Local Flaps In Facial Reconstruction E Book

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Local Flaps in Facial Reconstruction

Author : Shan R. Baker
Publisher : Elsevier Health Sciences
ISBN 13 : 0323262058
Total Pages : 802 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Local Flaps in Facial Reconstruction by : Shan R. Baker

Download or read book Local Flaps in Facial Reconstruction written by Shan R. Baker and published by Elsevier Health Sciences. This book was released on 2014-04-15 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: Local Flaps in Facial Reconstruction brings you the detailed visual guidance and unmatched expertise you need to achieve the best results for the full range of facial flap procedures. Full-color clinical photographs and line drawings—along with high-quality surgical video clips—capture the latest facial reconstruction practices and effective methods like reconstruction of skin defects on the head and neck following tumor removal or trauma. Perspectives from facial plastic surgeons, dermatologists, ophthalmologists, and otolaryngologists help you take all of these considerations into account in treatment planning. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Make the most effective clinical decisions with a better understanding of the anatomy, physiology, and biomechanics of the skin Understand skin flap anatomy and physiology—vital to the performance of successful local flap reconstruction for facial defects. Implement the latest techniques with updated coverage of new wound closure techniques and materials (including glues and adhesives), scar revision, complications, and vascular abnormalities. Watch clips of key surgical procedures, including reconstructive surgery of the nose and lip. Avoid pitfalls and achieve the best outcomes thanks to a step-by-step approach to each procedure, complete with tips and tricks of the trade from leading experts. Minimize flap ischemia and other complications with proper preoperative planning and surgical techniques. Visualize what to look for and how to proceed with high-quality illustrations of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, and rhombic flaps. Access the full text, image collection, and video clips online at Expert Consult.

Local Flaps in Facial Reconstruction E-Book

Author : Shan R. Baker
Publisher : Elsevier Health Sciences
ISBN 13 : 0323696732
Total Pages : 845 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Local Flaps in Facial Reconstruction E-Book by : Shan R. Baker

Download or read book Local Flaps in Facial Reconstruction E-Book written by Shan R. Baker and published by Elsevier Health Sciences. This book was released on 2021-04-03 with total page 845 pages. Available in PDF, EPUB and Kindle. Book excerpt: New clinical cases, enlarged photographs, new abstracts and algorithms, and more make the 4th Edition of Local Flaps in Facial Reconstruction your state-of-the-art resource for achieving optimal results for the full range of facial flap procedures. It offers detailed visual guidance and unmatched expertise from prominent surgeons in facial plastic surgery, ophthalmology, and dermatology, reflecting the multi-specialty nature of this dynamic field. Full-color clinical photographs and line drawings, along with high-quality surgical video clips, capture the latest, most effective facial reconstruction practices and methods. Clearly demonstrates practical and effective methods of reconstruction of skin defects in a variety of sizes, configurations, and locations on the head and neck. Covers the basic concepts of flap physiology, design, and mechanics of flap transfer, including multiple clinical examples for each flap; the second section describes the use of local flaps in reconstruction of individual facial structures including the auricles, lips, eyelids, cheeks, forehead, and nose. Contains many new clinical cases, new abstracts preceding each chapter, new algorithms for selecting the preferred local flap, an updated and expanded bibliography, newer approaches to facial reconstruction, and enlarged photographs to better view flap design, planes of dissection, and methods of flap transfer. Offers new, more complex clinical cases of nasal reconstruction, as well as updated coverage of new wound closure techniques and materials. Includes an outstanding video library demonstrating the design, dissection, and transfer of the majority of local flaps and grafts currently in use today, accompanied by expert commentary. Features more than 2,300 superb illustrations and photographs of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, rhombic flaps, and mucosal flaps.

Local Flaps in Facial Reconstruction

Author : Velupillai Ilankovan
Publisher : Springer Nature
ISBN 13 : 3031494644
Total Pages : 506 pages
Book Rating : 4.0/5 (314 download)

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Book Synopsis Local Flaps in Facial Reconstruction by : Velupillai Ilankovan

Download or read book Local Flaps in Facial Reconstruction written by Velupillai Ilankovan and published by Springer Nature. This book was released on with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Local and Regional Flaps in Head and Neck Reconstruction

Author : Rui Fernandes
Publisher : John Wiley & Sons
ISBN 13 : 1118938380
Total Pages : 260 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Local and Regional Flaps in Head and Neck Reconstruction by : Rui Fernandes

Download or read book Local and Regional Flaps in Head and Neck Reconstruction written by Rui Fernandes and published by John Wiley & Sons. This book was released on 2014-10-15 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation. Local and Regional Flaps in Head & Neck Reconstruction is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed. Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike.

