Table Of Content

To access the additional media content available with this e-book via Thieme MedOne, please use the code and follow the instructions provided at the back of the e-book. Reconstructive Plastic Surgery An Atlas of Essential Procedures Robert X. Murphy Jr., MD, MS, CPE, FACS Professor of Surgery Morsani College of Medicine University of South Florida Tampa, Florida, USA; Program Director LVHN Residency in Plastic Surgery and Pool Chair of Community Health Lehigh Valley Health Network Allentown, Pennsylvania, USA Charles K. Herman, MD, MBA, FACS Plastic Surgeon Department of Surgery Lehigh Valley Hospital-Pocono Lehigh Valley Health Network East Stroudsburg, Pennsylvania, USA 1412 illustrations Thieme New York (cid:129) Stuttgart (cid:129) Delhi (cid:129) Rio de Janeiro Library of Congress Cataloging-in-Publication Data is available Importantnote:Medicineisanever-changingscienceundergo- fromthepublisher. ingcontinualdevelopment.Researchandclinicalexperienceare continuallyexpandingourknowledge,inparticularourknowl- edgeofpropertreatmentanddrugtherapy.Insofarasthisbook mentionsanydosageorapplication,readersmayrestassuredthat the authors, editors, and publishers have made every effort to ensurethatsuchreferencesareinaccordancewiththestateof knowledgeatthetimeofproductionofthebook. Nevertheless,thisdoesnotinvolve,imply,orexpressanyguarantee or responsibilityon the partof the publishers in respect to any dosageinstructionsandformsofapplicationsstatedinthebook. Everyuserisrequestedtoexaminecarefullythemanufacturers’ leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedulesmentionedthereinorthecontraindicationsstatedbythe manufacturers differ from the statements made in the present book.Suchexaminationisparticularlyimportantwithdrugsthat areeitherrarelyusedorhavebeennewlyreleasedonthemarket. Everydosagescheduleoreveryformofapplicationusedisentirely attheuser’sownriskandresponsibility.Theauthorsandpublishers requesteveryusertoreporttothepublishersanydiscrepanciesor inaccuraciesnoticed.Iferrorsinthisworkarefoundafterpubli- cation,erratawillbepostedatwww.thieme.comontheproduct descriptionpage. Some of the product names, patents, and registered designs referredtointhisbookareinfactregisteredtrademarksorpro- prietarynameseventhoughspecificreferencetothisfact isnot always made in the text. 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Any use, exploitation, or commercialization outside the ISBN978-1-62623-517-5 narrowlimitssetbycopyrightlegislation,withoutthepublisher’s consent,isillegalandliabletoprosecution.Thisappliesinpartic- Alsoavailableasane-book: ular tophotostatreproduction, copying,mimeographing,prepa- eISBN978-1-62623-518-2 rationofmicrofilms,andelectronicdataprocessingandstorage. HippocraticOath “IswearbyApolloPhysicianandAsclepiusandHygieiaandPanaceiaandallthegodsandgoddesses,makingthemmy witnesses,thatIwillfulfillaccordingtomyabilityandjudgmentthisoathandthiscovenant: Toholdhimwhohastaughtmethisartasequaltomyparentsandtolivemylifeinpartnershipwithhim…andtoregard hisoffspringasequaltomybrothers…andtoteachthemthisart—iftheydesiretolearnit….” Theeditorsdedicatethisbooktotheirprofessorswhosharedwiththemthisart—wetrulydostandupontheshouldersof giants!—andtothemedicalstudents,residents,andfacultywhomtheyhavehadtheprivilegeoftraining. Thedesiretoprovideanaccessibleyetcomprehensiveproceduralguideforstudents,residents,andearlycareerplastic surgeonswastheimpetusbehindthisproject.Wehopethattheyderiveasmuchvaluefromutilizingitintheircareof patientsaswehavehadincraftingit. Contents Videos ............................................................................................... xii Foreword............................................................................................. xiv Preface................................................................................................. xv Acknowledgments................................................................................... xvi Contributors ........................................................................................ xvii SectionI HeadandNeck SubsectionIA CongenitalDefects ....................................................................... 1 1. Primary/SecondaryCleftPalateRepair .............................................................. 2 ThomasD.Samson 2. CleftLipandNoseRepair ............................................................................. 6 JonathanYunLeeandJosephE.Losee 3. VelopharyngealInsufficiency........................................................................ 11 MimisCohenandEllynMcNamara 4. VelopharyngealInsufficiency:Pharyngoplasty..................................................... 15 HusainAlQattan,LeelaS.Mundra,LiannCasey,andSethR.Thaller 5. CleftLipNasalDeformityRepair .................................................................... 19 JohnM.RobertsandDonaldR.Mackay 6. SyndromicandNonsyndromicCraniosynostosis:Surgeryof theVault.......................... 