Rui Fernandes – Local and Regional Flaps in Head and Neck Reconstruction (2015)

Автор: Rui Fernandes
Название книги: Local and Regional Flaps in Head and Neck Reconstruction
Формат: PDF
Жанр: Пластическая хирургия
Страницы: 263
Качество: Изначально компьютерное, E-book

“Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach “provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation.”Local and Regional Flaps in Head & Neck Reconstruction “is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed.Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike
As a collector of medical books, I have found that the
current emphasis of most texts on head and neck reconstructive
surgery is on microvascular surgery. The impact
of free tissue transfer on the surgeon’s ability to repair
difficult defects has been revolutionary, to say the least.
For this reason, it is certainly tempting to focus our
thought process chiefly on microsurgery for head and
neck reconstruction. However, my own practice, travels,
and experience have given me a greater appreciation
for the relevance of regional pedicle flaps, and I
believe that they play a bigger role in the practice of head
and neck reconstruction than most surgeons give them
credit for.
In planning for this project, I evaluated the merits
of a textbook devoted entirely to local and regional
flaps. When well planned and executed, these flaps
often yield better results than those attained with microsurgery,
offering patients better color, texture, and thickness
matches by replacing like with like tissue. Local and
regional flaps have great resource-sparing potential for
the healthcare system in terms instrumentation and clinical
resources, and offer a lower cost to the patient. Use
of these flaps also provides more options for reconstruction
for sicker patients who may not be well suited for the
rigors of microsurgery.
In this book, I have sought to provide an “how to”
approach for surgeons with and without specialized
training in head and neck reconstruction. I have included
my own clinical photos instead of sketches to demonstrate
how useful local and regional flaps are in my own
practice. Whenever beneficial, I have included videos to
demonstrate the described techniques. My hope is that
the reader, especially our younger colleagues who have
grown up in the era of microsurgery, will realize that
there is a definite role for regional and local flaps in head
and neck reconstruction.