Simply Local Flaps

Author : Michael F. Klaassen
Publisher : Springer
ISBN 13 : 3319594001
Total Pages : 207 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Simply Local Flaps by : Michael F. Klaassen

Download or read book Simply Local Flaps written by Michael F. Klaassen and published by Springer. This book was released on 2018-02-26 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a useful framework for categorizing local flaps on the basis of their composition, blood supply, geometry and means of transfer. The initial chapters are dedicated to the fundamentals – the basic procedures, how to get started, and technical tips – as well as advice on wound care and scar management. These practical pointers are essential for students of plastic surgery, while also offering helpful refreshers for experienced practitioners. The subsequent chapters describe the types of flaps that are traditionally taught and the 10 most common flaps. There is also a practical guide to W-plasty, Z-plasty and their various modifications, which can be applied to both scar revision and the closure of the donor sites. The book also discusses the Keystone Perforator Island Flap (KPIF) and its application to various body sites, offering elegant solutions to some very tricky situations. In turn, the book’s final chapters are focused on assessment, decision-making an d lessons learned – essentially, how to decide if a skin graft is the better choice, matters relating to aesthetics, and dealing with complications. Rather than demonstrate exactly how to execute flaps, the book’s primary goal is to inspire students and trainees to think about the reconstructive problem, consider all patient-related and anatomical factors, and accurately recognize what can feasibly be achieved.

Atlas of Regional and Free Flaps for Head and Neck Reconstruction

Author : Mark L. Urken
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451180780
Total Pages : 553 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Atlas of Regional and Free Flaps for Head and Neck Reconstruction by : Mark L. Urken

Download or read book Atlas of Regional and Free Flaps for Head and Neck Reconstruction written by Mark L. Urken and published by Lippincott Williams & Wilkins. This book was released on 2012-01-05 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.

Flaps and Reconstructive Surgery E-Book

Author : Fu-Chan Wei
Publisher : Elsevier Health Sciences
ISBN 13 : 0323260705
Total Pages : 828 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Flaps and Reconstructive Surgery E-Book by : Fu-Chan Wei

Download or read book Flaps and Reconstructive Surgery E-Book written by Fu-Chan Wei and published by Elsevier Health Sciences. This book was released on 2016-08-26 with total page 828 pages. Available in PDF, EPUB and Kindle. Book excerpt: With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. It includes chapters and expert commentaries from more than 100 authors and world-renowned leaders in the field, while brand-new cases and high-quality illustrations focused on flap harvest, markings, and reconstruction keep you abreast of today's latest developments. Includes high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. Detailed case studies illustrate how to optimize every aspect of care for the reconstructive surgery patient, including the postoperative period and long-term follow-up. Brand-new section on reconstruction takes an algorithmic approach to the reconstruction of defects around the body. Features chapters covering the entire spectrum of reconstructive surgery, including head and neck reconstruction, chest wall reconstruction, abdominal wall, upper and lower extremity, and facial reanimation. Content focuses on both local and free flaps. New section on reconstructive transplant surgery highlights major topics such as face and hand transplantations, abdominal wall transplantation, uterus transplantation, and nerve allotransplantation.

Local Flaps in Facial Reconstruction

Author : Velupillai Ilankovan
Publisher : Springer
ISBN 13 : 3319084798
Total Pages : 360 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Local Flaps in Facial Reconstruction by : Velupillai Ilankovan

Download or read book Local Flaps in Facial Reconstruction written by Velupillai Ilankovan and published by Springer. This book was released on 2015-02-27 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by three experienced consultants with a large skin cancer practice and international reputations for excellence, this book provides comprehensive practical solutions to defects in the head and neck region that are confronted by the clinician in day-to-day practice. Essential information is first provided on anesthesia, defect assessment and individual flaps, while the core chapters focus on the reconstruction of specific defects at specific sites. The defects and reconstructive solutions are depicted by means of sequential, clinically relevant line drawings that are complemented by clear supporting text highlighting the intricacies and nuances of the procedure and the decision-making process. Helpful algorithms at the end of each chapter summarize the solutions. This book will be ideal for use in daily practice by clinicians and trainees and will assist in achieving excellent cosmetic outcomes in this aesthetically sensitive part of the body.

