Forehead reconstructionn
•Download as PPTX, PDF•
12 likes•7,723 views
This document discusses various techniques for reconstructing the forehead after trauma or tumor removal. It outlines the goals of forehead reconstruction as providing stable, non-hair bearing tissue of similar color while maintaining eyebrow position and shape. Reconstruction options include direct closure, closure by secondary intention, skin grafting, local flaps, distant flaps, tissue expansion, and free flaps. Specific techniques described include H-flaps, Worthen flaps, A-T flaps, transposition flaps, scalp expansile flaps, trapezius myocutaneous flaps, tissue expansion, and microvascular free flaps.
Report
Share
Report
Share
Recommended
Local flaps
The document discusses various types of local flaps used in head and neck reconstruction. Local flaps involve moving tissue from one site to another to repair defects. There are several types of local flaps classified based on how the tissue moves (advancement, pivotal, interpolation) and what tissues are included (skin, muscle, fat). Common examples used to repair facial defects include buccal fat pad flaps, tongue flaps, and various types of advancement and pivotal flaps. Proper planning and design of local flaps is necessary to close wounds and defects with adequate tissue while avoiding dog ears or tension.
lip reconstruction
Lips are vital structures that provide visual contact, convey emotions, and enable speech and ingestion. Reconstruction of lip defects aims to preserve sensation and oral competence while achieving a satisfactory appearance. Small vermilion defects can be closed primarily or with V-Y flaps, while larger defects require mucosal flaps, wedge excisions, or occasionally distant flaps. Proper alignment of anatomical structures like the vermilion border is important.
Lip splitting incisions
The document discusses different incision techniques for lip splitting surgeries. It describes various incisions used for lower and upper lip splitting, including the Roux-Trotter, McGregor, Robson, Bhatt, Hayter, Rassekh, Weber-Ferguson, and Altemir incisions. It emphasizes that incisions should follow relaxed skin tension lines to minimize scarring, protect important structures like nerves and vessels, and allow for adequate exposure while achieving good functional and cosmetic outcomes. The Hayter incision, which incorporates a chevron shape into the vermilion border, is highlighted as one of the best techniques.
scope of Pedicled flaps in oral and maxillofacial surgery
The document discusses various types of pedicled flaps that can be used to reconstruct orofacial defects. It begins by classifying flaps based on their blood supply and proximity to the defect. It then describes several commonly used pedicled flaps for the orofacial region, including the deltopectoral flap, pectoralis major myocutaneous flap, forehead flap, temporalis muscle flap, and buccal fat pad flap. It discusses the advantages, disadvantages, indications, and surgical techniques for each flap.
Forehead defects reconstruction
The document discusses reconstruction of the forehead region. It notes that the main goals of forehead reconstruction are preservation of motor and sensory function, maintenance of normal boundaries including the brow and hairline, and optimal scar camouflage. It describes the anatomy and vasculature of the forehead and different reconstructive options including primary closure, skin grafts, and local skin flaps. Key considerations for different areas of the forehead are discussed, including use of advancement flaps for the paramedian region and potential for secondary intention healing in the temporal region.
Reconstructive surgery for head and neck cancer
Head and neck cancer reconstruction is arguably the
most challenging area of reconstruction for the reconstructive
surgeon. A clear understanding of the principles of use of local flaps and a comprehensive understanding of the anatomy of these flaps provides the head and neck surgeon with a plethora of local and regional options for primary and secondary reconstruction.
Lip reconstruction
Here are the key points about lips and their beauty:
- Full, plump lips are generally considered beautiful. The ideal lip shape is described as having well-defined cupid's bow and vermilion border, with upper lip slightly fuller than the lower lip.
- There are three natural lip shapes: thin lips have little definition, full lips are protruding with color, heart-shaped lips are full at the center but taper at the corners.
- Beautiful natural lips have a smooth texture, well-defined shape, and natural color from circulation and pigmentation and are free of scarring or discoloration. Subtle lip liner can enhance natural fullness.
- Procedures like fillers can temporarily
Nose reconstruction
This document provides information on nose anatomy, blood supply, nerve supply, history of nose reconstruction, principles of aesthetic nasal reconstruction, approaches to reconstruction, aesthetic subunits of the nose, analysis of defects, goals of reconstruction, options for surface defect repair including skin grafts and local flaps, intranasal lining reconstruction using mucosal flaps, sources of nasal support grafts including cartilage, and skin grafting techniques for nasal cover reconstruction.
Recommended
Local flaps
The document discusses various types of local flaps used in head and neck reconstruction. Local flaps involve moving tissue from one site to another to repair defects. There are several types of local flaps classified based on how the tissue moves (advancement, pivotal, interpolation) and what tissues are included (skin, muscle, fat). Common examples used to repair facial defects include buccal fat pad flaps, tongue flaps, and various types of advancement and pivotal flaps. Proper planning and design of local flaps is necessary to close wounds and defects with adequate tissue while avoiding dog ears or tension.
lip reconstruction
Lips are vital structures that provide visual contact, convey emotions, and enable speech and ingestion. Reconstruction of lip defects aims to preserve sensation and oral competence while achieving a satisfactory appearance. Small vermilion defects can be closed primarily or with V-Y flaps, while larger defects require mucosal flaps, wedge excisions, or occasionally distant flaps. Proper alignment of anatomical structures like the vermilion border is important.
Lip splitting incisions
The document discusses different incision techniques for lip splitting surgeries. It describes various incisions used for lower and upper lip splitting, including the Roux-Trotter, McGregor, Robson, Bhatt, Hayter, Rassekh, Weber-Ferguson, and Altemir incisions. It emphasizes that incisions should follow relaxed skin tension lines to minimize scarring, protect important structures like nerves and vessels, and allow for adequate exposure while achieving good functional and cosmetic outcomes. The Hayter incision, which incorporates a chevron shape into the vermilion border, is highlighted as one of the best techniques.
scope of Pedicled flaps in oral and maxillofacial surgery
The document discusses various types of pedicled flaps that can be used to reconstruct orofacial defects. It begins by classifying flaps based on their blood supply and proximity to the defect. It then describes several commonly used pedicled flaps for the orofacial region, including the deltopectoral flap, pectoralis major myocutaneous flap, forehead flap, temporalis muscle flap, and buccal fat pad flap. It discusses the advantages, disadvantages, indications, and surgical techniques for each flap.
Forehead defects reconstruction
The document discusses reconstruction of the forehead region. It notes that the main goals of forehead reconstruction are preservation of motor and sensory function, maintenance of normal boundaries including the brow and hairline, and optimal scar camouflage. It describes the anatomy and vasculature of the forehead and different reconstructive options including primary closure, skin grafts, and local skin flaps. Key considerations for different areas of the forehead are discussed, including use of advancement flaps for the paramedian region and potential for secondary intention healing in the temporal region.
Reconstructive surgery for head and neck cancer
Head and neck cancer reconstruction is arguably the
most challenging area of reconstruction for the reconstructive
surgeon. A clear understanding of the principles of use of local flaps and a comprehensive understanding of the anatomy of these flaps provides the head and neck surgeon with a plethora of local and regional options for primary and secondary reconstruction.
