Innovations in Plastic and Aesthetic Surgery PDF
Preview Innovations in Plastic and Aesthetic Surgery
M.Eisenmann-Klein·C.Neuhann-Lorenz(Eds.) InnovationsinPlasticandAestheticSurgery M. Eisenmann-Klein · C. Neuhann-Lorenz (Eds.) Innovations in Plastic and Aesthetic Surgery With551Figuresin1192Parts MaritaEisenmann-Klein,M.D. GeneralSecretaryoftheInternationalConfederationforPlastic,Reconstructive andAestheticSurgery DirektorinderKlinikfürPlastischeundÄsthetischeHand-und WiederherstellungschirurgieamCaritas-KrankenhausSt.JosefinRegensburg LandshuterStraße65 93053Regensburg Germany ConstanceNeuhann-Lorenz,M.D. FachärztinfürChirurgie FachärztinfürPlastischeundÄsthetischeChirurgie PresidentIQUAM(InternationalCommitteeforQualityAssuranceandMedical DevicesinPlasticSurgery) Theatinerstraße1 80333München Germany ISBN978-3-540-46321-4 Springer-VerlagBerlinHeidelbergNewYork LibraryofCongressControlNumber:2007928734 Thisworkissubjecttocopyright.Allrightsarereserved,whetherthewholeorpartofthe materialisconcerned,specificallytherightsoftranslation,reprinting,reuseofillustrations, recitation,broadcasting,reproductiononmicrofilmorinanyotherway,andstorageindata banks.Duplicationofthispublicationorpartsthereofispermittedonlyundertheprovisions oftheGermanCopyrightLawofSeptember9,1965,initscurrentversion,andpermissionfor usemustalwaysbeobtainedfromSpringer-Verlag.Violationsareliableforprosecutionunder theGermanCopyrightLaw. SpringerisapartofSpringerScience+BusinessMedia http://www.springer.com ˇ Springer-VerlagBerlinHeidelberg2008 PrintedinGermany Theuseofgeneraldescriptivenames,registerednames,trademarks,etc.inthispublication doesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfrom therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Productliability:Thepublisherscannotguaranteetheaccuracyofanyinformationaboutthe applicationofoperativetechniquesandmedicationscontainedinthisbook.Ineveryindividual casetheusermustchecksuchinformationbyconsultingtherelevantliterature. Editor:GabrieleSchröder DeskEditor:EllenBlasig Copy-editing:WSEditorialLtd,Shrewsbury,UK ProductionEditor:JoachimW.Schmidt Coverdesign:eStudioCalamar,Spain Typesetting:FotoSatzPfeiferGmbH,D-82166Gräfelfing Printedonacid-freepaper–24/3150–543210 Preface PlasticSurgeryisthemostcovetedfieldamongmedicalstudentsallovertheworld. Cynicsmightconcludethatthisisduetotheattractionofaestheticsurgery,but theyarewrong. Studentsrealizeveryearly,thatplasticsurgeryhasmuchmoretooffer:wetreat babiesandoldpatients,fromheadtotoe,withavarietyofsophisticatedtechniques, withthechallengeofmicrosurgerytoppingthelist.Creativityisanintegralpartof ourdailywork. Weusethesetechniquestomakeindividualsregaintheirphysicalintegrity,weare thequality-of-lifespeciality. Onourwaytocompetenceinthisfieldweneedgreatexamples,weneedheroes. Andweareluckytohavesomanyofthem. Nootherfieldinmedicineisasmuchinternationallyorientedasplasticsurgery: inIPRAS96nationalplasticsurgerysocietiesarerepresented.Oneofthemainob- jectivesofIPRASistoincreasethenumberoftrainingsitesandsubsequentlythe numberoffullyandwelltrainedplasticsurgeonsworldwide. WithprideIcansay,thatplasticsurgeryisalsothefieldwiththehighestnumber ofphysiciansinvolvedinhumanitarianmissions.Thesemissionsnotonlyprovide free treatment for patients in need, they also serve the purpose of promoting the trainingofyoungplasticsurgeonsindevelopingcountries. Mostofthecontributorsofthisbookhavebeenandstillareinvolvedinthesemis- sions.Theyarededicatedtoteaching. Ratherthaninvitingthemtocontributeachaptertoatextbook,weaskedthemto