Reconstructive facial plastic surgery: a problem-solving manual
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| Sprache: | English |
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2015
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| Ausgabe: | 2nd, rev. and expanded ed. |
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| Beschreibung: | Literaturangaben |
| Beschreibung: | XVI, 257 S. zahlr. Ill. 28 cm |
| ISBN: | 9783131296429 3131296429 |
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| 100 | 1 | |a Weerda, Hilko |d 1937- |e Verfasser |0 (DE-588)172444659 |4 aut | |
| 240 | 1 | 0 | |a Plastisch-rekonstruktive Chirurgie im Gesichtsbereich |
| 245 | 1 | 0 | |a Reconstructive facial plastic surgery |b a problem-solving manual |c Hilko Weerda. [Ill.: orig. ill. by Katharina Schumacher] |
| 250 | |a 2nd, rev. and expanded ed. | ||
| 264 | 1 | |a Stuttgart ; New York, NY ; Delhi ; Rio |b Thieme |c 2015 | |
| 300 | |a XVI, 257 S. |b zahlr. Ill. |c 28 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Literaturangaben | ||
| 650 | 0 | 7 | |a Operationstechnik |0 (DE-588)4215428-5 |2 gnd |9 rswk-swf |
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Datensatz im Suchindex
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| adam_text | v
Contents
Foreword to the 2nd Edition
................... XIII
Foreword to the
1
st Edition
................... XIV
I Anatomy, Principles of Facial Surgery,
1
Anatomy of the Skin and Skin Flaps
....... 3
The Skin (Fig.
1.1)............................... 3
Types of Skin Flaps
............................. 4
Random Pattern Flaps (Fig.
1.2)........... 4
Axial Pattern Flaps (Fig.
1.3).............. 4
Island Flaps (Fig.
1.4)..................... 4
Myocutaneous Island Flaps
(Fig.
1.5;
see also Fig.
12.1 )............. 4
Neurovascular Island Flaps
............ 4
2
Basic Principles of Facial Surgery
.......... 5
Suture Materials and Techniques
.............. 5
Basic Instrument Set for Reconstructive
Facial Plastic Surgery (Fig.
2.7)............... 6
The Binocular Loupe (Fig. 2.7c)
............ 6
Additional instruments:
............... 6
Wound
Management,
Repair of Small
Defects, and Scar Revision
................... 9
Relaxed Skin Tension Lines, Vascular Supply
(
Fig. 2.8i), and Esthetic Units
(
Fig.
2.20)....... 9
Wound Management, Repair of Small Defects,
and Scar Revision
............................... 9
Management of Wounds with
Traumatic Tattooing
.......................... 9
Scar Revision by W-Plasty and the
Broken-Line Technique of Webster
(1969)
^¡д.г.ба-ј)
.................................. 9
Small Excisions
.............................. 12
Z-Plasty (Figs.
2.15
and
2.16)................ 13
Postoperative Treatment of Scars
........... 14
Esthetic Units of the Face (Fig.
2.20)........ 14
Preface to the 2nd Edition
.....................
XV
Contributors
................................... XVI
and Coverage of Defects
Tumor Resection with
Histologie
Control
(Fig.2.21)
.................................... 15
Free Skin Grafts (Fig.
2.22).................. 17
Composite Grafts (Fig.
2.23)................ 17
Cartilagenous and Composite Grafts
for Auricular and Nasal Reconstruction
. 17
Graft Nomenclature
..................... 19
3
Coverage of Defects
........................ 21
Local Flaps
...................................... 21
Advancement Flaps
......................... 21
Advancement Flap
ofBurow
(1855)
(Fig.
3.1)............... 21
Burow s U-Advancement (Figs.
3.2-3.7) 21
V-Y and V-Y-S Advancement of
Argamaso
(1974)
(Figs.
3.8-3.10)................... 22
Flaps without Continous Epithelial
Coverage
(
Rettinger
1
996a, b)
.......... 22
Sliding Flap (Figs.
3.11-3.14)............ 22
Pedicled Flaps
................................. 24
Transposition Flap (Fig.
3.15)............ 24
Rotation Flap (Fig.
3.19)................. 24
Bilobed Flap (Fig.
3.22).................. 25
Rhomboid Flap (Figs.
3.24-3.27)........ 27
Turnover Flap (Fig.