Lip reconstruction
Here are the key points about lips and their beauty:
- Full, plump lips are generally considered beautiful. The ideal lip shape is described as having well-defined cupid's bow and vermilion border, with upper lip slightly fuller than the lower lip.
- There are three natural lip shapes: thin lips have little definition, full lips are protruding with color, heart-shaped lips are full at the center but taper at the corners.
- Beautiful natural lips have a smooth texture, well-defined shape, and natural color from circulation and pigmentation and are free of scarring or discoloration. Subtle lip liner can enhance natural fullness.
- Procedures like fillers can temporarily
Nose reconstruction
This document provides information on nose anatomy, blood supply, nerve supply, history of nose reconstruction, principles of aesthetic nasal reconstruction, approaches to reconstruction, aesthetic subunits of the nose, analysis of defects, goals of reconstruction, options for surface defect repair including skin grafts and local flaps, intranasal lining reconstruction using mucosal flaps, sources of nasal support grafts including cartilage, and skin grafting techniques for nasal cover reconstruction.
Forehead flap
The forehead flap is a versatile flap used for reconstructing various facial defects. It has reliable blood supply from branches of the superficial temporal artery. The flap can be raised in different planes and tunneled to reach intraoral defects. It is commonly used in a two-stage procedure for nasal reconstruction, where the flap is first transferred to the defect and then the pedicle is divided later. Pre-expansion of the donor site can increase the available skin but comes with disadvantages like delaying the repair.
Nasolabial flap final
The nasolabial flap is used to reconstruct defects of the nose, lower eyelid, cheek, lip, oral commissure and anterior oral cavity. It has a reliable blood supply from the facial and angular arteries. The flap can be raised in a superior or inferior direction and is outlined along the nasolabial fold. The technique involves raising the flap in a supra-muscular plane and transferring it to the defect site through a transoral tunnel. Advantages are a concealed donor site scar and good color and texture match. Complications include infection, necrosis and asymmetry.
Forehead flap
This document discusses the forehead flap procedure. It provides background on the history and anatomy of the forehead flap, which is based on the superficial temporal artery and its branches. The forehead flap can be used to reconstruct large defects in the nose, eyelids, cheeks, mouth, chin, and tongue. The technique involves outlining the flap based on the eyebrows and behind the ear. A tunnel is constructed to pass the flap to the defect site, either directly through the cheek or deep to the zygomatic arch. The donor site is closed primarily while the flap is monitored, with a second surgery needed to divide and close the bridge of the flap. Complications are rare given the rich blood supply but include infection, nerve injury, and
Radial Forearm Flap - Hand Surgery
The radial forearm flap is based on the radial artery and its venae comitantes. It can be harvested as a fasciocutaneous or osteocutaneous flap with a long vascular pedicle. The radial forearm flap is commonly used in reconstructive surgery due to its reliable vascular anatomy, long pedicle length allowing for versatile positioning, and ability to provide a hairless skin match. Potential donor site complications include functional impairment and need for skin grafting or local flaps.
Maxillary reconstruction ih
This document discusses reconstruction of the maxilla after tumor resection. It begins with anatomy of the maxilla and goals of reconstruction such as restoring facial contour and supporting soft tissues. Classification systems for maxillary defects are described including types based on extent of resection. Reconstruction options including local and regional flaps, microvascular free flaps, bone grafts and prosthetics are covered. The approach involves assessing the defect and critical structures to determine the best reconstruction method. Defect-specific reconstruction examples are provided.
Lower eyelid reconstruction
Lower eyelid reconstruction aims to re-establish a functional eyelid with adequate protection of the eyeball and reasonable cosmesis. Direct closure can be used for up to 30-40% defects in younger patients with eyelid laxity. The Hughes procedure uses a tarso-conjunctival flap to reconstruct large posterior lamella defects but requires a second stage for anterior lamella coverage. The Tenzel slide uses a semicircular musculocutaneous flap to reconstruct large anterior lamella defects but requires posterior lamella coverage. Free tarsal grafts can be used to replace the posterior lamella while the anterior lamella is covered with a myocutaneous advancement flap.
Local flaps in head & neack reconstruction
A flap is a unit of tissue transferred from one site to another while maintaining its own blood supply. Flaps are classified based on their location as local or distant. Local flaps can be random, which rely on subdermal vessels, or axial, relying on named vessels. Flaps are also classified based on their composition, such as skin, muscle, or bone flaps. When planning local flaps, goals include color and thickness match, sensory preservation, and minimal secondary defects. Common local flap techniques include advancement, rotation, and transposition flaps to close facial defects. Complications can be prevented through proper planning to avoid tension and including a flap margin.
Reconstruction of maxilla
This document summarizes reconstruction of the maxilla following maxillectomy. It describes the anatomy and goals of maxillary reconstruction. Maxillectomy defects are classified and reconstruction options are outlined, including prosthetic obturators, local and regional pedicled flaps, microvascular free flaps, bone grafts, and titanium mesh. Defect-specific reconstruction approaches are provided for different types of maxillectomy defects, such as palate defects, inferior maxillectomies, total maxillectomies with and without orbital exenteration, and orbitomaxillectomies.
Mandibular reconstruction
This document discusses various techniques for mandibular reconstruction after resection for tumors or injuries. The goals of reconstruction are to restore mandibular continuity, alveolar bone height, facial contours and function. Options include reconstruction plates, non-vascularized bone grafts for smaller defects, and microvascular free flaps for larger defects or those needing implant placement. The fibula and scapula flaps are commonly used, providing adequate bone stock. Proper classification of defect type and immediate versus delayed reconstruction must be considered to achieve optimal aesthetic and functional outcomes.
Micro vascular free flaps used in head and neck reconstruction /certified fi...
Micro vascular free flaps used in head and neck reconstruction /certified fi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.Local and regional flaps in head and neck reconstruction
Local and regional flaps are used for head and neck reconstruction. There are several types of flaps classified by blood supply, location, configuration, tissue content, and transfer method. Local flaps use adjacent tissue while regional flaps are near but not adjacent. Free flaps completely detach tissue and reconnect blood vessels microsurgically. Examples of local and regional flaps discussed are advancement, rotation, and transposition flaps as well as pedicled and free myocutaneous flaps.
Anterolateral thigh flap
The document summarizes the anterolateral thigh (ALT) flap, which has become a popular reconstructive option. It describes the history and indications of the ALT flap, including head and neck and extremity reconstruction. The key aspects of evaluating patients, raising the flap, and post-operative care and complications are covered. The advantages include a long vascular pedicle and ability to harvest a large skin paddle, while disadvantages include a bulky flap and potential donor site morbidity. Variations in anatomy are also discussed.
Nasalreconstructiongrandrounds043009
The document discusses various techniques for reconstructing nasal defects, including:
1) Local flaps like bilobed flaps are well-suited for small defects, while larger defects require recruitment of distant tissue like paramedian forehead or cheek flaps.
2) Adequate reconstruction of skin cover, structural support, and intranasal lining layers is crucial to prevent contracture and stenosis.
3) Cartilage grafts from septum or conchal shell are often used to recreate nasal structure and support reconstructed skin.
