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Clinical Scenarios in Reconstructive Microsurgery

Strategy and Operative Techniques

 Gebonden Engels 2022 9783030237059
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Samenvatting

This book presents100 cases covering all areas of reconstructive surgery. Divided into six parts (Head/Neck, Upper Extremity, Lower Extremity, Trunk, Breast and Lymphedema), it guides the reader through the difficult path of problem diagnosis, analysis and decision-making, presenting concrete steps and techniques for the successful management of patients with specific reconstructive needs. Each full-color case starts with a patient profile and continues with the diagnosis, key decisions, treatment plan, surgical procedure(s) and technical steps, postoperative management, outcome and case conclusion. Further, each case includes a discussion of pros and cons, comments, learning points and suggestions for further reading.This book will be useful for all surgeons actively involved or interested in Reconstructive Microsurgery and valuable for Senior Residents and Fellows in Plastic, Head and Neck, Breast Surgery and Orthopedics.

Specificaties

ISBN13:9783030237059
Taal:Engels
Bindwijze:gebonden
Uitgever:Springer International Publishing

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Inhoudsopgave

<p>I.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; HEAD AND NECK </p> <p>&nbsp;</p> <p>A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; SCALP RECONSTRUCTION</p> <p>1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Total Scalp Replantation.</p> <p>2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Scalp cutaneous defects with bone exposure following scald burn; Reconstruction with free ALT flap.</p> <p>3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Scalp and calvarial bone defect following oncological resection; Reconstruction with hydroxyapatite bone grafts and free radial forearm flap. </p> <p>4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Scalp and calvarial bone and dural defect following oncological resection; Reconstruction with fascia lata graft, hydroxyapatite bone graft and free latissimus dorsi flap. </p> 5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Calvarial bone radionecrosis/osteomyelitis management; Radical debridement and free rectus muscle flap. <p></p> <p>6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Cranial base reconstruction. </p> &nbsp;<p></p> <p>B.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; NASAL RECONSTRUCTION</p> <p>7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nasal skin defects resurfacing with a free flap</p> <p>8.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Total nasal reconstruction with radial forearm flap and a rib graft. </p> 9.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Total nasal reconstruction with radial forearm flap, forehead flap and a rib graft. <p></p> <p>10.&nbsp;&nbsp;&nbsp; Nasal septum reconstruction following oncological resection. </p> <p>11.&nbsp;&nbsp;&nbsp; Microsurgical Reconstruction of the Nasal Ala using a Composite Auricular Graft Based on the Superficial Temporal Vessels. </p> <p>&nbsp;</p> <p>C.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; TONGUE RECONSTRUCTION</p> <p>12.&nbsp;&nbsp;&nbsp; Partial glossectomy reconstruction with ulnar forearm flap. </p> <p>13.&nbsp;&nbsp;&nbsp; Subtotal glossectomy reconstruction with saphenous flap. </p> <p>14.