3.28)................. 28
Tubed Pedicle Flap (Bipedide Flap)
(Fig.
3.29)................................ 28
Distant Flaps
.................................... 28
Distant Tubed Pedicle Flap
................... 28
Myocutaneous and Myofascial Flaps
(see Figs.
12.1-12.3)......................... 28
VI
Contents
Special
Part
II Coverage
of Defects ¡n Specific Facial Regions
4
Forehead Region
............................ 33
Median Forehead Region
....................... 33
Wedge-Shaped Defects (Fig.
4.1 )....... 33
Н
-Flap
(Fig.
4.2).......................... 33
Double Rotation Flap (Fig.
4.3)......... 34
Lateral Forehead Defects (Fig.
4.5)...... 34
5
Nasal Region
................................ 35
Glabella
and Nasal Root(Figs.
5.1-5.9)........ 35
U-Advancement Flap of Burow (Fig.
5.1 )... 35
V-Y Advancement
(Fig.
5.2;
see also Figs.
3.8-3.10)........... 35
Sliding Flap (Fig.
5.7)..................... 37
Nasal Dorsum (Figs.
5.8-5.12)................ 38
Bilobed Flap (Fig.
5.8)..................... 38
Island Flap (Fig.
5.9)...................... 39
Rieger Flap (Fig.
5.10).................... 39
Nasolabial Flap (Fig.
5.11)................. 41
Median Forehead Flap (Fig.
5.12).......... 41
Nasal Tip (Figs.
5.13-5.17)................ 41
Bilobed Flap (Fig.
5.13)................... 41
V-Y Advancement Flap of Rieger
(1957)
(Fig.
5.14)............................... 42
Median and Paramedian Forehead Flap
(Fig.
5.15)............................... 42
Larger Defects of the Nasal Tip and Ala
........ 44
Frontotemporal Flap of
Schmid
and Meyer
(Figs.
5.17
and
5.18)...................... 44
Nasal Flank
..................................... 46
Flap Advancement of Burow
(1855)
(Fig.
5.22) 47
Median Cheek Rotation of Sercer and
Mündich (1962)
(Fig.
5.23)................ 47
Burow s Laterally Based Cheek
Advancement Flap
(Fig.
5.24;
see also Fig.
3.1 )................ 48
imre s Cheek Rotation
(1928)
(Fig.
5.25).... 48
Cheek U-Flap (Fig.
5.26).................. 48
Island Flap (Fig.
5.32)..................... 50
Sliding Flap (Fig.
5.33).................... 51
Nasal Ala
........................................ 51
Full-Thickness Reconstructions
............. 51
Z-Plasty of Denonvilliers and
Joseph
(1931)
(Fig.
5.34)............... 51
Anteriorly Based Alar Rotation
(Weerda
1984)
(Fig.
5.35).............. 51
Modification of the Anteriorly Based
Alar Rotation
......................... 51
Coverage with a Transposition Flap
..... 51
Lowering the Alar Rim as a Full-Thickness
Bipedicle Flap and with a Composite Graft
(Fig.
5.38)............................ 51
Turnover Flap and Composite Graft
(Lexer
1931,
modified by
Kastenbauer 1977).................... 53
Converting a Peripheral to a Central
Defect (Haas
1991 )
and Reconstructing the
Alar Rim with a Transposition Flap
(Fig.
5.40)............................ 53
Wedge-Shaped Defect in the Alar Rim
(Fig.
5.41)............................ 55
Nelaton Flap (Nasolabial Flap) (Fig.
5.42) 55
Sliding Flap of Barron and Emmett
( 1965 )
and Lejour
(1972)
from the Nasolabial
Fold (Fig.
5.44)........................ 57
In-and-Out Flap of Peers
(1967)
(Fig.
5.45) 57
Median Forehead Flap (see Figs.
5.15
and
5.51)................................. 57
Bilobed Flap from the Cheek
(Weerda 1983c) (Fig.
5.46)............. 57
Large Defects of the Lateral Nose
(Figs.
5.47
and
5.48)................... 57
The Columella
.................................. 60
Nelaton Flap (Fig.
5.49)................... 60
Frontotemporal Flap of
Schmid
and Meyer
(1964).......................................... 60
Composite Graft (Fig.
5.50)................ 60
Partial and Total Nasal
Reconstruction
................................. 61
Converse Scalping Flap
(Forehead-Scalp Flap) (Fig.