Local Flaps in Facial Reconstruction

Author : Neil Axel Swanson
Publisher :
ISBN 13 :
Total Pages : 632 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Local Flaps in Facial Reconstruction by : Neil Axel Swanson

Download or read book Local Flaps in Facial Reconstruction written by Neil Axel Swanson and published by . This book was released on 1995 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic text presents precise and detailed methods for repair ing cuta neous defects in a variety of sizes, configurations, and lo ca tions. 1,512 in traoperative drawings and "before-and-after" photos demon strate essential nuances of technique.

Reconstructive Dermatologic Surgery

Author : S Brian Jiang
Publisher : JP Medical Ltd
ISBN 13 : 935152941X
Total Pages : 408 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis Reconstructive Dermatologic Surgery by : S Brian Jiang

Download or read book Reconstructive Dermatologic Surgery written by S Brian Jiang and published by JP Medical Ltd. This book was released on 2018-02-28 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reconstructive Dermatologic Surgery is a practical guide for dermatologists edited by internationally recognised, San Diego-based experts in the field. Divided into 25 chapters across three sections, this book begins with a section on designing a dermatologic surgery office, from the physical space and equipment, to pre-operative considerations such as anaesthesia, and post-operative considerations including bandaging and wound care. This section also includes chapters on suturing techniques, various flaps procedures, skin, cartilage and composite grafts. The second section focuses on reconstructive surgery for each anatomical site, including nose, periorbital, lip, cheek, forehead, ear, scalp and hand. The final section of the book covers post-operative management in detail, including procedures for scar refinement. Reconstructive Dermatologic Surgery features 200 full colour images, enhancing this ideal resource for residents, fellows and experienced dermatologic surgeons. Key Points Practical guide to reconstructive dermatologic surgery Edited by internationally recognised experts in the field Covers reconstructive surgery by anatomical site, making this an excellent reference resource 200 full colour images

Facial Flaps Surgery

Author : Glenn Goldman
Publisher : McGraw Hill Professional
ISBN 13 : 0071756027
Total Pages : 464 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Facial Flaps Surgery by : Glenn Goldman

Download or read book Facial Flaps Surgery written by Glenn Goldman and published by McGraw Hill Professional. This book was released on 2012-11-05 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique combination text and atlas gives you expert guidance on facial reconstruction DVD with video of 35 procedures Facial Flap Surgery delivers ready-to-use insights making surgical protocols more accessible than ever. Combining a text and atlas, this two-in-one resource also features an all-inclusive, yet streamlined presentation that is packed with hundreds of photographs and drawings that take you step by step through every procedure. Facial Flap Surgery begins with an incisive review of the bioanatomy and mechanics of tissue movement, highlighting how to mobilize soft tissue to reconstruct cutaneous operative wounds. Next is an unsurpassed overview of all flap types, including some never published before: from advancement flaps to rotation and banner flaps. Another section examines the repair of specific facial features, including the nose, ear, lip, and temple. Last, complications such as hematomas and flap failure are covered, helping you achieve the best possible outcomes. FEATURES Illuminates the biomechanical properties and need-to-know subtypes of each flap category An atlas of real-life cases that aids you in determining which type of flap will provide optimal surgical outcomes for any patient In-depth chapters explain how to effectively utilize each of the flaps in surgeries for specific facial regions Companion DVD filled with 35 video clips offers an unmatched tutorial that takes you through the preparation and successful use of facial flaps in multiple facial regions

Manual of Head and Neck Reconstruction Using Regional and Free Flaps

Author : Boban M Erovic
Publisher : Springer
ISBN 13 : 3709111722
Total Pages : 263 pages
Book Rating : 4.7/5 (91 download)

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Book Synopsis Manual of Head and Neck Reconstruction Using Regional and Free Flaps by : Boban M Erovic

Download or read book Manual of Head and Neck Reconstruction Using Regional and Free Flaps written by Boban M Erovic and published by Springer. This book was released on 2014-12-10 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ablative tumor surgery of the head and neck region often results in severe cosmetic and functional deformities. In these cases, microvascular free-tissue transfer enables three-dimensional reconstruction of head and neck defects. The selection of adequate donor tissue and a profound knowledge of the human anatomy and the various harvesting techniques are paramount in ensuring successful reconstruction. Reflecting current surgical approaches, this book presents the most frequently used flaps in head and neck surgery, including detailed overviews as well as their respective pearls and pitfalls. Moreover, each section contains a synopsis and pre-operative checklist. The overlay-technique merges high-quality-photographs with drawings and precisely illustrates the step-to-step descriptions of the different flap harvesting techniques, making this manual in pocket size an unique and accessible reference for both doctors in training and specialists in the field of otolaryngology, head and neck, plastic, maxillofacial and skull base surgery.