23 LucieLessard 7. EarReconstruction ................................................................................... 30 DavidLeshemandSivanZissman 8. Otoplasty.............................................................................................. 35 GuillermoEcheverria SubsectionIB FunctionalRhinoplasty.................................................................. 41 9. OpenRhinoplasty..................................................................................... 42 StefaniadeFazio 10. ClosedRhinoplastyTechniques...................................................................... 46 JulioDanielKirschbaumFridman vi Contents SubsectionIC Neoplasms................................................................................ 51 11. TreatmentofSkinCanceroftheHeadandNeck................................................... 52 RogerioI.NevesandMorganBrgoch 12. ReconstructionafterNeoplasmResectionwithRegionalFlaps .................................. 65 RachelGeorgopoulos,ChristopherEdwardFundakowski,andSameerA.Patel 13. ReconstructionafterHeadandNeckNeoplasmResectionwithFreeFlaps...................... 72 CindySiawLinGoh,MichaelKuHungHsieh,andTerenceLinHonGoh 14. LipReconstruction.................................................................................... 84 WilliamY.Hoffman 15. EyelidReconstruction ................................................................................ 86 KarenKaplan,WroodKassira,SethR.Thaller,andChrisfouadR.Alabiad 16. NasalReconstruction................................................................................. 90 BharatRanganath,M.ShujaShafqat,RandolphWojcikJr.,andChetanSatishNayak 17. CheekReconstruction.............................................................................. 101 M.ShujaShafqat,BharatRanganath,andChetanSatishNayak SubsectionID Trauma ................................................................................. 109 18. MandibleReconstruction .......................................................................... 110 JasonYoo 19. UpperMidfaceTrauma............................................................................. 116 KantY.K.Lin,AnthonyJ.Archual,andSarahA.Cazorla 20. NasalFracture....................................................................................... 120 AmrRedaMabrouk 21. TreatmentofOrbitalWallFractures .............................................................. 125 Jong-WooChoiandWooshikJeong 22. FacialParalysis...................................................................................... 131 EyalGurandDanielJosefKedar SectionII Breast SubsectionIIA Macromastia .......................................................................... 141 23. BreastReductionintheFemalePatient:GeneralConsiderations .............................. 142 RodneyCooter vii Contents 24. WisePattern,InferiorPedicleReductionMammoplasty........................................ 145 RodneyCooter 25. VerticalScarReductionMammoplasty ........................................................... 148 RodneyCooter 26. ReductionoftheMaleandTransmaleBreast .................................................... 151 PaulR.Weiss SubsectionIIB AbsentBreast.......................................................................... 159 27. BreastReconstruction—GeneralConsiderations................................................. 160 MelissaMueller,EmilyGraceClark,andGregoryR.D.Evans 28. BreastReconstructionwithImplantsorTissueExpanders...................................... 164 MelissaMueller,EmilyGraceClark,andGregoryR.D.Evans 29. BreastReconstructionwithPedicledLatissimusDorsiFlap..................................... 168 LoganW.CarrandJohnD.Potochny 30. BreastReconstructionwithPedicledTransverseRectusAbdominisFlap...................... 172 StevenM.SultanandMarkR.Sultan 31. BreastReconstructionwithFreeTransverseRectusAbdominisMuscleFlap.................. 175 RodneyCooter 32. BreastReconstructionwithFreePerforatorFlaps ............................................... 181 EdwardI.Chang 33. SecondaryProceduresoftheReconstructedBreast............................................. 186 SameerA.Patel,MarilynNg,andDouglasS.Wagner SubsectionIIC OtherDeformitiesofBreast.......................................................... 193 34. TuberousBreastDeformity........................................................................ 194 DavidA.Sterling,MichaelGrimaldi,andCharlesK.Herman 35. Poland’sSyndrome................................................................................. 198 IanC.SandoandPaulS.Cederna SubsectionIID Trunk................................................................................... 201 36. TreatmentofPressureUlcers...................................................................... 202 MamthaS.RajandRobertX.MurphyJr. 37. TreatmentofPressureUlcerswithFlaps.......................................................... 205 HyunsukPeterSuhandJoonPioHong viii