Rhinoplasty 2012
Rhinoplasty, also known as nose reshaping surgery, is performed by Dr. K.O. Paulose at Jubilee Hospital in Trivandrum, India. The surgery can be done through an open or closed technique depending on where incisions are made. Rhinoplasty aims to modify the size and shape of the nose to improve aesthetics. Recovery may involve pain, swelling, and nasal issues but complications are rare if the surgery is performed by an experienced surgeon. Rhinoplasty can produce natural-looking results that satisfy both the patient and surgeon.
Flaps for reconstruction
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Facial lift
This document discusses preoperative evaluation and clinical evaluation for facelift surgery. It explores patient motivations and potential contraindications like diabetes or smoking. Ideal candidates are described as having elastic skin and good bone structure. The anatomy of the superficial musculoaponeurotic system (SMAS) is explained in detail. Various facelift techniques are outlined like subcutaneous lift, SMAS lift, and deep-plane lift. Incision sites, platysma muscle positioning, and suturing techniques are shown. Potential complications of facelift surgery are also listed.
Face lift - Rhytidectomy
This document provides information on facelift procedures. It discusses facial aging changes and facelift anatomy. Several facelift techniques are described including subcutaneous, superficial musculoaponeurotic system (SMAS), extended SMAS, lateral SMAS-ectomy, platysma-SMAS plication, deep plane, short scar, and secondary facelifts. Neck rejuvenation techniques like submental dissection and platysmaplasty are also outlined. Potential complications are noted. The goal of facelifts is to lift tissues while avoiding an operated look through careful surgical planning and technique.
Cleft rhinoplasty
This document discusses cleft rhinoplasty, including the history, relevant anatomy, types of cleft nose deformities, and approaches to treatment. It notes that cleft nose deformities can cause cosmetic and breathing problems. Treatment involves primary rhinoplasty at the time of lip repair to alter the nose, followed by secondary rhinoplasty after facial growth is complete. Presurgical nasoalveolar molding may be used to improve nasal symmetry before primary rhinoplasty. The goal of cleft rhinoplasty procedures is to correct the nasal deformity in stages as the patient ages.
Basic Principles Of Local Flap In Plastic Surgery
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
Weber ferguson incison (poster)
The Weber-Fergusson incision is indicated for access to tumors involving the maxilla extending superiorly to the infraorbital nerve and into or involving the orbit. It provides wide access to all areas of the maxilla. The incision line is drawn through the vermillion border along the filtrum of the lip, extending around the base of the nose along the facial nasal groove. It then extends infraorbitally below the cilium to the lateral canthus. Tarsorrhaphy sutures are placed in the eyelid. The incision is made through the skin and subcutaneous tissue along the nose, and the full thickness upper lip is transsected with ligation of the labial artery
Forehead Reconstruction Using a Modified A to T Dual Plane Flap
This is description of a novel forehead reconstructive technique to address large central and lateral defects. It was presentated at the WVU HSC research day 2012.
Forehead Reconstruction Using an A to T
This document describes a technique for reconstructing forehead defects using a modified dual plane A to T flap. The technique was used to reconstruct three forehead defects ranging from 6x6cm to 8x5cm in size. It applies principles of the periglabellar flap, with modifications to accommodate larger defects. Key aspects include a dual plane dissection, scoring of the galea to facilitate tissue advancement, and designing flap limbs along natural creases to conceal scarring. The results were good cosmetic matches with tissue replacement and scar camouflage.
More Related Content
What's hot
Forehead flap
The forehead flap is a versatile flap used for reconstructing various facial defects. It has reliable blood supply from branches of the superficial temporal artery. The flap can be raised in different planes and tunneled to reach intraoral defects. It is commonly used in a two-stage procedure for nasal reconstruction, where the flap is first transferred to the defect and then the pedicle is divided later. Pre-expansion of the donor site can increase the available skin but comes with disadvantages like delaying the repair.
Nasolabial flap final
The nasolabial flap is used to reconstruct defects of the nose, lower eyelid, cheek, lip, oral commissure and anterior oral cavity. It has a reliable blood supply from the facial and angular arteries. The flap can be raised in a superior or inferior direction and is outlined along the nasolabial fold. The technique involves raising the flap in a supra-muscular plane and transferring it to the defect site through a transoral tunnel. Advantages are a concealed donor site scar and good color and texture match. Complications include infection, necrosis and asymmetry.
Forehead flap
This document discusses the forehead flap procedure. It provides background on the history and anatomy of the forehead flap, which is based on the superficial temporal artery and its branches. The forehead flap can be used to reconstruct large defects in the nose, eyelids, cheeks, mouth, chin, and tongue. The technique involves outlining the flap based on the eyebrows and behind the ear. A tunnel is constructed to pass the flap to the defect site, either directly through the cheek or deep to the zygomatic arch. The donor site is closed primarily while the flap is monitored, with a second surgery needed to divide and close the bridge of the flap. Complications are rare given the rich blood supply but include infection, nerve injury, and
Radial Forearm Flap - Hand Surgery
The radial forearm flap is based on the radial artery and its venae comitantes. It can be harvested as a fasciocutaneous or osteocutaneous flap with a long vascular pedicle. The radial forearm flap is commonly used in reconstructive surgery due to its reliable vascular anatomy, long pedicle length allowing for versatile positioning, and ability to provide a hairless skin match. Potential donor site complications include functional impairment and need for skin grafting or local flaps.
Maxillary reconstruction ih
This document discusses reconstruction of the maxilla after tumor resection. It begins with anatomy of the maxilla and goals of reconstruction such as restoring facial contour and supporting soft tissues. Classification systems for maxillary defects are described including types based on extent of resection. Reconstruction options including local and regional flaps, microvascular free flaps, bone grafts and prosthetics are covered. The approach involves assessing the defect and critical structures to determine the best reconstruction method. Defect-specific reconstruction examples are provided.
Lower eyelid reconstruction
Lower eyelid reconstruction aims to re-establish a functional eyelid with adequate protection of the eyeball and reasonable cosmesis. Direct closure can be used for up to 30-40% defects in younger patients with eyelid laxity. The Hughes procedure uses a tarso-conjunctival flap to reconstruct large posterior lamella defects but requires a second stage for anterior lamella coverage. The Tenzel slide uses a semicircular musculocutaneous flap to reconstruct large anterior lamella defects but requires posterior lamella coverage. Free tarsal grafts can be used to replace the posterior lamella while the anterior lamella is covered with a myocutaneous advancement flap.
Local flaps in head & neack reconstruction
A flap is a unit of tissue transferred from one site to another while maintaining its own blood supply. Flaps are classified based on their location as local or distant. Local flaps can be random, which rely on subdermal vessels, or axial, relying on named vessels. Flaps are also classified based on their composition, such as skin, muscle, or bone flaps. When planning local flaps, goals include color and thickness match, sensory preservation, and minimal secondary defects. Common local flap techniques include advancement, rotation, and transposition flaps to close facial defects. Complications can be prevented through proper planning to avoid tension and including a flap margin.
Reconstruction of maxilla
This document summarizes reconstruction of the maxilla following maxillectomy. It describes the anatomy and goals of maxillary reconstruction. Maxillectomy defects are classified and reconstruction options are outlined, including prosthetic obturators, local and regional pedicled flaps, microvascular free flaps, bone grafts, and titanium mesh. Defect-specific reconstruction approaches are provided for different types of maxillectomy defects, such as palate defects, inferior maxillectomies, total maxillectomies with and without orbital exenteration, and orbitomaxillectomies.
