumors
- Peripheral nerve tumors
- Connective tissue dysplasias
- Skeletal dysplasias
- Future directions
- References
- 38. Congenital hand VII: Dysplasias – congenital contractures
- Abstract
- Arthogryposis
- Camptodactyly
- Thumb-in-palm deformity
- References
- 39. Growth considerations in the pediatric upper extremity
- Abstract
- Introduction
- Basic science/disease process
- Diagnosis/patient presentation
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- Future directions
- References
- Section VII: New Directions
- 40. Treatment of the upper extremity amputee
- Abstract
- Introduction
- Principles of prosthetic reconstruction
- Treatment of upper extremity amputees
- Future directions
- Conclusion
- References
- 41. Upper extremity composite allotransplantation
- Abstract
- Introduction
- Historical development and milestones
- Clinical experience with upper extremity allotransplantation
- Emerging insights in vascularized composite allotransplantation
- Future directions of upper extremity reconstructive transplantation
- References
- 42. Aesthetic hand surgery
- Abstract
- Introduction
- Relevant anatomy
- Basic aesthetics of the hand
- The aging process
- Grading systems
- Patient management
- Rejuvenation of the epidermis and dermis
- Dorsal vein prominence
- Volume restoration
- Skin excess
- Articular aging
- Future directions
- Conclusions
- References
- 43. Hand therapy
- Abstract
- Patient evaluation
- Rehabilitation following tendon injury
- Rehabilitation following nerve injury
- Rehabilitation following fractures
- Rehabilitation following replantation
- Future directions
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 4680
- Language: English
- Edition: 5
- Published: September 25, 2023
- Imprint: Elsevier
- eBook ISBN: 9780323830287
PN
Peter C. Neligan
Peter Neligan, MB, FRCS, FRCSC, FAC., is a board-certified plastic surgeon, Director of the Center for Reconstructive Surgery at UW Medical Center - Montlake, and a Professor of Surgery in the Division of Plastic Surgery at UW School of Medicine. Dr. Neligan specializes in reconstructive surgery including flap surgery, lymphatic surgery, facial re-animation and facial transplantation.. He strives to provide the best care for patients and provide them with the best treatments available. He is excited by new techniques and solutions and always tries to improve every aspect of care. Dr. Neligan has authored four books, 180 scientific papers, 75 book chapters, edited 10 textbooks and is editor-in-chief of the Journal for Reconstructive Microsurgery. He is president of the Plastic Surgery Foundation, a member of multiple professional organizations and is heavily involved in UW's Plastic Surgery Training Program
Affiliations and expertise
Professor of Surgery, Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA, USA