5.52)........... 61
Total Nasal Reconstruction with the Sickle
Flap (Farrior
1974)
(Fig.
5.53).............. 65
Three-Stage Reconstruction of Total Nasal
Defects (after
Burget
and Menick
1994..... 66
Median Forehead Flap with Soft-Tissue
Expansion (Fig.
5.55)........................ 74
Nasal Reconstruction with Distant Flaps
__ 74
Perforations of the Septum
.................... 74
Small Perforations
.......................... 74
Large Defects
................................ 75
Oral Mucosal Flap of Meyer
(1988)
(Fig. 5.59b)
............................... 75
Nasolabial Flap of Tipton
(1975)
(Fig.
5.60) 75
Bipedicle Flap of Schultz-Coulon
(1989)
(Fig.5.61)
................................ 76
Contents
VII
6
The Lips
..................................... 77
Mucosal Defects
................................ 77
Wedge-Shaped Defects (Fig.
6.1 ).......... 77
Large Superficial Defects (Fig.
6.2)......... 77
Upper Lip
....................................... 78
Median Deficiency (Fig.
6.3).............. 78
Thin Upper Lip (Figs.
6.4-6.6)............. 78
Thin Upper Lip and Full Lower Lip (Fig.
6.7) 79
Median Scars and Upper Lip Defects
........ 81
Scar Revisions
................................. 82
Small
Contractures
(Fig.
6.П
).......... 82
Larger
Contractures
................... 82
Larger Scar
Contractures
Causing Lip
Retraction (Figs.
6.12
and
6.13)......... 83
Defects in the Nasal Floor and
Upper Lip
...................................... 83
Transposition Flap from the Nasolabial Fold
(Fig.
6.14)............................ 83
Bilobed Flap (Fig.
6.15)................ 84
Neurovascular island Flap from the Lower
Cheek (after Weerda
1
980d Figs.
6.19
and
6.28)................................. 87
Central Defects of the Upper Lip
(Fig.
6.20)............................ 87
Celsus Method Combined with an
Abbé
Flap
(Fig.
6.21 ;
see also Figs.
6.20
and
6.22) .. 87
Classic Reconstructive Techniques in the
Upper Lip
...................................... 88
Abbé
Flap
(1898,
reprinted
1968)
(Fig.
6.22)............................ 88
Estlander
Flap
(1872)
(Figs.
6.24; 6.40).. 90
Upper Lip Reconstruction with a Rotation
Flap (Blasius
1840)
(Fig.
6.25).......... 90
Gillies Fan Flap
(1976)
(Fig.
6.27)....... 92
Neurovascular Skin-Muscle-Mucosal
Flap of Weerda (1980d,
1990)
(Figs.
6.19
and
6.28)................... 92
Combined Defect Repair of the Ala,
Columella. Cheek, and Upper Lip
(Fig.
6.29)............................ 93
Lower Lip
....................................... 94
Scar
Contractures
and Small Defects
........ 94
Small
Contractures
(Figs.
6.30
and
6.31 ) 94
Larger
Contractures
................... 94
Small Defects
......................... 94
Lip Reduction
......................... 94
Sliding Flaps in the Vermilion
.......... 94
Classic Lower Lip Reconstructions
........... 96
Wedge Excision
....................... 96
Estlander
Flap
(1872)
(Fig.
6.40)........ 98
Bilobed
Estlander
Flap (Fig.
6.41 )....... 99
Vermilion Reconstruction by the Method
of
von Langenbeck (1855)
(Fig.
6.42).... 99
Tongue Flap (Fig.
6.43)................. 99
Brown Modification of the
Estlander
Flap
(1928)
(Fig.
6.44)..................... 102
Unilateral or Bilateral Gillies Fan Flap
(1957)
(Fig.
6.45e-j)
...................102
Universal Method of Bernard
(1852),
Grimm
(1966),
and Fries
(1971 )
(Fig.
6.46;
unilateral or bilateral)
....... 104
Reconstruction of the Lateral Lip
and Commissure
............................... 106
Burow s Method of Reconstructing the
Lateral Upper Lip
(1855)
(Fig.
6.48)........ 106
Reconstruction of the Commissure by the
Method of Rehn
(1933),
as Modified by Fries
(1971)
and Brusati
(1979)
(Fig.
