Reconstructive Facial Plastic Surgery: A Problem-Solving Manual

Reconstructive Facial Plastic Surgery - A Problem-Solving Manual (Electronic book text)

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Label Reconstructive facial plastic surgery: Weerda and his team offer a complete guide to reconstructive options for facial, head, and neck defects in this eagerly awaited second edition. Their systematic, step-by-step approach, with an emphasis on meticulous preoperative planning, evaluation of alternatives, and selection of the best procedure, ensures optimal results for all patients.

Special features of the second edition: WeerdaFocusing on the questions, problems, and technical solutions most commonly encountered in everyday practice, this compact book will be valuable to both the novice and more experienced surgeon. It is filled with the insights, wisdom, and experience of a leading worldwide expert, and will be kept close at hand as a refresher, teaching guide, encyclopedia of facial plastic techniques, and standard operating room reference.

Isbn Lccn Note Electronic reproduction. Available via World Wide Web. Access may be limited to ebrary affiliated libraries. Library Locations Map Details. In the same period of Gavello, several other foldover flaps were described, but in a vertical plane. Brent's technique is one example of that, used for larger defects of the lower third of the auricle and earlobe, resorting to foldover flaps and cartilaginous grafts to give volume and shape to the new earlobe. Weerda published a modification of the Gavello technique for cases with loss of a portion of the helix, associated with the loss of the earlobe.

Alanis and Okada individually proposed methods in a single step in the 70's, but with adherent earlobes. The posterior wing is folded to shape the posterior aspect of the new earlobe.

Reconstructive Facial Plastic Surgery: A Problem-Solving Manual

The use of a cartilaginous graft is also possible in this method. The major disadvantage of this flap are the visible scars beneath the earlobe. It implies creation of a pocket where a cartilaginous graft is inserted.

In a second stage, the auricle is raised and the postauricular area and the surgical defect are grafted with split or full thickness skin grafts. Winn also reported a foldover flap, without grafts, but with unfavorable cosmetic results.

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More recently, in , Seidman and Novelly described a single stage technique, with a U-shaped flap below the auricle, drawn inferiorly to the lower part of the earlobe. The postauricular closure is in V-Y, closing the donor area beneath the auricle.

The size of the reconstructed earlobe may fluctuate, according to this technique, changing the length and width of the U flap. We present three patients with surgical amputation of the earlobe after skin cancer excision. In the third patient, with a basal cell carcinoma, the earlobe reconstruction was achievable with the bilobed flap Figure 3.

Reconstructive Facial Plastic Surgery

All procedures were under local anesthesia and no postoperative complications were observed. The surgical techniques used to reconstruct the excised earlobes are two of the several methods described to rebuild this anatomical structure.

They present several advantages compared to the remaining methods: Major limitations or disadvantages are the difficulties in its use to rebuild large earlobes and when the adjacent donor area is not intact. Buy the selected items together This item: Reconstructive Facial Plastic Surgery: Reconstructive Plastic Surgery of the Head and Neck: Ships from and sold by Amazon. Customers who bought this item also bought.

Page 1 of 1 Start over Page 1 of 1. Current Techniques and Flap Atlas. Flaps and Reconstructive Surgery. From the Back Cover Drawing on decades of operating room and teaching experience, Dr.

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