Mandibular reconstruction
This document discusses various techniques for mandibular reconstruction after resection for tumors or injuries. The goals of reconstruction are to restore mandibular continuity, alveolar bone height, facial contours and function. Options include reconstruction plates, non-vascularized bone grafts for smaller defects, and microvascular free flaps for larger defects or those needing implant placement. The fibula and scapula flaps are commonly used, providing adequate bone stock. Proper classification of defect type and immediate versus delayed reconstruction must be considered to achieve optimal aesthetic and functional outcomes.
Micro vascular free flaps used in head and neck reconstruction /certified fi...
Micro vascular free flaps used in head and neck reconstruction /certified fi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.Local and regional flaps in head and neck reconstruction
Local and regional flaps are used for head and neck reconstruction. There are several types of flaps classified by blood supply, location, configuration, tissue content, and transfer method. Local flaps use adjacent tissue while regional flaps are near but not adjacent. Free flaps completely detach tissue and reconnect blood vessels microsurgically. Examples of local and regional flaps discussed are advancement, rotation, and transposition flaps as well as pedicled and free myocutaneous flaps.
Anterolateral thigh flap
The document summarizes the anterolateral thigh (ALT) flap, which has become a popular reconstructive option. It describes the history and indications of the ALT flap, including head and neck and extremity reconstruction. The key aspects of evaluating patients, raising the flap, and post-operative care and complications are covered. The advantages include a long vascular pedicle and ability to harvest a large skin paddle, while disadvantages include a bulky flap and potential donor site morbidity. Variations in anatomy are also discussed.
Nasalreconstructiongrandrounds043009
The document discusses various techniques for reconstructing nasal defects, including:
1) Local flaps like bilobed flaps are well-suited for small defects, while larger defects require recruitment of distant tissue like paramedian forehead or cheek flaps.
2) Adequate reconstruction of skin cover, structural support, and intranasal lining layers is crucial to prevent contracture and stenosis.
3) Cartilage grafts from septum or conchal shell are often used to recreate nasal structure and support reconstructed skin.
Rhinoplasty 2012
Rhinoplasty, also known as nose reshaping surgery, is performed by Dr. K.O. Paulose at Jubilee Hospital in Trivandrum, India. The surgery can be done through an open or closed technique depending on where incisions are made. Rhinoplasty aims to modify the size and shape of the nose to improve aesthetics. Recovery may involve pain, swelling, and nasal issues but complications are rare if the surgery is performed by an experienced surgeon. Rhinoplasty can produce natural-looking results that satisfy both the patient and surgeon.
Flaps for reconstruction
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Facial lift
This document discusses preoperative evaluation and clinical evaluation for facelift surgery. It explores patient motivations and potential contraindications like diabetes or smoking. Ideal candidates are described as having elastic skin and good bone structure. The anatomy of the superficial musculoaponeurotic system (SMAS) is explained in detail. Various facelift techniques are outlined like subcutaneous lift, SMAS lift, and deep-plane lift. Incision sites, platysma muscle positioning, and suturing techniques are shown. Potential complications of facelift surgery are also listed.
Face lift - Rhytidectomy
This document provides information on facelift procedures. It discusses facial aging changes and facelift anatomy. Several facelift techniques are described including subcutaneous, superficial musculoaponeurotic system (SMAS), extended SMAS, lateral SMAS-ectomy, platysma-SMAS plication, deep plane, short scar, and secondary facelifts. Neck rejuvenation techniques like submental dissection and platysmaplasty are also outlined. Potential complications are noted. The goal of facelifts is to lift tissues while avoiding an operated look through careful surgical planning and technique.
Cleft rhinoplasty
This document discusses cleft rhinoplasty, including the history, relevant anatomy, types of cleft nose deformities, and approaches to treatment. It notes that cleft nose deformities can cause cosmetic and breathing problems. Treatment involves primary rhinoplasty at the time of lip repair to alter the nose, followed by secondary rhinoplasty after facial growth is complete. Presurgical nasoalveolar molding may be used to improve nasal symmetry before primary rhinoplasty. The goal of cleft rhinoplasty procedures is to correct the nasal deformity in stages as the patient ages.
Basic Principles Of Local Flap In Plastic Surgery
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
Weber ferguson incison (poster)
The Weber-Fergusson incision is indicated for access to tumors involving the maxilla extending superiorly to the infraorbital nerve and into or involving the orbit. It provides wide access to all areas of the maxilla. The incision line is drawn through the vermillion border along the filtrum of the lip, extending around the base of the nose along the facial nasal groove. It then extends infraorbitally below the cilium to the lateral canthus. Tarsorrhaphy sutures are placed in the eyelid. The incision is made through the skin and subcutaneous tissue along the nose, and the full thickness upper lip is transsected with ligation of the labial artery
What's hot (20)
Micro vascular free flaps used in head and neck reconstruction /certified fi...
Micro vascular free flaps used in head and neck reconstruction /certified fi...
Local and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstruction
Viewers also liked
Forehead Reconstruction Using a Modified A to T Dual Plane Flap
This is description of a novel forehead reconstructive technique to address large central and lateral defects. It was presentated at the WVU HSC research day 2012.
Forehead Reconstruction Using an A to T
This document describes a technique for reconstructing forehead defects using a modified dual plane A to T flap. The technique was used to reconstruct three forehead defects ranging from 6x6cm to 8x5cm in size. It applies principles of the periglabellar flap, with modifications to accommodate larger defects. Key aspects include a dual plane dissection, scoring of the galea to facilitate tissue advancement, and designing flap limbs along natural creases to conceal scarring. The results were good cosmetic matches with tissue replacement and scar camouflage.
Eyelid Reconstruction from Cancer
Lower eyelid reconstruction following Moh's surgery can be challenging. This paper explains some of the thought process and procedures utilized to repair these defects.
Rhinoplasty
This document discusses the anatomy and assessment of rhinoplasty. It outlines the layers of the nose, including skin, muscle, and cartilage. It divides the nose into three sections - the upper, middle, and lower thirds. It also identifies red flags for patients such as those displaying SIMON traits, which could indicate unrealistic expectations of the procedure's outcome. Assessment involves examining the nose from multiple angles and measuring angles and distances to aid surgical planning.
Hatem Krema - Ocular Oncology Surgeries
This document describes various surgical procedures for ocular oncology including:
1. Excision of eyelid, orbital, and intraocular tumors using approaches like transconjunctival orbitotomy or lamellar reconstruction.
2. Reconstruction techniques after tumor excision like rotational flaps or grafts.
3. Management of diffuse orbital tumors with initial medical treatment followed by surgical excision if needed.
4. Procedures for enucleation, radioactive plaque insertion, and lid-sparing orbital exenteration.
Local flaps in ent
This document discusses various techniques for reconstructing skin and soft tissue defects in the head and neck region. It describes different types of grafts, local flaps, regional flaps, and free flaps that can be used including split thickness grafts, full thickness grafts, axial pattern flaps, transposition flaps, pedicled flaps like pectoralis major and latissimus dorsi flaps. Careful preoperative planning is important when using local flaps for head and neck reconstruction.