6.50)........ 106
Reconstruction of Large Commissural
Defects (Fig.
6.51 )........................ 107
Vermilion Defects
............................. 108
Vermilion Advancement of
Goldstein (1990)(Fig.
6.52) ............. 108
Combined Reconstruction of the Lower Part
of the Face (Lower Lip, Cheek, Chin, Middle
Part of the Mandible) (Fig.
6.53)............... 108
Elongation of the Oral Fissure
.................. 110
Method of Converse
(1959)
(Weerda
1983)
(Fig.
6.54)............................... 110
Method of Converse
(1977)
(Fig.
6.55)...... 110
Method of
Ganzer (1921)
(Fig.
6.56)........
Ill
Method of Gillies and
Miliard
(1957)
(Fig.
6.57)...............................
Ill
7
The Chin
..................................... 113
Coverage of Small Defects in the Chin Area
___ 113
Advancement Flap (Fig.
7.1 )............... 113
Bilobed Flap (Fig. 7.2a, b)
................. 113
8
The Cheek
................................... 115
Medial Cheek Defects
........................... 115
Upper Medial Cheek
.......................... 115
Esser
Cheek Rotation
(1918)
(Fig.
8.1)... 115
Cheek Reconstruction Combining the
Methods of
Esser
(1918)
and
Imre
(1928)
(Weerda
1980)
(Fig.
8.2).................. 116
Small Cheek Defects
................... 117
Imre
Cheek Advancement Flap (After
Haas and Meyer
1973,
modified)
(Figs.
8.4
and
8.5)..................... 117
Defect in the Medial Canthus (Fig.
8.6).. 117
VIII
Contents
Mid-Anterior Cheek
(Fig. 8.7)................ 118
Pedicled Bilobed Flaps
........................ 118
Large Inferiorly/Anteriorly Based Bilobed
Flap (Fig.
8.8)............................ 118
V-Y Advancement
............................. 119
Upper and Posterior Cheek
..................... 120
Trilobed Flap of Weerda
(1979)
(Fig.
8.10).. 120
Bilobed Flap (Fig.
8.11)................... 120
Lateral Cheek Defects
........................... 121
Small Lateral Cheek Defects
.................. 121
Small Preauricular Defects
................... 122
Simple Skin Advancement and Rotation
(Burow s Method) (Fig.
8.17a-d)
........... 122
Opposing Transposition Flaps (Fig.
8.18)... 122
Large Defects Involving the Auricle
......... 124
Lateral Cheek Rotation of Weerda (1980c)
(Figs.
8.20
and
8.21 )...................... 125
Pedicled Transposition Flaps
(Figs.
8.22
and
8.23)...................... 125
Preauricular Hair Loss (Fig.
8.24).......... 126
Inferiorly Based Retroauricular Transposition
flap (Weerda 1978b) (Fig.
8.25)............ 126
Large Bilobed Flap from the Neck (Weerda
1980b)(Fig.
8.26)......................... 127
9
The Eyelids
.................................. 129
Upper Eyelid
.................................... 129
Direct Closure (Fig.
9.1 )................... 129
Semicircular Flap Closure of Beyer-Machule
and
Riedel (1993)
(Fig.
9.2)................ 129
Switch Flap (Fig.
9.3)..................... 130
Upper Eyelid Reconstruction of Fricke and
Kreibig (Fig.
9.4)......................... 130
Bilobed Flap (Fig.
9.5)..................... 131
Total Upper Lid Reconstruction by the Two-
Stage
Muštarde
Technique (Beyer-Machule
and
Riedel 1993)
(Fig.
9.6)................ 131
Reconstruction of the Lower Eyelid
............ 132
Reconstruction of Small Defects in the Lower
Eyelid
.......................................... 132
Large Defects (Figs.
9.6
and
9.7)........... 132
Reconstruction of the Lower Lid with
Ectropion
......................................
............................................133
Transposition Flap (Figs.
9.8
and
9.9)___ 133
Total Lower Lid Reconstruction
(Figs.
9.11
and9.12)
................... 133
Reconstruction of the Medial Canthus
(Figs.
9.13
and
9.14;
see also Figs.
5.2-5.7)..... 134
10
The Auricular Region
....................... 135
Classification (Table
10.1 )
and Esthetic Units
(Fig.
