- Page 1: KEY NOTES ON Plastic Surgery ADRIAN
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- Page 7 and 8: Foreword I am particularly critical
- Page 9: Abbreviations ABPI ankle brachial p
- Page 13 and 14: 1 General principles Structure and
- Page 15 and 16: Collagen fibres STRUCTURE AND FUNCT
- Page 17 and 18: BLOOD SUPPLY TO THE SKIN 5 Vascular
- Page 19 and 20: Neural innervation BLOOD SUPPLY TO
- Page 21 and 22: CLASSIFICATION OF FLAPS 9 Circulati
- Page 23 and 24: CLASSIFICATION OF FLAPS 11 • Exam
- Page 25 and 26: GEOMETRY OF LOCAL FLAPS 13 • Borg
- Page 27 and 28: The five-flap plasty GEOMETRY OF LO
- Page 29 and 30: V-Y GEOMETRY OF LOCAL FLAPS 17 •
- Page 31 and 32: The rhomboid flap The rhomboid flap
- Page 33 and 34: WOUND HEALING AND SKIN GRAFTS 21 Wo
- Page 35 and 36: Collagen WOUND HEALING AND SKIN GRA
- Page 37 and 38: WOUND HEALING AND SKIN GRAFTS 25
- Page 39 and 40: WOUND HEALING AND SKIN GRAFTS 27
- Page 41 and 42: • Cortical bone consists of: BONE
- Page 43 and 44: Intrinsic graft factors NERVE HEALI
- Page 45 and 46: • First-degree injury NERVE HEALI
- Page 47 and 48: TENDON HEALING 35 • Graft lengths
- Page 49 and 50: Inflammation TENDON HEALING 37 •
- Page 51 and 52: Active flexion • This results in
- Page 53 and 54: ALLOPLASTIC IMPLANTATION 41 • Dis
- Page 55 and 56: ALLOPLASTIC IMPLANTATION 43 • It
- Page 57 and 58: Methylmethacrylate ALLOPLASTIC IMPL
- Page 59 and 60: SUTURES AND SUTURING 47 • They ar
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Intradermal skin suturing SUTURES A
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Polydioxanone TISSUE EXPANSION 51
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• In the vicinity of an immature
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FURTHER READING 55 Jackson IT. Loca
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Actinic keratosis BENIGN NON- PIGME
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BENIGN NON- PIGMENTED SKIN LESIONS
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BENIGN PIGMENTED SKIN LESIONS 61
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Junctional naevi BENIGN PIGMENTED S
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Naevus of Ito MALIGNANT NON- PIGMEN
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• Infiltrative MALIGNANT NON- PIG
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MALIGNANT MELANOMA 69 • These tum
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MALIGNANT MELANOMA 71 Clark’s lev
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MALIGNANT MELANOMA 73 • Excision
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Koops et al. • J Clin Oncol 1998;
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Deep sarcomas Presentation SARCOMA
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3 The head and neck Embryology, 79
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CRANIOFACIAL SURGERY 81 • The lat
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Cleft 4 • This is also known as t
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CRANIOFACIAL SURGERY 85 • The loc
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Apert’s syndrome CRANIOFACIAL SUR
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CRANIOFACIAL SURGERY 89 • Median
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Orbit CRANIOFACIAL SURGERY 91 • P
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3 Free-tissue transfer 4 Osteotomie
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CLEFT LIP 95 • Failure of mesench
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Schweckendiek technique CLEFT LIP 9
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• Advantages: • The technique i
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CLEFT PALATE 101 • The muscle bun
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• A: abnormal face • T: thymic
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CLEFT PALATE 105 • The muscle sli
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HEAD AND NECK CANCER 107 • N3: a
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Comprehensive neck dissection HEAD
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• Of these, the complications may
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• Larynx • Trachea and upper br
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Mucoepidermoid carcinoma HEAD AND N
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HEAD AND NECK CANCER 117 • The co
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Treatment HEAD AND NECK CANCER 119
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HEAD AND NECK CANCER 121 • Bony r
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FACIAL FRACTURES AND SOFT- TISSUE I
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FACIAL FRACTURES AND SOFT- TISSUE I
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• Malocclusion FACIAL FRACTURES A
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FACIAL FRACTURES AND SOFT- TISSUE I
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• CT scanning FACIAL FRACTURES AN
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FACIAL FRACTURES AND SOFT- TISSUE I
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FACIAL FRACTURES AND SOFT- TISSUE I
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FACIAL FRACTURES AND SOFT- TISSUE I
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OCULOPLASTIC SURGERY 139 • The up
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OCULOPLASTIC SURGERY 141 Alternativ
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OCULOPLASTIC SURGERY 143 Excision o
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• They occur in: • Patients wit
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5 Cervical branch FACIAL PALSY 147
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FACIAL PALSY 149 • A strip of spe
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• Nerve transfers FACIAL PALSY 15
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ABNORMALITIES OF THE EAR 153 • Th
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ABNORMALITIES OF THE EAR 155 • Th
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ABNORMALITIES OF THE EAR 157 Specif
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VASCULAR ABNORMALITIES 159 • The
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Non-invasive treatments VASCULAR AB
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VASCULAR ABNORMALITIES 163 • They