Rhinoplasty by Dr. Amit Suryawanshi .Oral & Maxillofacial Surgeon, Pune , India
This document discusses special considerations for rhinoplasty procedures. It covers topics such as alar base modification, correcting crooked noses, repairing saddle nose deformities, rhinoplasty techniques for non-Caucasian noses, and considerations for rhinoplasty in aging patients. The document provides detailed anatomical descriptions and surgical techniques for addressing various nasal irregularities and achieving optimal cosmetic and functional outcomes.
Orbit Floor Fx Slides
1. Orbital floor fractures occur when force is transmitted to the eye, allowing the thin orbital floor to fracture without serious eye injury.
2. Physical exam findings of orbital floor fractures can include double vision, numbness, and malocclusion. Imaging like CT scans are useful for evaluation.
3. Repair of orbital floor fractures is often recommended for diplopia lasting over a week, entrapment of eye muscles, or enophthalmos of over 2mm once swelling resolves. Observation may be appropriate for minor fractures without symptoms.
microtia
1. Reconstruction of ear deformities has evolved over time, starting with flap techniques in the 16th century to use of rib and silicone implants today.
2. Microtia is a congenital deformity of the external ear that occurs in 1 in 500 to 1 in 5000 births and is often associated with other anomalies.
3. Reconstruction of microtia typically uses rib cartilage to form an auricular framework, with the goal of matching the normal ear, and is usually done in stages after age 6.
Rhinoplasty
A plastic surgery to reconstruct form, shape of nose tip, narrow the nostril spans, aesthetic enhancement of the nose.Reconstructive rhinoplasty allows a surgeon to correct congenital deformity,collapsed dorsum, intranasal drug abuse, trauma and also failed primary rhinoplasty-which require restoration of form and nasal appearance.
Carpal tunnel syndrome CTS 2014
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. Symptoms include numbness, tingling, and pain in the thumb, index, and middle fingers. It is often caused by repetitive hand motions or improper wrist positioning. Treatment options range from wrist splints and anti-inflammatory medications to corticosteroid injections and carpal tunnel release surgery. Preventive measures include proper ergonomics, stretching, and taking breaks from repetitive tasks.
Carpal tunnel syndrome
Carpal tunnel syndrome results from compression of the median nerve as it passes through the carpal tunnel in the wrist. It commonly causes tingling, numbness, and pain in the hand and fingers. Treatment involves splinting, steroid injections, and surgery to release the transverse carpal ligament if more conservative treatments are unsuccessful. Carpal tunnel release surgery involves dividing the ligament to decompress the median nerve and relieve symptoms.
Lip n cheek recons
This document provides information on lip and cheek reconstruction techniques. It begins with an overview of lip anatomy including muscles, innervation, and vascular supply. It then discusses various reconstruction approaches for both the upper and lower lip depending on the size and location of the defect. Techniques described include primary closure, local flaps such as Abbe and Estlander flaps, and free flaps for larger defects involving over 2/3 of the lip. The goal of reconstruction is to provide skin cover, recreate the vermilion border, maintain adequate oral competence, and optimize cosmetic and functional outcomes.
Flaps in plastic surgery
This document discusses different types of flaps used in plastic surgery for tissue reconstruction. It begins by explaining that flaps are vascularized tissue transferred from one part of the body to another to reconstruct areas of tissue loss. The document then categorizes flaps based on their components, configuration, congruity, circulation, and conditioning. It provides examples of various local, regional, pedicled, and free flaps. Key advantages and disadvantages of different flap types are highlighted. Monitoring techniques and potential complications of flap surgery are also summarized.
Blow out fractures
Orbital floor fractures occur when blunt force is delivered to the thin orbital floor bones, often along the infraorbital canal. Risk of enophthalmos is greatest when both the floor and medial wall are fractured. Multiple fractures can lead to an expanded orbit with prolapsed tissues. Clinically, this presents as enophthalmos, globe displacement, eyelid asymmetry, and diplopia. Orbital blowout fractures are caused by blunt impacts greater than the orbital rim diameter. Management involves observation, antibiotics, steroids, or surgery to repair fractures, release trapped tissues, and implant mesh or bone. Complications include diplopia, muscle dysfunction, and implant issues.
Carpal tunnel syndrome
Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. It affects around 10% of the general population. Symptoms include numbness, tingling, and pain in the hand and fingers innervated by the median nerve. Diagnosis is based on physical exam findings like Tinel's sign and Phalen's maneuver, as well as electrodiagnostic testing. Conservative treatment involves splinting and anti-inflammatory medications while surgical treatment involves cutting the transverse carpal ligament to relieve pressure on the median nerve. Recurrence can occur due to incomplete release of pressure or scarring.
Rhinoplasty approaches ,anatomy,techniques
This document discusses external rhinoplasty techniques presented by Dr. Abhineet. It covers indications for external rhinoplasty including reduction/augmentation and trauma/deformities. Pre-op assessment involves standardized photographs. Key anatomical points are defined. Ideal measurements and angles are provided. Techniques for hump reduction, tip work, grafts, and modifications to narrow the base are outlined. Potential complications like hemorrhage, infection and deformities are reviewed. The presentation compares open vs closed approaches and emphasizes achieving symmetry and natural appearance tailored to each patient.
Carpal tunnel syndrome
This document discusses carpal tunnel syndrome, including its boundaries, contents, and causes. It describes diagnostic tests like Phalen's maneuver and Tinel's sign. Electrodiagnostic testing criteria are provided. Conservative treatments like splinting and steroid injections are mentioned. The evidence that carpal tunnel release surgery has better outcomes than injections is summarized. Key points are that carpal tunnel syndrome involves compression of the median nerve in the wrist. Physical exam maneuvers and electrodiagnostic testing can aid in diagnosis, though clinical diagnosis is most important. Surgery appears more effective than injections for relieving symptoms long-term.
Carpal Tunnel Syndrome
Davenport Chiropractor, Dr. Clay, has prepared a short slide show presentation on some causes of carpal tunnel syndrome and the treatments for it. For more information, please visit http://familycarechiropracticdavenport.com
Malignant lid tumours & reconstruction
1) The document discusses various malignant eyelid tumours including basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, melanoma, and rare tumours.
2) It describes the clinical features, risk factors, histology, signs and symptoms, and treatment options for each tumour type.
3) Reconstruction after tumour excision depends on the extent of tissue removed and may involve techniques such as direct closure, flaps, or free grafts to reconstruct the posterior or anterior lamellae as needed.
Viewers also liked (20)
Forehead Reconstruction Using a Modified A to T Dual Plane Flap
Forehead Reconstruction Using a Modified A to T Dual Plane Flap
Rhinoplasty by Dr. Amit Suryawanshi .Oral & Maxillofacial Surgeon, Pune , India
Rhinoplasty by Dr. Amit Suryawanshi .Oral & Maxillofacial Surgeon, Pune , India
Similar to Forehead reconstructionn
POST ONCOSURGICAL HEAD NECK RECONSTRUCTION - harsh amin
This document discusses head and neck cancer reconstruction using free flaps. It begins by outlining the anatomy of the head and neck region and factors to consider for reconstruction such as integrity, function and form. Common free flap options are described including the anterolateral thigh flap, radial forearm flap, rectus abdominis flap, fibula flap and jejunum flap. Key steps in planning a reconstruction including evaluating the defect, donor site, patient factors and surgical experience are highlighted. The importance of microvascular expertise and equipment for free flap reconstruction is emphasized.