share theirgreatestcontributionto thefuture of plasticsurgerywithus. We were thrilledwhenwefirstsawtheirarticles. Shareourenthusiasmandbeupfrontwithtechniqueswhicharelikelytorepre- senttomorrow’sstate-of-the-artinplasticsurgery. MaritaEisenmann-Klein Preface “ItisnowMondayandweareinthesecondweekofcreation”PeterSloterdijkjust recently stated in his prize award speech for innovative publication management. Nanotechnology,biotechnologyandgenetechnologyarerevolutionizingourscien- tificworldasmuchasoureverydaylife–comparableonlytothechangesattheturn- ingtowardstheindustrialageattheendofthe19thcentury. PlasticSurgery,oneoftheyoungestmono-specialtiesinmedicine,historicallyhas beeninnovativetoadrasticextentbyintroducingandaddingthetreatmentofexter- nalappearanceofmankindintomedicalsciencesofhealingpatientsofexclusively functionaldiseases.Asthequalityofresultsismoreobviousinplasticsurgerythan inothermedicalfieldsthesearchforconstantperfectiontogetherwithlessertrau- matictechniquesisinherentinourdailywork. Thisbookintendstoallowanuptodateoverviewofthelatestconsentedtech- niquesinPlasticandAestheticsurgery.Theinspiringsparkwasthe14thquadrenni- alInternationalCongressoftheInternationalConfederationforPlastic,Reconstruc- tiveandAestheticSurgery(IPRAS)2007Berlin,Germany.PlasticSurgeonsfromall overtheworldexchangedtheirexpertknowledge,innovativeideasandexperience. From all representative sections of our fascinating specialty we are grateful to have been able to include altogether 58 contributions from autografting and allo- graftslikefacetransplantationtoxenografts,frommicrosurgicaltechniquestolaser technology,fromstemcellresearchtobodyliftingrefinements.Thedifferentchap- tersarenotseparatedbyindicationsuchasreconstructiveoraestheticaseverysin- gletechniqueortherapyinPlasticSurgerybydefinitionwillneverbereconstructive withoutrespecttotheaestheticoutcomeandviceversa.Chapterorganisationhas beenintroducedaccordingtodifferenttechniquesoranatomicalunits. Scienceandprogresscannotexistwithoutinnovativeideasandtheircreators,but allinnovationsarebasedontheexperienceandestablishedknowledgeofourprede- cessors.Manypromisingnewfindingswillnotsurviveforeverorberejectedaftera whileoreveninnovatedbytheoriginalauthorsorothers.Manyoldtechniqueson theotherhandhaveneverbeenneglected:theever-citedIndianFlape.g.Thecoexis- tenceofboth:oldandnew–isthesecretofgoodscience. JohannWolfgangv.Goethe: „WirehrenfrohmitimmergleichemMute DasAltertumundjedesneueGute.“ „Withthesamecheerfulcouragewevalue everygoodthing,botholdandnew“ (translatedfromtheGerman) ConstanceNeuhann-Lorenz Contents I Introduction 1 RediscoveringtheWheel:UsingthePasttoInfluencetheFuture R.F.Mazzola..................................................... 3 2 FactorsthatInfluencethePlasticSurgeontoInnovateorAcceptorReject InnovationsofOthers R.M.Goldwyn ................................................... 11 II Research 3 TissueEngineeringandPlasticSurgery N.Pallua,A.Gröger ............................................. 17 4 TheBioengineeredOrganoidSkininPlasticandReconstructiveSurgery N.Scuderi,P.Mezzana ........................................... 24 5 MatrixFlaps–NewApproachestoFlapPrefabrication:ExperimentalData andFirstClinicalApplications R.E.Horch,E.Polykandriotis,A.Arkudas,J.Schipper,U.Kneser ... 29 6 LowLevelLaserTherapyandPhototherapyAssistedHydrogelDressing inWoundHealing:LightGuidedEpithelialStemCellBiomodulation JinWangKim,JoungOkLee....................................... 36 7 ArtificialNerveConduitsandtheRoleofAutologousHairFollicleStemCell DerivedSchwannCellsforRepairofLargePeripheralNerveGaps M.F.Meek,J.