&nbsp;&nbsp;&nbsp; Tongue reconstruction with ALT/vastus lateralis after total glossectomy glossectomy. </p> <p>&nbsp;</p> <p>D.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LIP RECONSTRUCTION</p> <p>15.&nbsp;&nbsp;&nbsp; Total lower lip reconstruction with a skin flap and a tendon graft.</p> <p>16.&nbsp;&nbsp;&nbsp; Total lower lip reconstruction with functioning free muscle. </p> <p>&nbsp;</p> <p>E.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; EAR RECONSTRUCTION</p> <p>17.&nbsp;&nbsp;&nbsp; Ear replantation.</p> <p>18.&nbsp;&nbsp;&nbsp; Ear reconstruction using microsurgical techniques. </p> <p>&nbsp;</p> <p>F.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; MID FACE RECONSTRUCTION</p> <p>19.&nbsp;&nbsp;&nbsp; Massive facial defect following trauma. </p> 20.&nbsp;&nbsp;&nbsp; Mid face reconstruction with TAP flap. <p></p> <p>21.&nbsp;&nbsp;&nbsp; Maxillary and mid- face reconstruction with scapular flap. </p> <p>22.&nbsp;&nbsp;&nbsp; Mandibular reconstruction with CAD/CAM technology. </p> <p>23.&nbsp;&nbsp;&nbsp; Mandible osteomyletis reconstruction. </p> <p>24.&nbsp;&nbsp;&nbsp; Reconstruction of Temporomandibular Joint with a Fibula Free Flap: A Case Report With a Histological Study. </p> 25.&nbsp;&nbsp;&nbsp; Mandibular reconstruction with iliac crest. <p></p> <p>26.&nbsp;&nbsp;&nbsp; Immediate oromandibular defect reconstruction with double flap (fibula and ALT). </p> <p>27.&nbsp;&nbsp;&nbsp; Immediate oromandibular defect reconstruction with chimeric fibula flap. </p> <p>28.&nbsp;&nbsp;&nbsp; Head and Neck secondary reconstruction in a vessel-depleted neck.</p> <p>29.&nbsp;&nbsp;&nbsp; Craniofacial deformity reconstruction. </p> <p>30.&nbsp;&nbsp;&nbsp; Hemifacial atrophy reconstruction with parascapular flap. </p> <p>31.&nbsp;&nbsp;&nbsp; Noma disease reconstruction. </p> <p>32.&nbsp;&nbsp;&nbsp; Facial transplantation. </p> <p>&nbsp;</p> <p>G.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; UPPER DIGESTIVE SYSTEM RECONSTRUCTION</p> <p>33.&nbsp;&nbsp;&nbsp; Hypopharynx reconstruction. </p> <p>34.&nbsp;&nbsp;&nbsp; Robotic flap inset in pharyngeal reconstruction. </p> <p>35.&nbsp;&nbsp;&nbsp; Oesophageal reconstruction with free cutaneous flap.</p> <p>36.&nbsp;&nbsp;&nbsp; Oesophageal reconstruction with supercharged ileocolon flap. </p> 37.&nbsp;&nbsp;&nbsp; Repair of a large pharyngocutaneous fistula with a free jejunal patch flap after salvage laryngectomy. <p></p> <p>38.&nbsp;&nbsp;&nbsp; Voice reconstruction with free ileocolon flap transfer. </p> <p>39.&nbsp;&nbsp;&nbsp; Tracheal reconstruction.</p> <p>40.&nbsp;&nbsp;&nbsp; Tracheal transplantation. </p> <p>&nbsp;</p> <p>H.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; FACIAL PARALYSIS</p> <p>41.&nbsp;&nbsp;&nbsp; Adult Facial nerve palsy reconstruction. Gracilis functioning muscle innervated with cross face nerve graft. </p> <p>42.&nbsp;&nbsp;&nbsp; Microsurgical eye reanimation. </p> 43.&nbsp;&nbsp;&nbsp; One-stage reconstruction of facial paralysis using latissimus dorsi functioning muscle. <p></p> <p>44.&nbsp;&nbsp;&nbsp; One-stage reconstruction of facial paralysis using masseter nerve-innervated gracilis.</p> <p>45.&nbsp;&nbsp;&nbsp; One-stage reconstruction of facial paralysis using spinal accessory nerve-innervated gracilis. </p> <p>46.&nbsp;&nbsp;&nbsp; Adult Facial nerve palsy reconstruction. Double innervation of Gracilis functioning muscle innervated with cross face nerve graft and masseter nerve. </p> <p>47.&nbsp;&nbsp;&nbsp; Synkinesis treatment following nerve palsy. </p> <p>48.&nbsp;&nbsp;&nbsp; Congenital facial nerve palsy (Moebius syndrome).