Forehead & scalp reconstruction.pptx
1. Reconstruction of forehead and scalp defects poses unique challenges due to the visibility of these areas and their complex 3D anatomy. Successful reconstruction requires replacing like tissue and avoiding interference with other treatments.
2. Reconstructive options are tailored based on defect analysis and the patient's needs/anatomy. Local flaps and skin grafts are used for smaller defects while regional and microsurgical flaps are needed for larger or complex defects.
3. Postoperative care involves monitoring for complications like infection, dehiscence, or flap failure. Secondary procedures may be required to refine hairlines, release dog ears, or address functional issues over time.
Reconstruction of ear
This document discusses ear reconstruction techniques. It begins with the relevant anatomy and embryology of the ear. Historical perspectives on ear reconstruction from 600 BC to modern techniques developed in the 1920s-1950s are provided. Techniques for partial ear reconstruction including pinnaplasty and reconstruction of various regions of the ear are described. Total ear reconstruction techniques including the Brent and Nagata methods are overviewed. Considerations for patients evaluation and treatment planning are covered. Complications of ear reconstruction are also summarized.
OMR ppt.pptx
- Reconstructive surgery after head and neck cancer resection aims to cover vital structures, allow functions like speech and swallowing, and restore aesthetics. Immediate reconstruction is preferred to prevent complications and allow adjuvant therapy.
- Reconstruction options include primary closure for small defects, skin grafts for larger areas, and local, regional, or distant flaps based on named vessels to reconstruct larger resections. New techniques using CAD/CAM help reconstruct large bony defects with free flaps like fibula. The overall goal is to restore form and function and quality of life.
Grafts and flaps in head and neck
This document provides an overview of grafts and flaps used in head and neck reconstruction. It discusses the history of reconstructive surgery dating back 5000 years. Grafts are pieces of tissue without their own blood supply that rely on the recipient bed, while flaps have their own blood supply. Flaps are useful for larger defects and where radiation is planned. The document describes various local and distant pedicled and free flaps used to reconstruct different areas of the head and neck, including the forearm flap, rectus abdominis flap, and anterolateral thigh flap. Factors affecting graft and flap survival include adequate blood supply, wound conditions, and patient comorbidities. The key principles of reconstruction are to
PMMC FLAP
The document describes the pectoralis major island flap technique. It can be used for reconstruction of the pharynx, tongue, face, neck, and skullbase defects. The flap has a large arc of rotation from the clavicle to the xiphoid process. It provides a single stage transfer with a muscle carrier but does not match the color and texture of facial skin. The document outlines the surgical technique including flap design, elevation of the vascular pedicle, and closure of the donor site. Variations including osteomyocutaneous flaps with rib bone and use of the flap as a free tissue transfer are also discussed. Complications, risk factors, and modifications to the technique are summarized.
Reconstruction dr.shaji HEAD AND NECK RECONSTRUCTIONS
This document discusses reconstructive options after head and neck cancer surgery. It outlines the impact of major head and neck surgery and goals of reconstructive surgery to restore form and function. A reconstructive ladder is presented from primary closure to skin grafts to local and regional flaps to distant and free flaps. Specific flaps are described like pectoralis major and free fibula flaps. Reconstructive surgery improves quality of life after cancer surgery.
Reconstruction in head and neck surgeries
This document discusses various reconstructive surgery options for restoring form and function after defects in the head and neck region. It outlines a reconstructive ladder ranging from primary closure and skin grafts for small defects, to local and regional flaps, myocutaneous flaps, and free flaps for more complex reconstructions. Key flaps discussed include the pectoralis major flap, fibula flap, radial forearm flap, and anterolateral thigh flap. Patient factors, defect characteristics, and the goal of restoring oral competence, speech, and swallowing are considered in surgical planning. The conclusion emphasizes that reconstructive surgery is essential for improving head and neck cancer survivors' quality of life.
Short nose correction_suh_mk
A novel technique for short nose correction: hybrid septal extension graft. Journal of Craniofacial Surgery.
Short nose correction_by Man Koon Suh
[Dr. Suh's thesis in International journal SCI]
“A Novel technique for short nose correction”
The nominated thesis is about A Novel technique for short nose correction; Hybrid septal extension graft that have acquired the favorable reputation internationally based on the advanced clinical experiences.
Cervicofacial flap : revisted
Advantages of Cervicofial flaps :
Operative time is short.
It causes minimum deviations in relations to important structures around cheek.
reduce surgical risk in high risk patients like old age, diabetic patients, un-controlled hypertension
It can provide excellent skin colour and texture match.
232b Coclia 97 98 Eyelid Reconstruction, Facial Reanimation
The document discusses various topics related to eyelid and facial reconstruction:
- It describes the different layers of the eyelid and techniques for repairing full-thickness eyelid lacerations.
- Entropion, ectropion, canalicular injuries, and dacryocystorhinostomy procedures are summarized.
- Facial nerve anatomy and various modalities for facial reanimation including nerve grafts, muscle transfers, and static procedures are outlined.
- Techniques for managing eyelid dysfunction in facial paralysis cases such as tarsorrhaphy and gold weights are also mentioned.
Diagnosis and treatment planning part 1
The document summarizes the key aspects of an advanced implant placement and restoration course, including treatment planning, anatomical considerations, surgical techniques, implant types and placement methods, loading options, and more. The course covers topics such as diagnosis, radiographic assessment, ridge classification, flap design, flapless surgery techniques, implant osteotomy, placement verification, immediate post-placement options, one-piece implants, and factors related to immediate and delayed loading.
Diagnosis and treatment planning
The document summarizes the key aspects of an advanced implant placement and restoration course, including treatment planning, anatomical considerations, surgical techniques, implant types and placement methods, loading options, and more. The course covers topics such as diagnosis, radiographic assessment, ridge classification, flap design, flapless surgery techniques, implant osteotomy, placement verification, immediate post-placement options, one-piece implants, and factors regarding immediate and delayed loading.
Breast reconstruction
This document discusses post-mastectomy breast reconstruction options. It begins with an overview of surgical options for breast cancer treatment, including breast-conserving therapy and mastectomy. It then discusses the reasons for and goals of breast reconstruction. The document outlines the anatomy of the breast and techniques for immediate and delayed breast reconstruction using implants, pedicled flaps like latissimus dorsi flaps and TRAM flaps, and free flaps like DIEP flaps. It also discusses nipple-areolar complex reconstruction and procedures to achieve symmetry in the contralateral breast.
defectbasedreconstruction-160619105654.pptx
This document discusses reconstructive techniques for ear defects. It begins with the anatomy and importance of the auricle. Methods of reconstruction include stick-on prosthetics, osseointegrated implants, synthetic frames, and total autologous reconstruction using costal cartilage grafts. Techniques like Brent and Nagata are described for microtia repair in children. Reconstructive options depend on the location of the defect in the upper, middle, or lower third of the ear. Local flaps are often used for smaller defects while bespoke cartilage frames are increasingly used for partial ear reconstruction. Total autologous reconstruction using the patient's own costal cartilage provides the best framework but remains technically challenging.