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• It is associated with: • Meni
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FURTHER READING 167 Spauwen PH, Goo
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BREAST REDUCTION 169 • The anteri
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• This technique has the followin
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• Herniation of the NAC • Stret
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Excisional techniques BREAST AUGMEN
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BREAST AUGMENTATION 177 • This te
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• Non-invasive tumours • Ductal
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Surgical treatment BREAST CANCER 18
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BREAST RECONSTRUCTION 183 • Lesio
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BREAST RECONSTRUCTION 185 • Varia
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Superior gluteal perforator flaps B
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CHEST WALL RECONSTRUCTING 189 • E
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FURTHER READING 191 Pectoralis majo
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Embryology 5 The upper limb Embryol
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1 Failure of formation • Transver
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CONGENITAL DEFORMITIES 197 Classifi
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CONGENITAL DEFORMITIES 199 • Ulna
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Camptodactyly CONGENITAL DEFORMITIE
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CONGENITAL DEFORMITIES 203 • Clin
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• Type 2: duplicated distal phala
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• Microvascular free joint or bon
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• Abnormalities of the scalene mu
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NERVE COMPRESSION 211 • Tinel’s
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NERVE COMPRESSION 213 1 Neurolysis
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• Sensory signs include: • A po
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TENDON TRANSFERS 217 Symptoms Pain
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• The ideal tension varies betwee
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DUPUYTREN’ S DISEASE 221 • ECRB
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3 The lateral digital sheet 4 Grays
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Fat • Lipoma • Angiolipoma •
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Carpometacarpal boss TUMOURS 227
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TUMOURS 229 Giant cell tumours of t
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• Pseudogout • Systemic lupus e
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1 Proliferationasynovial swelling a
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• Findings on examination include
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ARTHRITIS 237 • The resultant imb
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Chronic tophaceous gout HAND INFECT
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4 Pain on passive extension. HAND I
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6 The lower limb Leg ulcers, 243 Lo
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• It is normally in the region of
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Mangled extremity severity score LO
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LOWER- LIMB TRAUMA 249 4 This fasci
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The lymphatic system Anatomy LYMPHO
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2Infection LYMPHOEDEMA 253 • The
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LYMPHOEDEMA 255 • Phase twoaconse
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4 Heel 5 Malleolus 6 Occiput. PRESS
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• Pressure dispersion PRESSURE SO
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FURTHER READING 261 Eshima I, Mathe
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Embryology of the sexual organs Int
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HYPOSPADIAS 265 • The tunica albu
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HYPOSPADIAS 267 The Mathieu procedu
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• The dorsal surface of the penis
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VAGINAL AGENESIS 271 • Patients w
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Thermal burns 8 Burns Thermal burns
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• A high respiratory rate • Con
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THERMAL BURNS 277 • Adults with b
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THERMAL BURNS 279 • Full-thicknes
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6Disability CHEMICAL BURNS 281 •
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FURTHER READING 283 • Lightning s
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PATHOPHYSIOLOGY OF VESSEL HEALING 2
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TECHNIQUE 287 Equipment Successful
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POST- OPERATIVE MANAGEMENT 289 Post
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FURTHER READING 291 Further reading
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BLEPHAROPLASTY 293 • This is asse
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BLEPHAROPLASTY 295 • The fat pads
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The greater auricular nerve • Thi
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Rhinoplasty Anatomy Skeleton The sk
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Techniques RHINOPLASTY 301 • Some
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• Sutures can be placed: LIPOSUCT
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FURTHER READING 305 Hamra ST. The d
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308 INDEX breast (cont.) screening
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310 INDEX interpolation flaps—19
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312 INDEX skin grafts—26-8 follow