Principles of Facial Reconstruction

Author : Wayne F. Larrabee Jr.
Publisher : Thieme
ISBN 13 : 1684201071
Total Pages : 338 pages
Book Rating : 4.6/5 (842 download)

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Book Synopsis Principles of Facial Reconstruction by : Wayne F. Larrabee Jr.

Download or read book Principles of Facial Reconstruction written by Wayne F. Larrabee Jr. and published by Thieme. This book was released on 2021-08-11 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: A beautifully illustrated, multimedia guide to facial soft-tissue reconstruction from leading clinicians Principles of Facial Reconstruction: A Subunit Approach to Cutaneous Repair, Third Edition by distinguished clinicians Wayne F. Larrabee Jr., David A. Sherris, Jeffrey C. Teixeira, and esteemed contributors presents evidence-based facial reconstruction techniques that simplify flap design based on location and defect. The book's primary focus is soft-tissue defects of moderate size rather than larger flap reconstructions. Building on the acclaimed prior editions, the third edition features new content and images. Key surgical principles are detailed graphically in an easy-to-navigate, concise layout. The two opening chapters cover a review of soft-tissue biomechanics and physiology, followed by fundamentals of wound closure, wound healing, grafts, and flaps. The seven consistently organized anatomic chapters present a brief overview of the anatomy of the region, followed by succinct descriptions of surgical approaches for relevant subunits in that region. The final two chapters provide details on free flaps and graft harvesting techniques. The reader-friendly format enables quick determination of the most reliable reconstruction options for repair of the scalp, forehead, eyes, nose, cheek, ears, and lips and chin. Key Features Firsthand experience from renowned experts on the most reliable defect reconstructions Full-color clinical photographs, around 500 high-quality illustrations, and diagrams provide precise insights on key surgical concepts Following a facial unit principle, decision-making algorithms guide readers on selection of the most effective flap or graft for each case This is a must-have resource for plastic surgeons, otolaryngologists, and oral-maxillofacial surgeons, and dermatology residents and fellows, as well as surgeons specializing in the field of facial plastic surgery.

Nasal Reconstruction

Author : Frederick J. Menick
Publisher : Elsevier Health Sciences
ISBN 13 : 0702030082
Total Pages : 789 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Nasal Reconstruction by : Frederick J. Menick

Download or read book Nasal Reconstruction written by Frederick J. Menick and published by Elsevier Health Sciences. This book was released on 2009 with total page 789 pages. Available in PDF, EPUB and Kindle. Book excerpt: A nasal reconstruction authority shows you how to obtain the best outcomes and repair unsatisfactory results from former surgeries. In addition to presenting the latest principles and techniques, this new resource also examines evolving concepts and methods, keeping you at the forefront of today's practice. The book emphasizes the restoration of nasal defects-from simple to complex-and achieving normal appearance and function. Comprehensive coverage of all nasal injuries and available surgical methods-both cutting edge as well as older, established approaches-help you choose the best approach for each patient and situation. Full-color clinical photos offer real-life clinical views of conditions and step-by-step surgical results, and a bonus DVD-featuring operative clips-shows techniques in action as well as providing hints and tips for obtaining optimal surgical outcomes. Offers detailed coverage of the principles of nasal reconstruction and application of the aesthetic principles as they apply to the whole face. Discusses design, planning, technique, and pitfalls to avoid for the full range of nasal reconstruction for complete surgical management guidance. Covers the latest topics in reconstruction including three-stage forehead flap . repair of the cocaine nose . advances in the use of free flaps for lining . forehead skin graft . microvascular reconstruction of the nose and face . and revision surgery to equip you to meet a wide range of surgical needs. Features guidance on reconstruction of nasal defects due to cancer, trauma, infection, congential deformity, drug abuse, and collagen vascular disease. Provides expert advice on revision surgery-as well as refinement/touch-up procedures-to effectively handle a previously repaired nose. Includes a DVD with 90 minutes of surgical footage-including cases with a complete 2 stage and a 3 stage folded forehead flap-as well as hints and tips for obtaining optimal surgical outcomes.

