Download Facial plastic surgery: the essential guide by Stephen S. Park PDF

By Stephen S. Park

This striking advisor condenses the full box of facial plastic and reconstructive surgical procedure right into a unmarried, easy-to-read textual content. jam-packed with crucial details on each web page, it's designed for studying disguise to hide for a robust and whole origin within the box.

The booklet addresses such key points of facial cosmetic surgery as congenital anomalies of the face and neck, maxillofacial trauma, head and neck reconstruction, rhinoplasty, getting older face surgical procedure, and cutaneous reconstruction. fashionable experts speak about a extensive variety of approaches, together with microvascular flaps, septoplasty, endoscopic browlift, and lots of extra. Highlighted pearls and pitfalls supply suggestions for optimum results and problem avoidance. additionally, you will locate greater than six hundred top of the range images to help in speedy comprehension.

This e-book is perfect for citizens who desire a transparent, nuts-and-bolts creation to the sphere, and for brand spanking new practitioners for its assessment of universal difficulties. it truly is a useful addition to the pro library of any plastic health professional

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FIGURE 1–20 A 4-month-old boy with bilateral symmetric cleft lip and palate. qxd 16 4/5/05 12:28 PM Page 16 • FACIAL PLASTIC SURGERY: THE ESSENTIAL GUIDE FIGURE 1–21 (A) Frontal view. (B) Lateral view. A 14-year-old boy with unrepaired bilateral cleft lip and cleft palate. Note the maxillary constriction and “locked out”premaxilla. The significant bilateral cleft lip results in a short columella and poor projection of the nasal tip. (From Papel ID. Facial Plastic and Reconstructive Surgery, 2nd ed.

1–53). Care must be taken to remove the entire floating rib, as this portion is often deficient in length. The chest wound is closed in layers with a 3-0 braided synthetic absorbable suture used for muscle and a 4-0 absorbable suture for dermal closure. A running intracuticular 5-0 monofilament suture is used for skin closure. A small soft passive drain is used in the subcutaneous tissues, and a tight pressure dressing is used for 48 hours. Thorough knowledge of normal auricular anatomy is essential to the creation of a precise framework.

This converts the bipedicle flaps to posteriorly based unipedicled mucoperiosteal flaps. The posteriorly based unipedicle flaps are elevated in a submucoperiosteal plane and contain the greater palatine vessels. After the nasal mucosa is elevated, complete closure of the nasal layer is accomplished prior to muscle closure and to oral mucosal closure. Dissection and release of the malaligned soft palatal musculature is performed and the muscle is then closed in a single layer. This allows repositioning of the velopharyngeal muscular sling from an oblique to a more physiologic transverse orientation.

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