10.1)....................................... 135
Central Defects: Recommended Defect Coverage
(Fig.
10.2)....................................... 135
Conchal
Defects
............................... 137
Reconstruction with a Full-thickness
Skin Graft (Fig.
10.3).................. 137
Transposition Flap and U-shaped Advance¬
ment (Fig.
10.4)....................... 137
Reconstruction with Island Flaps
(Figs.
10.5-10.7)...................... 137
Defects of the Antihelix and Combined Central
Defects (Figs.
10.8
and
10.9).................. 140
Converse and Brent s
(1977)
Three-stage Reconstruction of
Full-Thickness Defects of the Antihelix
(Fig.
10.10)........................... 140
Superiorly or Inferiorly Based
Transposition Flap (Fig.
10.11)......... 140
U-shaped Advancement Flap of Gingrass
and Pickrell
(1968)
(Fig.
10.12)........ 142
Weerda s Reconstruction with a
Transposition Flap and Temporary
Repositioning of the Helix (Fig.
10.13) .. 143
Weerda s Bilobed Flap as a Transposition-
Rotation Flap (Fig.
10.14).............. 144
Weerda s Scaphal Reconstruction with a
U-shaped Advancement Flap (Fig.
10.15) 144
Tebbetts
(1982)
Superiorly Based,
Preauricular Flap for the
Triangular Fossa (Fig.
10.16)........... 144
Mellette s
(1991)
Preauricular Flap Based
Superiorly on the Helical
Crus
(Fig.
10.17) 145
Subcutaneous Pedicle Flap of Barron and
Emmett
(1965)
(Fig.
10.18)............ 146
Inferiorly Based Preauricular Flap
(Fig.
10.19)........................... 146
Peripheral Defects (Fig.
10.20)............... 147
Helix Reconstruction with Auricular
Reduction
..................................... 147
Simple Wedge Excisions (Fig.
10.21 )___ 148
Wedge Excision and
Burow s Triangles (Fig. 10.22a-j)
....... 148
Gersuny s
(1903)
Technique of Defect
Closure by Transposition of the Helix
(Fig.
10.23)........................... 148
Modification of the Gersuny Technique by
Weerda and
Zöllner (1986)
(Fig.
10.24) . 150
Contents
IX
Antia and
Buch s Modification
with
Mobilization of the Helical
Crus
(Fig.
10.25)............................... 150
Lexer s
(1933)
Modification (Fig.
10.26) 150
Argamaso
and Lewin s
(1968)
Technique
of Ear Reduction and Defect Reconstruction
Meyer and Sieber s
(1973)
(Fig.
10.27) ..
Modification of the Technique (Fig.
10.28)150
Tenta
and Keyes
(1981)
Excision of the
Triangular Fossa with Reduction of the
Auricle (Fig.
10.29)....................... 150
Weerda and
ZöIIner s (1986)
Technique for
Defects of the Helical
Crus
and Preauricular
Region (Fig.
10.30)....................... 152
Pegram and Peterson s
(1956)
Reconstruc¬
tion with a Free Full-Thickness Composite
Graft from the
Contralateral
Ear
......... 154
Helix Reconstruction without Auricular
Reduction
................................... 154
Superiorly Based
Postauricular
Transposition Flap (Fig.
10.33).......... 154
Preauricular Transposition Flap
(Fig.
1
0.34a-c)
........................... 154
Retroauricular Flap of Smith
(1917)
(FigS-lO^a-h)
......................... 156
Tube-Pedicled Flap
...................... 156
Tube-Pedicled Flap for the Superior Helix
(Fig.
10.37)...........................157
Tubed Bipedicle Flap for Defects of the
Superior and Middle Thirds
(Figs.
10.38
and
10.39)................... 158
Three-stage Reconstruction of a Defect of the
Middle Third with a Tube-Pedicled Flap
(Fig.
10.39)........................... 159
Converse and Brent s
(1977)
Reconstruction with a Preauricular
Tube-Pedicled Flap (Fig.
10.39)......... 159
Reconstruction with a Superiorly Based
Posterior Flap
......................... 160
Inferior Helix
.................................. 160
Partial Reconstruction of the Auricle
.......... 160
Upper-Third Auricular Defects
(Fig.
10.40)..................................... 160
Reconstruction with Auricular Reduction
.. 160
Wedge Excisions
...................... 160
Helical Sliding Flap of Antia and
Buch
(1967)
(Figs.