Facial Plastic and Reconstructive Surgery

Author : Hade Vuyk
Publisher : CRC Press
ISBN 13 : 1444113410
Total Pages : 631 pages
Book Rating : 4.4/5 (441 download)

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Book Synopsis Facial Plastic and Reconstructive Surgery by : Hade Vuyk

Download or read book Facial Plastic and Reconstructive Surgery written by Hade Vuyk and published by CRC Press. This book was released on 2012-12-11 with total page 631 pages. Available in PDF, EPUB and Kindle. Book excerpt: Facial Plastic and Reconstructive Surgery is a comprehensive and practical guide to performing facial surgical procedures, and contains a balance of aesthetic and reconstructive procedures that mirrors typical European practice. It has arisen as an initiative of the European Academy of Facial Plastic Surgery (EAFPS), and in accordance with this status is a comprehensive book that gives a complete update on the speciality as it is practised in Europe. The contributors have many years of clinical practice as well as research experience in facial plastic and reconstructive surgery. The book's practical 'how-to' style is amply supported with excellent line illustrations and colour photographs, and serves as a comprehensive reference for surgeons in clinical practice as well as in training. Each chapter is structured within a uniform framework to increase the accessibility of the text, and in this way improves the book's utility as a textbook for trainees.

Video Atlas of Oculofacial Plastic and Reconstructive Surgery E-Book

Author : Bobby S Korn
Publisher : Elsevier Health Sciences
ISBN 13 : 0323297579
Total Pages : 432 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Video Atlas of Oculofacial Plastic and Reconstructive Surgery E-Book by : Bobby S Korn

Download or read book Video Atlas of Oculofacial Plastic and Reconstructive Surgery E-Book written by Bobby S Korn and published by Elsevier Health Sciences. This book was released on 2016-03-29 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for oculofacial, facial/cosmetic plastic, and dermatologic surgeons, the updated Video Atlas of Oculofacial Plastic and Reconstructive Surgery brings together high-definition quality video and accompanying color atlas to help you master the latest reconstructive and cosmetic surgical procedures of the eyelid, lacrimal system, orbit, and face. Superb illustrations combined with expanded coverage of over 70 techniques deliver a complete multimedia resource to help perfect your surgical skills. Includes high-resolution screen grabs throughout the text to pinpoint key stages of the procedures. Includes 40 new and revised chapters covering the hottest procedures: aesthetic and revisional eyelid surgery; complex periocular reconstructions; Asian eyelid surgery; periocular fat transfer; and minimally invasive brow- and face-lift surgery. Comprehensively covers the essential procedures in the field, such as upper and lower blepharoplasty, ptosis repair, endoscopic brow lifting, botulinum toxin, oculofacial reconstruction, eyelid malposition repairs, endoscopic lacrimal surgery, and advanced orbital surgery techniques. Over 1,600 illustrations in the atlas include intra-operative photos, as well as new "before and after" patient images. A consistent chapter format with indications, preoperative evaluations, surgical techniques, complications and consumables used during surgery allows you to grasp the key points of every procedure.

Principles of Nasal Reconstruction

Author : Shan R. Baker
Publisher : Springer Science & Business Media
ISBN 13 : 0387890289
Total Pages : 584 pages
Book Rating : 4.3/5 (878 download)

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Book Synopsis Principles of Nasal Reconstruction by : Shan R. Baker

Download or read book Principles of Nasal Reconstruction written by Shan R. Baker and published by Springer Science & Business Media. This book was released on 2011-03-23 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Skin cancer is among the most commonly occurring cancers, with incidence rates climbing among patients of all ages. The nose is the most common site for these cases. The vast majority of skin cancers of the nose are treated surgically by plastic surgeons, dermatologists, and otolaryngologists. Surgical excision requires reconstruction to one degree or another and Principles of Nasal Reconstruction will prove extremely helpful to any surgeon contemplating reconstruction of defects resulting from skin cancer removal. This book offers multiple guided surgical techniques and references to provide insight and practical guidance to the surgeon and trainee performing nasal reconstructions