Flaps and Reconstructive Surgery

PART 1 PRINCIPLES

1 Problem Analysis in Reconstructive Surgery: Reconstructive Ladders, Elevators, and Surgical

2 Classification of Flaps, e1

3 Considerations in Flap Selection, 6

4 Emerging Technology in Reconstructive Surgery, e11

5 Prefabrication and Prelamination, 16

6 Tissue Engineering, e25

7 Percutaneous Aponeurotomy and Lipofilling (PALF): A Regenerative Alternative to the Flap, 28

8 Lymphedema: Microsurgical Reconstruction, 40

9 Robotic Applications in Plastic and Reconstructive Surgery, e36

PART 2 CLINICAL ANATOMY AND RECIPIENT VESSEL ANATOMY, SELECTION, AND EXPOSURE

10 Clinical Anatomy of the Head and Neck, and Recipient Vessel Selection, 61

11 Clinical Anatomy and Recipient Vessel Selection in the Chest, Abdomen, Groin, and Back, 75

12 Clinical Anatomy and Recipient Vessel Selection in the Upper Extremity, 89

13 Clinical Anatomy and Recipient Vessel Selection and Exposure in the Lower Extremity, 115

PART 3 RECONSTRUCTION

14 Head and Neck Reconstruction, 138

15 Facial Reanimation: Evolution and Refinements, 162

16 Breast Reconstruction, 183

17 Chest and Back Reconstruction, 203

18 Abdominal Wall Reconstruction, 218

19 Pelvic and Urogenital Reconstruction, e43

20 Upper Extremity Reconstruction, 227

21 Adult Brachial Plexus Injury (A-BPI) Reconstruction, 242

22 Lower Extremity Reconstruction, 255

23 Functional Muscle Transfers for Various Purposes, 275

SECTION A MICROSURGERY TECHNIQUES

24 Nerves, 295

25 Vessels, 310

SECTION B FLAP HANDLING AND TECHNICAL TIPS

26 Thinning and Tailoring, e62

27 Avoiding Complications, 323

28 Flap Re-exploration and Salvage, 333

SECTION C PRE AND POSTOPERATIVE MANAGEMENT

29 Postoperative Care, 348

30 Reconstructive Options Following Flap Failure, 357

PART 4 CONVENTIONAL WORKHORSE FLAPS SECTION A LOCAL AND FREE FLAPS IN THE HEAD AND NECK

31 Local Flaps in the Head and Neck: Forehead, FAMM, Submental, Nasolabial and Cervicofacial Flaps, 367

32 Temporoparietal Fascia Flap, e72

SECTION B LOCAL AND FREE FLAPS IN THE CHEST

33 Supraclavicular Artery Flap, 387

34 Pectoralis Major Flap, 396

35 Deltopectoral Flap and Internal Mammary Artery Perforator Flap, e87

SECTION C LOCAL AND FREE FLAPS IN THE ABDOMEN

36 Omentum, Superior Epigastric, and External/ Internal Oblique Flaps, e98

37 Rectus Abdominis Flap, 416

38 Jejunum Flap, e112

SECTION D LOCAL AND FREE FLAPS IN THE BACK

39 Trapezius Flap, e134

40 Scapular and Parascapular Flaps, 432

41 Latissimus Dorsi Flap, 446

SECTION E LOCAL AND FREE FLAPS IN THE PELVIS, GROIN, AND BUTTOCK

42 Iliac Flap, 464

43 Groin Flap and Superficial Circumflex Iliac Artery Perforator Flap, 478

44 Gluteus Flap, e157

SECTION F LOCAL AND FREE FLAPS IN THE UPPER EXTREMITY

45 Pedicled Flaps of the Hand, 491

46 Lateral Arm Flap, 511

47 Radial Forearm Flap, 525

SECTION G LOCAL AND FREE FLAPS IN THE LOWER EXTREMITY

48 Local Flaps in the Foot, 540

49 Gracilis Flap, 559

50 Gastrocnemius Flap, 570

51 Soleus Flap, 581

52 Fibula Flap, 596

53 Glabrous Skin Flaps, e176

54 Toe Flaps and Toe Transplantation, 613

55 Medial Femoral Condyle and Descending Genicular Artery Perforator Flaps, 636

PART 5 PERFORATOR-BASED WORKHORSE FLAPS

56 Perforator Flaps in the Lateral Thoracic Region, 648

57 Deep and Superficial Inferior Epigastric Artery Perforator Flaps, 668

58 Superior and Inferior Gluteal Artery Perforator Flaps, 687

59 Anterolateral and Anteromedial Thigh Flaps, 700

60 Tensor Fascia Lata Flap, e190

61 Posterior Tibial Artery Perforator Flap, 717

62 Free-style Flaps, 729

PART 6 RECONSTRUCTIVE TRANSPLANT SURGERY

63 Starting a Reconstructive Transplantation Program, e204

64 Face Transplantation, 739

65 Hand and Upper Extremity Transplantation, 754

66 Laryngeal, Abdominal Wall, and Uterus Transplantation, 770

67 Immunology and Research in Reconstructive Transplantation, e210

68 Peripheral Nerve Allotransplantation, 779