10.42
and
10.43).......... 160
Full-thickness Composite Grafts of the
Contralateral
Ear, as Described by
Pegram and Peterson
( 1956)........... 160
Reconstruction without Auricular
Reduction
..................................... 160
Reconstruction with a Costal or
Conchal
(see Fig.
10.48)
Cartilage Framework and
Skin Pocket
........................... 162
Reconstruction by Insertion of an
Expander
............................. 165
Crikelair s
(1956)
Reconstruction using an
Anterosuperiorly Based Posterior Flap
(Figs.
10.51
and
10.52)................. 165
Crikelair s Flap for Coverage of Large
Defect (Fig.
10.52)..................... 166
Harvesting a Skin Graft from the Thorax
(Fig.
10.53)........................... 166
Secondary Reconstruction Using
a Postau¬
ricular
Flap Pedicled on the Helix (Ombre-
danne
1931 )
(Fig.
10.54)............... 166
Partial Reconstruction with a
Temporoparietal
Fasciai
Flap (Fan Flap)
. 168
Middle-Third Auricular Defects
(Fig.
10.55)..................................... 168
Reconstruction with Auricular Reduction
.. 168
Reconstruction of the Middle and Lower
Thirds, as Described by
Templer et
al.
(1981) (Fig. 10.56).................... 168
Reconstruction without Auricular
Reduction:
.................................... 168
Recommended Methods of
Reconstruction
....................... 168
Retroauricular U-shaped Burow
Advancement Flap (Fig.
10.57)......... 168
Inferiorly and Superiorly Based
Transposition Flap of Scott and
Klaassen
(1992)
(Fig.
10.58)............ 170
Reconstruction with a Subcutaneous
Pocket or a U-shaped Advancement
Plasty
(Fig.
10.59)..................... 170
Reconstruction with a Pocket as a
Tunneled Flap (Fig.
ІО.бОа
-h)
..........
170
Reconstruction with a Rotation Flap
(Fig.
10.61)........................... 170
Weerda s Rotation-Transposition Flap
.. 172
Posterior Auricular Flap Based on
Scar Tissue
........................... 173
Reconstruction with a Fan Flap
(Temporoparietal
Fasciai Flap)
(Fig.
10.62)........................... 173
Reconstruction with Tubed Flaps
....... 173
Lower-Third Auricular Defects (Fig.
10.63). 174
Contents
Recommended Methods
..................... 174
Superiorly and Inferiorly Based
Transposition Flap (Fig.
10.64)......... 174
Reconstruction of the Entire Lower
Auricle Using a Gavello Flap (Fig.
10.65) 174
Modified Gavello Flap (Fig.
10.66)...... 176
Reconstruction with a Modified
Gavello Bipedicled Flap (Fig.
10.67)..... 176
Reconstruction of the Earlobe (Fig.
10.68)___ 177
Traumatic Earlobe Cleft
...................... 178
Reconstruction without Preservation of the
Earring Perforation
........................... 178
Passow s Procedure (Fig.
10.70)........ 178
Reconstruction with Preservation of
the Earring Perforation
....................... 178
Pardue s
(1973)
Method of
Reconstruction (Fig.
10.71)............ 178
Defects of the Earlobe
........................ 180
Loss of the Earlobe
............................ 180
Gavello s Method of Earlobe Reconstruc¬
tion
(1907;
Figs.
10.65
and
10.66)...... 181
Posterior Defects
............................... 182
Postauricular defects (Fig.
10.75).......... 182
Small Flaps (Fig.
10.76
and
10.77)...... 182
U-Formed Advancement Flap
(Fig.
10.78)........................... 184
V-Y advancement (Fig. 10.79a, b)
....... 184
Closure of Defects Caused by
Skin Harvesting (Fig.
10.80)............ 184
Weerda s Bilobed Flaps
................ 184
Weerda s Rotation-Transposition Flap
(Fig.
10.81
a-f)
........................... 184
Weerda s Double Rotation Flap
(Fig.
10.81)........................... 185
Retroauricular Defects (Fig.
10.82)........... 185
Elliptical or W-shaped Excisions and
Primary Closure (Fig.
10.83)........... 185
Preauricular Transposition Flap
(Fig.