</p> <p>&nbsp;</p> <p>II.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; UPPER EXTREMITY</p> A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; BRACHIAL PLEXUS INJURIES - PERIPHERAL NERVE INJURIES<p></p> <p>49.&nbsp;&nbsp;&nbsp; Obstetric brachial plexus injuries</p> <p>50.&nbsp;&nbsp;&nbsp; Adult brachial plexus immediate reconstruction &nbsp;</p> <p>With intercostal nerves.</p> <p>51.&nbsp;&nbsp;&nbsp; Adult brachial plexus immediate reconstruction</p> <p>With contralateral C7. </p> <p>52.&nbsp;&nbsp;&nbsp; Infraclavicular brachial plexus injury. </p> <p>53.&nbsp;&nbsp;&nbsp; Brachial plexus secondary reconstruction with functional muscle (elbow flexion-finger extension). </p> <p>54.&nbsp;&nbsp;&nbsp; Brachial plexus secondary reconstruction with functional muscle (shoulder abduction). </p> <p>55.&nbsp;&nbsp;&nbsp; Spaghetti wrist injury. </p> <p>56.&nbsp;&nbsp;&nbsp; Ischemic compartment functional reconstruction. </p> <p>57.&nbsp;&nbsp;&nbsp; Secondary reconstruction of high median nerve injury Motor and Sensory Nerve Transfers to Restore Function.</p> <p>58.&nbsp;&nbsp;&nbsp; Application of free temporoparietal fascial flap for recurrent neural adhesion of superficial radial nerve. </p> <p>59.&nbsp;&nbsp;&nbsp; Painful neuroma reconstruction. </p> <p>&nbsp;</p> <p>B.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; THUMB - HAND RECONSTRUCTION</p> 60.&nbsp;&nbsp;&nbsp; Thumb amputation and replantation. <p></p> <p>61.&nbsp;&nbsp;&nbsp; Multiple finger replantations. </p> <p>&nbsp;</p> <p>59. Thumb reconstruction. </p> <p>60. Thumb pulp reconstruction with sensate flap. </p> <p>61. Thumb pulp reconstruction with great toe hemi-pulp&nbsp;flap&nbsp;transfer. </p> <p>62. Thumb reconstruction with toe to thumb. </p> <p>63. Thumb reconstruction with wrap around flap. </p> <p>64. Congenital thumb reconstruction with index pollicisation. </p> <p>65. Thumb and the first web reconstruction with neurovascularised instep flap. </p> <p>66. Thumb reconstruction with&nbsp;medial plantar artery perforator&nbsp;flaps. </p> <p>67. &nbsp;Thumb reconstruction with medial femoral corticoperiosteal&nbsp;free flap. &nbsp;</p> <p>68. The free instep flap for palmar and digital resurfacing. </p> <p>69. Degloving injuries. </p> <p>70. Transverse sensate thoracodorsal artery perforator&nbsp;flaps&nbsp;to resurface fingers. </p> <p>71. Free distal forearm perforator flap for digital reconstruction. </p> <p>72. SUBPRA for volar digital resurfacing. </p> <p>73. Dorsal digital sensate&nbsp;free flap&nbsp;for&nbsp;reconstruction&nbsp;of volar soft&nbsp;tissue&nbsp;defect of digits. </p> <p>74. Free&nbsp;temporoparietal&nbsp;flap&nbsp;in hand coverage. </p> <p>75. Free&nbsp;serratus anterior fascia&nbsp;flap&nbsp;for&nbsp;reconstruction&nbsp;of hand and finger defects. </p> <p>76. Thenar&nbsp;reconstruction with functional gracilis&nbsp;flap. </p> <p>77. Hand skin defects with tendon defect. </p> <p>78. Volar defects in fingers with distal ulnar artery perforator&nbsp;flaps. </p> <p>79. Bilateral hand transplant. </p> <p>&nbsp;</p> <p>&nbsp;</p> <p>III.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; TRUNK</p> <p>80. Large chest wall defects. </p> <p>81. Post burn scar contracture. </p> <p>82. Axillary reconstruction with ALT. </p> <p>83. Functional reconstruction of abdominal wall defect. </p> <p>84. Pelvic floor reconstruction with Latissimus dorsi. </p> <p>85. Vaginal reconstruction.