Microtia
This document discusses the anatomy, embryology, surgical techniques, and reconstructive options for microtia. It provides detailed descriptions of the Brent and Nagata autogenous cartilage reconstruction techniques, which are multi-staged procedures using costal cartilage grafts. Alternative options discussed include single-stage reconstruction, tissue expanders, osseointegrated prostheses, silicone prostheses, and alloplastic reconstruction with porous polyethylene implants. Complications of each approach are also reviewed.
Miscellaneous prosthesis /orthodontic practice
This document discusses various types of maxillofacial prostheses including nasal, auricular, and craniofacial prostheses. It covers topics such as impression techniques, sculpting, processing, retention methods, and the use of implants and magnets for retention. It also discusses the use of prosthetic stents and splints during radiation therapy to help position tissues and protect vital structures.
Reconstruction techniques in head and neck
This document provides an overview of reconstruction techniques in head and neck surgery. It discusses Gillie's principles of reconstruction and the reconstructive ladder. It describes various techniques including skin grafts, local flaps such as nasolabial and forehead flaps, distant flaps such as deltopectoral and latissimus dorsi flaps, and free tissue transfers including radial forearm and fibula flaps. It discusses factors to consider for each technique such as blood supply, advantages, disadvantages and appropriate applications in head and neck reconstruction.
Local and regional flaps in head & neck cancer /certified fixed orthodontic c...
Local and regional flaps in head & neck cancer /certified fixed orthodontic c...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078Similar to Forehead reconstructionn (20)
POST ONCOSURGICAL HEAD NECK RECONSTRUCTION - harsh amin
POST ONCOSURGICAL HEAD NECK RECONSTRUCTION - harsh amin
Reconstruction dr.shaji HEAD AND NECK RECONSTRUCTIONS
Reconstruction dr.shaji HEAD AND NECK RECONSTRUCTIONS
232b Coclia 97 98 Eyelid Reconstruction, Facial Reanimation
232b Coclia 97 98 Eyelid Reconstruction, Facial Reanimation
Local and regional flaps in head & neck cancer /certified fixed orthodontic c...
Local and regional flaps in head & neck cancer /certified fixed orthodontic c...
More from Mansoor Khan
Craniofacial soft tissue reconstruction
This document discusses the management of craniofacial clefts. It begins by stating that craniofacial clefts are rare birth defects affecting the bones and soft tissues of the face. It then outlines the goals of treatment, which include early soft tissue repair to minimize scarring, reconstruction of orbital floors when needed, and restoring orbicularis oris continuity. The document presents guidelines for surgical correction of different types of craniofacial clefts and results from managing 33 patients in the author's setting. It concludes by thanking the reader.
Outcomes of primary unilateral cheiloplastyin same-day surgical settings
This study evaluated outcomes of primary unilateral cleft lip repair performed as single-day surgery in Pakistan. Of 23 patients, most clefts were mild (44.9%) or severe (40.2%). Fisher's technique was most commonly used. Postoperative outcomes were good in 89.8% of cases. Nasal symmetry outcomes improved over the study period. Single-day surgery reduced hospital costs by 19% without increasing complication rates compared to overnight admission. The study demonstrated primary unilateral cleft lip repair can be performed safely and cost-effectively as single-day surgery.
Hypospadia repair
This document summarizes the experience with hypospadias repair at a single medical center in Pakistan between 2007-2011. It found that two-stage Bracka repair was the most common procedure (76.2% of cases) due to a relative lack of expertise in single-stage repairs. Post-operative complications included fistula formation (26.6%), edema (28.3%), and infection (4.2%). Fistula rates were higher for residents compared to specialists (33.1% vs 23.3%) and for two-stage versus single-stage repairs (66.9% vs 44.1%). The document recommends increasing expertise in single-stage repairs, revising guidelines to narrow the criteria for
Principles of hand surgery
This document outlines principles for hand trauma management. It discusses initial survey and resuscitation, washing and dressing wounds, and splinting the hand. A secondary survey involves assessing history, vascularity, muscles/tendons, soft tissue defects, fractures, and imaging. Informed consent is required. Reconstruction may use early or delayed approaches. Early approaches reconstruct skeletal stabilization, vascularity, nerves, tendons, and soft tissue within 72 hours. Wound excision is classified as tidy or untidy wounds. Skeletal stabilization uses plates or external fixation. Revascularization uses end-to-end anastomoses or grafts. Nerves are repaired or transferred. Tendon reconstruction is early for simple fractures but staged for
Median nerve injuries
This document discusses the anatomy and clinical evaluation of median nerve injuries as well as various management strategies. It describes the anatomy of the median nerve and its branches that innervate different muscle groups in the arm and hand. Clinical presentations of high and low median nerve palsies are outlined. Surgical techniques for restoring function are proposed, including nerve transfers to regain opposition, sensation, flexion and pronation. Tendon transfers are also mentioned to help with opposition and finger flexion.
Wound Healing
This document discusses wound classification and management. It defines acute and chronic wounds and describes simple, complex, and problem wounds. For problem wounds, it identifies key causative factors like infection, ischemia, and age. It recommends thorough debridement and discusses various adjunct treatments like negative pressure wound therapy, hyperbaric oxygen therapy, and different types of dressings. It provides guidance on managing specific wound types like pressure sores, diabetic wounds, and venous stasis ulcers.
Flexor tendon injuries.m
A 30-year old female presented to the emergency room with a laceration and bleeding in her right hand after falling on glass. She was right hand dominant and worked in telemarketing. Physical examination would focus on the extent of the laceration and potential injury to flexor tendons and nerves. Flexor tendon injuries can lead to loss of finger flexion and grip strength if not repaired properly. The goals of reconstruction are to anatomically repair the tendons with limited motion restrictions and adhere to post-operative rehabilitation to regain function and prevent complications like adhesions.
Facial paralysis reconstruction
This document discusses facial paralysis, which can be aesthetically, functionally, and psychologically devastating. It affects the 18 paired and 1 unpaired muscles that animate the face. Symptoms discussed include dry eyes, tearing, eye closure issues, nasal obstruction, oral symptoms like incontinence and speech problems, and psychological and communication difficulties displaying emotions. Examination focuses on areas like the brow, eyes, mouth, and nasolabial fold. Treatment goals are to protect the eye, restore symmetry, and allow facial movements. Surgical management techniques mentioned include brow lifts, gold weight placement, tarsorrhaphy, tendon sling placement, microneurovascular muscle transplantation, and static tendon sling placement. The
Sutures knots
The document discusses the history of surgical sutures and techniques from ancient times to the present. It notes that as far back as 10th century BC, various natural materials like ants, thorns, and animal intestines have been used to close wounds. In the modern era, it describes the development of synthetic absorbable and non-absorbable sutures as well as improvements in sterility and surgical practices that reduced tissue trauma and improved outcomes. The document also discusses operation theatre safety practices and emphasizes the importance of handwashing, cleaning, disinfection and the role of everyone in preventing infections.