10.84)........................... 186
Coverage with Skin of the Postauricular
Surface and Rotation of the Cavum
..... 186
Combined Post- and Retroauricular
Defects (Fig.
10.85)............................ 186
Free Skin Grafts (Fig.
10.86)............ 186
Subtotal Defects
................................ 186
Special Reconstructive Techniques
.......... 186
Single-stage Reconstruction with
Weerda s Bilobed Flap as a Transposition-
Rotation Flap (Fig.
10.87)................ 186
Single-stage Reconstruction of the
Anterior Surface with a Bilobed Flap
(Fig.
10.88)............................... 187
Loss of the Auricle
.............................. 189
Fresh Avulsion Injuries
....................... 189
Microvascular Replantation
............ 189
Replantation of the Auricular Cartilage
. 189
Replantation by the Technique of
Mladick
et al.
(1971 )..................... 189
Auricular Replantation by the
Technique of
Baudet
( 1972 )
and
Arfai
(in
Spira
1974)
(Weerda
1980)
(Fig.
10.89) . 189
Auricular Reconstruction Following Total
Amputation (Figs.
10.90,10.91
.and
10.92;
Weerda 1983c,
1987,1997;
Weerda
and Siegert
1998)............................ 190
Reconstruction of the Ear or Auricular
Region in Patients with Skin Loss or Burns
(Fig.10.93)
.................................. 194
Fan Flap of Parietotemporal Fascia
(Fig.10.93)
............................... 196
Dressing the Ear (Fig.
10.95)............. 198
Removal of Sutures
...................... 198
Fine-Tailoring After Operations
......... 198
Forming the shape of the Helical
Crus,
Concha, Antitragus, and
Intertragic Notch
........................ 200
Reconstruction of Defects of the Auricular
Region after Partial or Total Amputation
(Figs.
10.99)................................. 200
Free Skin Graft (See Fig.
2.22,
p.
16)..... 201
Rotation Flap of the Neck (Fig.
10.101).. 202
Reconstruction with Rotation Flaps
(Fig.
10.101 )
and Double (Bilobed)
Flaps (Figs.
10.102
and
10.103).......... 202
Bone-Anchored Defect
Protheses
....... 202
Contents
XI
III Rib Cartilage, Myocutaneous and Free Flaps, and Microvascular Surgery
71
Rib Cartilage
................................ 207
Obtaining Rib Cartilage for Ear
Reconstruction (Fig.
11.1).................. 207
Operative Technique
.................. 208
Preparation of Cartilage Grafts
(
Fig.
11.2;
Nagatal994)
.................................... 208
Carving an Auricular Framework (Fig.
11.3) 208
Instruments
.......................... 208
12
Myocutaneous Island Flaps
................ 213
Pectoralis Major island Flap (Fig.
12.1 )........ 213
Latissimus
Dorsi
Island Flap (Fig.
12.2)....... 216
Neurovascular Infrahyoid Myofascial Flap of
Remmert
et al.
(1994) (Fig. 12.3)............... 216
13
Deltopectoral Flap
.......................... 219
74
Free Flaps
................................... 221
Radial Forearm Flap {Fig.
14.1 )................. 221
Allen Test
...................................... 223
Groin Flap (Fig.
14.2)........................... 225
Transplants Anastomosed Using a
Microvascular Technique
(Fig.
14.3
and
14.4)............................ 226
Microvascular Surgery
......................... 227
Instrumentation (Fig.
14.5)................. 227
Practicing for Microvascular Surgery
....... 227
Knot-Tying Practice Under a Microscope
or Binocular Loupe (Fig.
14.6-14.9)..... 228
Microvascular Anastomosis in an
Experimental Animal: Vascular
Dissection in the Rat (Fig.
14.10)........ 228
Problems and Complications
(Figs.
14.16-14.20)...................... 232
Test for Patency (Fig.
14.21 )............. 232
75
Harvesting Bone Craft from
the Iliac Crest (Figs.
75.
7-75.5J
............ 235
76
Harvesting Split
Calvarían
Bone Graft
(Fig.
16.1)................................... 239
7 7
Dermabrasion (Figs.