</p> <p>86. Penile reconstruction. </p> <p>87. Functional bladder reconstruction. </p> <p>88. Breast and chest wall reconstruction with the transverse musculocutaneous gracilis flap in Poland syndrome. </p> <p>89. Autologous reconstruction of a complex form of Poland syndrome using 2 abdominal perforator free flaps. </p> <p>90. Aesthetic restoration of Poland's syndrome in a male patient using free anterolateral thigh perforator flap as autologous filler.</p> <p>IV.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; BREAST</p> <p>91. Areola sparing mastectomy and immediate DIEP flap. &nbsp;</p> <p>92. Skin sparing mastectomy and TUG flap. </p> <p>93. Secondary breast reconstruction with SGAP flap P.</p> <p>94. Tertiary reconstruction (previous failed implant reconstruction) with PAP flap. </p> <p>95. Case of a failed free DIEP, rexploration and outcome. </p> <p>96. Stacked abdominal flap for unilateral breast reconstruction. </p> <p>97. Breast reconstruction with Lumbar artery perforator flap. </p> <p>98. Breast reconstruction with SIEA flap.</p> <p>99. Breast reconstruction with ALT. </p> <p>100. Breast reconstruction with Vertical Posteromedial thigh flap.&nbsp; </p> <p>101. Four free flaps for 'stacked' bilateral breast reconstruction. </p> 102. Immediate breast reconstruction with a free flap and an implant. <p></p> <p>103. Partial mastectomy reconstruction with TDAP flap. </p> <p>&nbsp;</p> <p>V.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LYMPHEDEMA</p> 104. Lymphatico-venous anastomoses for lower extremity stage I lymphedema. <p></p> <p>105. Vascularised lymph node transfer for upper extremity stage II lymphedema.&nbsp; </p> <p>106. Secondary breast reconstruction with DIEP flap and lymph node transfer. </p> <p>107. Fibro-Lipo-Lymph-Aspiration With a Lymph Vessel Sparing Procedure to Treat Advanced Lymphedema After Multiple Lymphatic-Venous Anastomoses.</p> <p>108. Vascularized lymph node transfer from thoracodorsal axis for congenital lymphedema of the lower limb.</p> <p>109. Lymphatic vessel grafting for prevention of venous reflux into a sclerotic lymphatic vessel in supermicrosurgical lymphaticovenular anastomosis. </p> <p>&nbsp;</p> <p>VI.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; LOWER EXTREMITY</p> 110. Free fibular transfer for femoral head osteonecrosis.&nbsp; <p></p> <p>111. Femoral bone reconstruction following oncological resection. </p> <p>112. Coverage of knee joint/ arthroplasty prosthesis exposure with free flap. </p> <p>113. Coverage of knee joint with supercharged pedicled perforator flap. </p> <p>114. Gustillo type IIIB tibial defects.</p> <p>115.&nbsp; Gustillo type IIIC tibial defects; reconstruction with a flow-through free flap. </p> <p>116. Peroneal nerve palsy - functional reconstruction. </p> <p>117. Tibial bone defect reconstruction with Illizarov and free flap. </p> <p>118. Tibial bone defects reconstruction with free fibula flaps.</p> <p>119. Heel defect reconstruction. </p> <p>120. Achilles tendon reconstruction. </p> <p>121. Plantar weight bearing area defects.</p> <p>122. Supermicrosurgical free sensate superficial circumflex iliac artery perforator flap for reconstruction of a soft tissue defect of the ankle. </p> <p>123. Reconstruction of metatarsal bone defects with a free fibular flap. </p> <p>124. Lower limb transplantation.&nbsp; </p> <p>125. Reconstruction of the ankle complex wound with a fabricated superficial circumflex iliac artery chimeric flap including the sartorius muscle. </p> 126. Management of sciatic nerve schwannoma. <p></p> <p>&nbsp;</p>

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