{"title":"Nail Bed Injury","authors":"Gennaya L. Mattison, Amber R. Leis","doi":"10.1093/MED/9780190499075.003.0090","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0090","url":null,"abstract":"This chapter provides a summary of nailbed injuries and outlines reconstructive algorithms and options for repair. Fingertip injuries, which are often associated with nail bed damage, are one of the most common injuries to the upper extremity. Successful treatment of such injuries requires an understanding of the anatomy, function, injury extent, and mechanism, as well as of the techniques available for reconstruction. Surgical judgment also comes into play, incorporating factors such as medical history, occupation, age, hand dominance, and expected outcome for the degree of damage.\u0000The authors provide tips for efficient set up and management of fingertip and nailbed injuries in the emergency room.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78328002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cranial Bone Grafting","authors":"R. Vyas","doi":"10.1093/MED/9780190499075.003.0008","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0008","url":null,"abstract":"This chapter provides a summary of calvarial bone graft utilization and technique. The authors provide a brief review of the anatomy, graft type selection, and procedural steps. The needs of the recipient site dominate decision-making regarding the calvarial graft. These needs include structural integrity, size, shape, and fixation of the graft. Autogenous calvarial grafting is a valuable technique for any surgeon working in craniofacial surgery. With proper consideration of recipient site needs and harvest technique, autogenous calvarial grafting is a useful procedure with benefits outweighing the inherent surgical risks. Also discussed is virtual surgical planning (VSP), which has contributed an additional option for calvarial defect reconstruction by broadening the treatment options to include custom three-dimensional printed polyether ether ketone (PEEK) inlays.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75032781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metacarpal and Phalangeal Fractures","authors":"D. Netscher, Kristy L. Hamilton","doi":"10.1093/MED/9780190499075.003.0102","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0102","url":null,"abstract":"Phalangeal and metacarpal fractures are the most common fractures in the hand and wrist. Selecting the most appropriate treatment is guided by a thorough physical examination and history-taking, followed by indicated radiographic views. Nondisplaced fractures are splinted, while displaced but stable fractures are usually treated with closed reduction and immobilization. Unstable fractures or more complex injuries often require open reduction and fixation via a number of surgical options. The surgical techniques and tools necessary for each individual fracture pattern are thoroughly outlined by the authors, as is the associated postoperative care and rehabilitation.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"190 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80719016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modified and Radical Neck Surgery","authors":"E. Luce","doi":"10.1093/MED/9780190499075.003.0036","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0036","url":null,"abstract":"The multiple anatomic structures of the neck are encased in a relatively small region. In turn, radical neck operation is designed as an extirpative procedure directed toward removal of lymph nodes potentially involved by metastases. The operation follows distinct anatomical boundaries, with each unit or compartment dissected with preservation of the important structures contained within. The purpose of this chapter is to illustrate the technique of a standard “classical” radical neck dissection with an emphasis on unit, or compartmental, approaches to the dissection, including an outline of the important anatomic structures of each compartment.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79186685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gracilis Flap for Vaginal Reconstruction","authors":"N. Barton, G. Evans","doi":"10.1093/MED/9780190499075.003.0082","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0082","url":null,"abstract":"Reconstruction of the vagina is performed for patients undergoing abdominoperineal resection, pelvic exenteration for cancer involving the cervix, vagina, or rectum, and other causes of acquired pelvic defects. Immediate reconstruction after partial or total vaginal resection facilitates primary healing of the perineal defect, decreases fluid loss from the pelvis, reduces infection rate, and decreases nutritional demands. The gracilis flap is one of the most commonly used flaps for reconstruction of these challenging pelvic defects because it is versatile, has minimal donor side morbidity, and often lies outside the field of radiation. This chapter provides a detailed account of patient assessment and operative techniques.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83128156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Browlift","authors":"M. Krugman","doi":"10.1093/med/9780190499075.003.0024","DOIUrl":"https://doi.org/10.1093/med/9780190499075.003.0024","url":null,"abstract":"Twenty five years ago, the options for browlifting were limited. With the advent of endoscopic plastic surgery, a variety of endoscopic procedures with muscle modifications were made possible. More recently, trans-blepharoplasty approaches with brow-pexy became available, giving the surgeon a variety of approaches to treat the many variations of brow ptosis. In the past 20 years, there have been a number of new procedures developed as well as variations on existing procedures and techniques to alter the brow. In this chapter, the author describes two techniques in depth: the coronal and endoscopic lifts. Other methods will be summarized with annotated references for the reader who wishes to explore further.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87880662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latissimus Dorsi Flap for Leg Reconstruction","authors":"M. Dobke, G. A. Mackert","doi":"10.1093/MED/9780190499075.003.0087","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0087","url":null,"abstract":"Variants of the latissimus dorsi flap are quite versatile and offer multiple reconstructive options for creative surgeons. The latissimus dorsi flap may be raised as a muscle flap or together with the overlying skin as a musculocutaneous unit. Apart from its use as a pedicled flap or for microvascular free flap transfer, the latissimus dorsi can be raised with portions of ribs and may include the serratus anterior muscle. Different customized chimeric (muscle and perforator flap) or perforator flap techniques find application for repair difficult with large three-dimensional defects or when large and thin, skin-only tissue is needed, respectively. Different designs of the flap, dissection techniques, and flap variant applications in the context of a systematic approach to reconstructive problems are described.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87234700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palmar Fasciectomy and Fasciotomy for Dupuytren Disease","authors":"S. P. Johnson, K. Chung","doi":"10.1093/MED/9780190499075.003.0097","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0097","url":null,"abstract":"Dupuytren disease is a connective tissue disorder of the palmodigital fascia that most commonly afflicts middle-aged males. Although the etiology is unknown, this fibroproliferative disorder results in the formation of nodules and cords that result in joint contractures that inhibit hand function. Minimally invasive treatment options include needle fasciotomy and collagenase injections to separate offending Dupuytren cords. If the latter are ineffective, open fasciotomy or fasciectomy is indicated. Dupuytren disease can be aggressive and therefore treatment success is predicated on an understanding of the pathophysiology and a thoughtful surgical approach.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87506873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flexor Tendon Repair","authors":"M. Neumeister, B. Wilhelmi","doi":"10.1016/B978-0-7216-0000-0.50074-8","DOIUrl":"https://doi.org/10.1016/B978-0-7216-0000-0.50074-8","url":null,"abstract":"","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80360975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic Techniques of Fat Grafting","authors":"Shaili Gal, L. Q. Pu","doi":"10.1093/MED/9780190499075.003.0016","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0016","url":null,"abstract":"In this chapter, the authors describe a standardized approach to fat grafting based on available scientific studies to obtain the best results for patients. Assessment of the defect and choosing the appropriate fat graft method is essential to achieving the desired result for different patients’ needs. Thus, fat grafting can be classified into small, large, and mega-volume fat grafting for an individualized approach. Once the indication for fat grafting is identified, the fat grafting technique can then be chosen based on the defect or contour deformity. Operative technique is detailed in terms of proper selection of donor site, proper harvest and processing of fat based on the fat grafting method chosen, along with proper placement of fat grafts and postoperative care.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83189334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}