Tendon
This document discusses tendon healing and repair techniques. It covers the histology of tendons, the tendon healing process, and various techniques for tendon repair including suturing methods and tendon grafting. Key points include that both intrinsic and extrinsic healing contribute to tendon repair, and techniques like controlled motion help promote healing while preventing adhesions. Suturing methods like the Kessler and cruciate repairs are discussed and compared. Tendon grafting indications and requirements are also outlined.
Typhoid11
This document discusses typhoid, a potentially fatal illness caused by Salmonella bacteria. It provides a historical overview of typhoid dating back to ancient Greece. Key topics covered include the global distribution and risk factors of typhoid, symptoms and complications such as intestinal perforation. Surgical complications like perforation are described in detail, along with recommended treatment approaches. The document emphasizes the importance of prompt antibiotic treatment and good sanitation to reduce the impact of this disease.
Peripheral arterial occlusive disease
Peripheral Arterial Occlusive Disease (PAOD) is caused by atherosclerosis of the arteries in the extremities, resulting in reduced blood flow and ischemia. It affects around 10% of people over 65 and can lead to leg ulcers and gangrene. Smoking is a major risk factor that is directly linked to the severity of PAOD. Diagnosis involves examining pulses, Doppler ultrasound, angiography and ankle-brachial indexes. Treatment focuses on risk factor modification through exercise, smoking cessation, and medication like aspirin. More severe cases may require stenting, angioplasty or bypass surgery.
Neuronal injuries
This document discusses peripheral nerve injuries and summarizes key information about anatomy, types of injuries, clinical signs, treatment options, and specific nerves. It describes the layers of connective tissue surrounding nerve fibers and how acute injuries cause reversible conduction block while chronic injuries lead to permanent damage. Surgical treatment aims to repair damaged areas through epineural or fascicular techniques or use nerve grafts.
Neck dissection
1. Neck dissection involves removing lymph nodes from different levels in the neck to stage and treat head and neck cancers.
2. The extent of neck dissection, such as radical or modified radical, depends on how many non-lymphatic structures like the spinal accessory nerve are preserved.
3. Selective neck dissections remove nodes from only certain levels, while comprehensive dissections are used to treat cancer that has spread to lymph nodes.
Femoral hernia
The document discusses different types of femoral hernias, including Laugier's femoral hernia, Narath's femoral hernia, and Cloquet's hernia. It provides details on the anatomy of the femoral canal and ring, noting the narrowness of the canal that results in femoral hernias presenting with strangulation in 40% of cases. When treating femoral hernia, the document advises operating as soon as diagnosed due to the risk of strangulation, and that truss is contraindicated for femoral hernia.
Deep venous thrombosis
Deep vein thrombosis is the formation of a blood clot in the deep veins, usually in the legs. It is caused by Virchow's triad of endothelial injury, hypercoagulability, and venous stasis. Common risk factors include immobilization, surgery, cancer, and family history. Ultrasound is the investigation of choice and treatment involves anticoagulants like heparin, low molecular weight heparin, or warfarin to prevent pulmonary embolism, a potentially fatal complication.
Wound healing
Wound healing is a complex, dynamic process involving several phases: inflammatory, proliferative, and remodeling. The inflammatory phase involves hemostasis and inflammation to limit blood loss and seal the wound. The proliferative phase fills the wound gap with granulation tissue through fibroplasia, angiogenesis, and re-epithelialization. The remodeling phase involves regression of vessels and granulation tissue, wound contraction, and collagen remodeling to strengthen the scar. Successful wound healing depends on factors like adequate blood supply, infection control, and avoiding risks such as smoking, which can impair healing.
C:Neck Dissection
1. Neck dissection involves surgically removing lymph nodes in the neck to stage and treat head and neck cancers. The status of cervical lymph nodes is an important prognostic factor.
2. There are different types of neck dissections, including radical neck dissection, modified radical neck dissection, and selective neck dissection, which remove lymph nodes to varying degrees.
3. The neck is divided into levels I-VI, and neck dissections remove lymph nodes from certain levels depending on the procedure. Staging of neck lymph node involvement also dictates the appropriate treatment approach.
peripheral nerve lesions
This document discusses peripheral nerve injuries, including anatomy, types of injuries (acute vs chronic), clinical signs, pathophysiology, and examples of specific nerve injuries like carpal tunnel syndrome and radial nerve palsy. Treatment options are also summarized, including conservative treatment with medications for mild cases and surgical indications like nerve repair, grafting, or release surgery for severe or failed conservative cases.
Femoral Hernias
The document discusses femoral hernias, which occur when abdominal contents pass through the femoral canal, the third most common type of hernia. Femoral hernias are more common in elderly women and have a high risk of strangulation. The document describes the anatomy of the femoral canal and ring and lists different types of femoral hernias, including Laugier's, Narath's, and Cloquet's hernias. It emphasizes the importance of operating on femoral hernias as soon as diagnosed due to the risk of strangulation and notes that trusses are contraindicated for treatment.
More from Mansoor Khan (20)
Outcomes of primary unilateral cheiloplastyin same-day surgical settings
Outcomes of primary unilateral cheiloplastyin same-day surgical settings
Recently uploaded
MERCURY GROUP.BHMS.MATERIA MEDICA.HOMOEOPATHY
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
vonoprazan A novel drug for GERD presentation
Vonoprazan, a new potassium acid channel blocker used in the conditions of GERD and gastric ulcer, duodenal ulcer ....
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...Kosmoderma Academy Of Aesthetic Medicine
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Fallopian tube blockage may cause female infertility. For treatment, herbal medicine Fuyan Pill can be a solution.
Recently uploaded (20)
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
Cosmetology and Trichology Courses at Kosmoderma Academy PRP (Hair), DR Growt...
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Forehead reconstructionn
- 1. Forehead Reconstruction Mansoor Khan Plastic & Reconstructive Surgery HMC, Peshawar
- 2. Provide coverage to skull while not compromising the aesthetic function of the forehead
- 3. Anterior forehead Supra brow Pre-temporal Glabella Subunits of forehead
- 4. Layers of the forehead
- 5. Arterial supply of the forehead
- 6. Nerve supply of the forehead
- 7. Provision of stable tissue, non hair bearing, similar colour tissue Maintaining proper position/shape of the eyebrows Preservation of smooth/continuous anterior hairline Planning incisions along the RSTLs, hairlines, vertical in the glabella Goals of forehead reconstruction
- 8. Serial wound excision Achieve tumor free wound Considering radiated areas Trauma protocol (xrays, CT) Principles of forehead reconstruction
- 9. Forehead Reconstruction Options Direct closure Closure by secondary intension Skin grafting Local flaps Distant flaps Tissue expansion Free flaps
- 11. Primary closure
- 12. Closure by secondary intension
- 13. Split thickness skin grafting
- 14. Crane principle based flap
- 15. Shutter flaps
- 17. H-flap closure
- 18. H-flap closure
- 19. H- flap closure
- 22. Worthen flap
- 28. 3 flaps scalp expansile technique
- 30. Tissue expansion
- 31. Forehead Reconstruction Microvascular free flaps and prefabrication
- 33. Composite grafting for brow reconstruction
- 34. Pedicled flap for brow reconstruction