-P.A.Nicolai.......................................... 43 8 TherapeuticHealingofRadiolesionsbyAutologousLipoaspirateTransplant: AProcessMediatedbyAdipose-DerivedAdultStemCells G.Rigotti,A.Marchi,M.Galie`,G.Baroni,D.Benati,M.Krampera, A.Pasini,A.Sbarbati ............................................. 49 III Reconstruction 9 NeurotizationsinBrachialPlexusInjuries:NewApproaches C.Novelli,A.Gilbert,P.Raimondi ................................ 67 10 NerveReconstructionbyMeansofTubulization J.A.Lohmeyer,P.Mailänder ...................................... 78 11 RecentConclusionsRegardingtheReconstructiveMicrosurgery ofPeripheralNerves D.Dumitrescu-Ionescu........................................... 82 12 Long-termResultsAfterVascularizedJointTransferforFingerJoint Reconstruction A.K.Berger,R.Hierner .......................................... 95 X Contents 13 VersatilityoftheLateralArmFlap F.Haas,E.Scharnagl ........................................... 104 14 ThreeTricksforMicrovascularFibularGraftingofOsteonecrosis oftheFemoralHead H.Kuokkanen .................................................. 116 15 ApplicationofFlapsforCoverageofFootWoundswithTendonandBone ExposureBasedonaSubunitPrinciple Zun-LiShen,Wan-XingJia,Ming-ZhongHou,Xie-QingHuang, Yan-XianCai,LanWang,Yi-XiongHuang......................... 119 IV BasicTechniques 16 TheUseofFrogskinasaBiologicalDressingforTemporaryCover ofBurnWounds N.SartoPiccolo,M.SartoPiccolo,M.T.SartoPiccolo ........... 129 17 WoundBedPreparationbyHydrosurgery M.GonzalezRodriguezdeAzero,R.Vanwijck.................... 138 V TheFace 18 AdvancesinUnderstandingtheSurgicalAnatomyoftheFace B.C.Mendelson ................................................. 145 19 InPreparationforFacialTransplantation M.Siemionow,Y.Kulahci ........................................ 150 20 ReconstructionoftheHeadandNeckAreawithTissueExpanders E.Csorba ....................................................... 160 21 TheUtilityofBiomaterialsinReconstructiveFacialPlasticSurgery M.B.Habal ..................................................... 169 22 InnovativeTechniquesinNomaReconstructiveSurgery E.H.M.Hartman,P.A.VanDamme,S.H.H.Suominen ................ 177 23 AestheticandFunctionalInnovationsinJawReconstructionwithFree FibulaFlap G.DeSantis,M.Pinelli,F.Gargano,A.Baccarani ................ 193 24 AestheticsinCleftSecondaryTreatment M.Duskova ..................................................... 204 25 TheCorrectionoftheNasojugalGroove G.Botti,C.Botti,A.Cella,A.Gualdi ............................ 212 26 ContemporaryConceptsforCorrectionofNeckContourDeformities B.F.Connell .................................................... 221 27 EmbracingtheHighSMASforFacialRejuvenation B.A.Toth,D.S.Chang ............................................ 231 28 BarbedSuturesinAestheticFacialPlasticSurgery:Evolution ofThoughtandProcess M.D.Paul ....................................................... 235 29 ForeheadandMidfaceEndoscopicSurgery R.Graf,D.Pace,L.R.Araujo,R.CostaDamasio,R.Rippel, L.GracaNeto,T.Al-Yafi ........................................ 243 30 EndoscopyoftheForehead:ASimple,EffectiveandLastingProcedure J.I.delaTorre,L.O.Vasconez .................................... 253 Contents XI 31 BaldnessSurgery:MegasessionswithFollicularUnits C.O.Uebel ...................................................... 258 32 TheCantileverRibGraftinNasalReconstruction G.F.Shubailat .................................................. 