17.1)
241
References
...................................... 243
Further Reading
................................ 247
Index
............................................ 251
|
| any_adam_object | 1 |
| author | Weerda, Hilko 1937- |
| author_GND | (DE-588)172444659 |
| author_facet | Weerda, Hilko 1937- |
| author_role | aut |
| author_sort | Weerda, Hilko 1937- |
| author_variant | h w hw |
| building | Verbundindex |
| bvnumber | BV042552730 |
| classification_rvk | YI 7503 |
| ctrlnum | (OCoLC)899596751 (DE-599)DNB1046517023 |
| dewey-full | 617.520592 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 617 - Surgery & related medical specialties |
| dewey-raw | 617.520592 |
| dewey-search | 617.520592 |
| dewey-sort | 3617.520592 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| edition | 2nd, rev. and expanded ed. |
| format | Book |
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| genre | (DE-588)4143303-8 Atlas gnd-content |
| genre_facet | Atlas |
| id | DE-604.BV042552730 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T01:24:46Z |
| institution | BVB |
| isbn | 9783131296429 3131296429 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-027986591 |
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| physical | XVI, 257 S. zahlr. Ill. 28 cm |
| publishDate | 2015 |
| publishDateSearch | 2015 |
| publishDateSort | 2015 |
| publisher | Thieme |
| record_format | marc |
| spelling | Weerda, Hilko 1937- Verfasser (DE-588)172444659 aut Plastisch-rekonstruktive Chirurgie im Gesichtsbereich Reconstructive facial plastic surgery a problem-solving manual Hilko Weerda. [Ill.: orig. ill. by Katharina Schumacher] 2nd, rev. and expanded ed. Stuttgart ; New York, NY ; Delhi ; Rio Thieme 2015 XVI, 257 S. zahlr. Ill. 28 cm txt rdacontent n rdamedia nc rdacarrier Literaturangaben Operationstechnik (DE-588)4215428-5 gnd rswk-swf Gesichtschirurgie (DE-588)4020688-9 gnd rswk-swf Wiederherstellungschirurgie (DE-588)4065971-9 gnd rswk-swf Plastische Chirurgie (DE-588)4046280-8 gnd rswk-swf (DE-588)4143303-8 Atlas gnd-content Gesichtschirurgie (DE-588)4020688-9 s Plastische Chirurgie (DE-588)4046280-8 s Operationstechnik (DE-588)4215428-5 s DE-604 Wiederherstellungschirurgie (DE-588)4065971-9 s Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027986591&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Weerda, Hilko 1937- Reconstructive facial plastic surgery a problem-solving manual Operationstechnik (DE-588)4215428-5 gnd Gesichtschirurgie (DE-588)4020688-9 gnd Wiederherstellungschirurgie (DE-588)4065971-9 gnd Plastische Chirurgie (DE-588)4046280-8 gnd |
| subject_GND | (DE-588)4215428-5 (DE-588)4020688-9 (DE-588)4065971-9 (DE-588)4046280-8 (DE-588)4143303-8 |
| title | Reconstructive facial plastic surgery a problem-solving manual |
| title_alt | Plastisch-rekonstruktive Chirurgie im Gesichtsbereich |
| title_auth | Reconstructive facial plastic surgery a problem-solving manual |
| title_exact_search | Reconstructive facial plastic surgery a problem-solving manual |
| title_full | Reconstructive facial plastic surgery a problem-solving manual Hilko Weerda. [Ill.: orig. ill. by Katharina Schumacher] |
| title_fullStr | Reconstructive facial plastic surgery a problem-solving manual Hilko Weerda. [Ill.: orig. ill. by Katharina Schumacher] |
| title_full_unstemmed | Reconstructive facial plastic surgery a problem-solving manual Hilko Weerda. [Ill.: orig. ill. by Katharina Schumacher] |
| title_short | Reconstructive facial plastic surgery |
| title_sort | reconstructive facial plastic surgery a problem solving manual |
| title_sub | a problem-solving manual |
| topic | Operationstechnik (DE-588)4215428-5 gnd Gesichtschirurgie (DE-588)4020688-9 gnd Wiederherstellungschirurgie (DE-588)4065971-9 gnd Plastische Chirurgie (DE-588)4046280-8 gnd |
| topic_facet | Operationstechnik Gesichtschirurgie Wiederherstellungschirurgie Plastische Chirurgie Atlas |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027986591&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT weerdahilko plastischrekonstruktivechirurgieimgesichtsbereich AT weerdahilko reconstructivefacialplasticsurgeryaproblemsolvingmanual |