274 33 NasalTipSurgeryinPrimaryRhinoplasty:MyTwoDifferentApproaches withtheClosedTechnique E.Muti ......................................................... 280 34 RefinementsinNasalTipSurgery K.P.Pshenisnov,G.I.Patlazhan................................... 296 VI TheBreast 35 BreastReconstructionwithDeepInferiorEpigastricFlap:StateoftheArt andPracticalAspects A.Mendonc˛aMunhoz,R.Gemperli,M.CastroFerreira........... 303 36 BackfromtheFuture:TheReappraisalofthePedicledTRAMFlap in“Standard”Patients P.Berrino,S.Cicchetti.......................................... 307 37 DecisionMakinginBreastReconstructionwithImplants inIrradiatedPatients:AnAlgorithm M.Scheflan,E.Gur,T.Friedman................................. 311 38 AdvancedOncoplasticBreastSurgery:EvolutionofSurgicalStrategies A.Mendonc˛aMunhoz,R.Gemperli,M.CastroFerreira........... 318 39 TheKnifeMarker M.Costagliola ................................................. 323 40 BreastReductionwithUltrasoundAssistedLipoplasty G.DiBenedetto,A.DiGiuseppe .................................. 326 41 VerticalMastopexy R.Graf,D.Pace,R.Rippel,R.C.Damasio,L.R.Araujo,L.G.Neto, T.Al-Yafi,T.Biggs .............................................. 334 42 InternalPedicleShapingtoImproveAestheticResultsinReduction Mammaplasty Y.S.Chun,D.H.Lalonde,J.W.May,Jr............................... 343 43 TheCrossedDermalFlapsTechniqueinBreastReduction R.delaPlaza,L.delaCruz ..................................... 350 44 SagittalReductionMammaplasty J.G.Poe¨ll ....................................................... 361 45 One-StagePeriareolarBreastAugmentationandMastopexyforTuberous BreastsandMildtoModerateHypoplasticandPtoticBreasts R.A.Moscona,L.Fodor .......................................... 371 46 Mastopexy/Augmentation L.FranklinElliott,P.E.Bergey.................................. 377 47 RefinementsinBreastAugmentation:HowtoObtainAesthetic andNaturalResults M.Garc´ıa-Velasco.............................................. 385 48 BreastAugmentation:ParticularPearlsfortheSubpectoralTechnique A.A.Mottura ................................................... 393 XII Contents 49 TransaxillarySubfascialBreastAugmentation:OptimizingOutcomes R.Gemperli,A.Mendonc˛aMunhoz............................... 401 50 SubfascialBreastAugmentation R.Graf,D.Pace,R.C.Damasio,R.Rippel,L.R.Araujo,L.G.Neto, T.Al-Yafi....................................................... 406 51 CohesiveBreastImplants:ASignificantDifference? B.Cunningham ................................................. 414 VII Liposuction 52 LiposuctioninArmLymphedemaTreatment H.Brorson ..................................................... 419 53 GlandularShaving:ANewTreatmentModalityforAxillaryHyperhidrosis H.Menke ....................................................... 429 54 LipomioplastywithVASER:ANewApproachtoBodyContouring E.BolivardeSouzaPinto,R.Federico,S.P.PessoadeMelo, L.Contin,R.PessoaMartellodeSouza .......................... 433 55 InnovationinPlasticandAestheticSurgeryLipoplasty M.Jewell....................................................... 443 VIIIAbdominoplastyandBodyLift 56 AdhesionStitchestoAvoidandtoTreatSeroma R.Baroudi,F.R.DeAlmeida...................................... 457 57 Lipoabdominoplasty R.Graf,D.Pace,L.G.Neto,L.R.Araujo,R.C.Damasio,R.Rippel, T.Al-Yafi....................................................... 473 58 LowerBodyLiftAfterMassiveWeightLoss:BeltLift E.Scharnagl,M.Wiedner,F.M.Haas ............................. 484 SubjectIndex ........................................................ 489
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