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Head and neck reconstruction can be challenging due to the anatomical complexity of the area, its impact upon function, and the common need for adjuvant treatment postoperatively in cases of malignancy. Furthermore, the results are very visible and may significantly affect the patient’s ability to reintegrate socially. This unique surgical atlas is organized as a matrix of options, from simple to complex, covering all described anatomical areas of the head and neck. The organization of defects and reconstructive options, combined with illustrations and high-resolution intraoperative photography, make this the premier reconstructive reference that will be accessible when difficult reconstructive situations arise.
The matrix concept is a unique approach to organizing and presenting facial, head and neck defects. Most clinical cases present as a defect or as the potential for a defect after a resection. The matrix approach is a human cognitive approach to problem solving. This atlas allows the reader to search out their potential defects and study the possible reconstructive options available to them. This spectrum of possibilities may help the surgeon to decide whether to manage on the case on their own or refer it for more expertise. It is also a visible tool to assist surgeons in reviewing options and making decisions with patients in the informed consent process.
The matrix presents defects with internal consistency throughout the text and is organized in an anatomic order. Each anatomic sub-site is further subdivided into recognized clinical sub-units, and each potential defect is then illustrated in a standardized fashion to promote clarity and uniformity for easy reference. Commonly associated defects are linked. Each specific defect is then addressed, presenting reconstructive options of increasing complexity, with photography to show a staged approach to pre-reconstruction, site preparation, flap selection, flap inset, and final results acutely post-operatively and at a delayed time point.
Matrix Head and Neck Reconstruction combines and distills the work of major head and neck reconstruction and facial plastic surgery to provide a broad and deep resource that is highly pictorial and practical in providing a scalable approach to reconstruction.
Pages i-xxiii
Front Matter
Pages 1-1
Radial Forearm Fasciocutaneous Tissue Transfer
Pages 3-7
Pages 9-13
Osseoseptocutaneous Fibular Free Flap Harvest
Pages 15-20
Subscapular System Flaps: An Introduction
Pages 21-25
Pages 27-32
Pages 33-38
Pages 39-43
Front Matter
Pages 45-45
Reconstruction of a Scalp Defect with an Advancement Flap
Pages 47-49
Reconstruction of a Scalp Defect, Rotational Flap
Pages 51-53
Reconstruction of a Scalp Defect, O-S Rotational Flaps
Pages 55-56
Scalp Reconstruction with Fasciocutaneous Radial Forearm-Free Tissue Transfer
Pages 57-60
Reconstruction of Scalp Defects Using Latissimus-Free Flaps
Pages 61-63
Front Matter
Pages 65-65
Reconstruction of Composite Skull Defects Using Mesh and Radial Forearm-Free Flap
Pages 67-69
Front Matter
Pages 71-71
Reconstruction of a Temple Defect, Rhombic Transposition Flap
Pages 73-75
Reconstruction of a Temple Defect, Note Transposition Flap
Pages 77-79
Temporoparietal Flap for Lateral Forehead and Temple Defects
Pages 81-84
Pages 85-88
Reverse Cervicofacial Advancement-Rotation Flap (RCARF) for Midface and Cheek Reconstruction
Pages 89-93
Reconstruction of Temple Defects Using Radial Forearm-Free Flap
Pages 95-97
Front Matter
Pages 99-99
Reconstruction of a Forehead Defect, O-H Advancement Flaps
Pages 101-102
Reconstruction of a Central Forehead Defect Advancement Flap, T-Plasty, and L-Plasty
Pages 103-104
Reconstruction of Forehead Defects with Anterolateral Thigh and Radial Forearm-Free Flaps
Pages 105-108
Front Matter
Pages 109-109
Reconstruction of Anterior Skull Base Defects with Radial Forearm-Free Flaps
Pages 111-114
Front Matter
Pages 115-115
Reconstruction of a Helical Rim Defect, Chondrocutaneous Advancement Flap
Pages 117-120
Reconstruction of a Superior Helical Rim Defect, Transposition Flap
Pages 121-123
Reconstruction of a Full-Thickness Upper Helical Defect, Rib Cartilage, and Local Flaps
Pages 125-128
Reconstruction of a Large Helical Rim Defect, Rib Cartilage, and Local Flaps
Pages 129-132
Reconstruction of a Central Helical Rim Defect with a Postauricular Interpolation Flap
Pages 133-136
Reconstruction of a Central Helical Defect, Postauricular Island Flap
Pages 137-140
Reconstruction of an Auricular Defect, Transposition Flaps
Pages 141-143
Front Matter
Pages 145-145
Pages 147-149
Pages 151-153
Lateral Skull Base Defect Repair with Radial Forearm-Free Flap
Pages 155-158
Reconstruction of Lateral Skull Base Using Rectus Abdominis-Free Flap
Pages 159-161
Front Matter
Pages 163-163
Reconstruction of a Zygomatic/Malar Cheek Defect, Rotational Flap
Pages 165-167
Reconstruction of a Lateral Cheek Defect with a Rhombic Transposition Flap
Pages 169-173
Reconstruction of a Medial Cheek Defect with a Rhombic Transposition Flap
Pages 175-177
Reconstruction of a Buccal Cheek Defect, Bilobe Transposition Flap
Pages 179-181
Reconstruction of a Medial Cheek Defect, Bilobe Flap
Pages 183-184
Reconstruction of a Peri-alar, Medial Cheek Defect, V-Y Island Pedicle Advancement Flap
Pages 185-187
Musculocutaneous Submental Island Flap Reconstruction of Parotidectomy/Facial Defects
Pages 189-193
Reconstruction of Cheek Defects with Radial Forearm and Anterolateral Thigh Free Flaps
Pages 195-198
Fibular Free Flap for Maxillectomy Defects
Pages 199-202
Front Matter
Pages 203-203
Pages 205-209
Reconstruction of Orbital Exenteration Using Anterolateral Thigh Free Flap
Pages 211-213
Pages 215-217
Front Matter
Pages 219-219
Reconstruction of a Nasal Sidewall Defect with a Cheek Advancement Flap
Pages 221-223
Reconstruction of a Lateral Nasal Sidewall Defect with the Note Transposition Flap
Pages 225-227
Reconstruction of a Nasal Sidewall Defect, V-Y Island Flap
Pages 229-231
Nasal Dorsum Defect, Bilateral O-to-T Advancement Flap
Pages 233-235
Reconstruction of a Nasal Dorsum Defect, Rotational-Advancement Flap
Pages 237-242
Reconstruction of a Nasal Alar Defect, Melolabial Interpolation Flap
Pages 243-250
Reconstruction of an Alar Rim Defect, Composite Graft
Pages 251-253
Reconstruction of a Nasal Tip Defect, East-West Advancement Flap
Pages 255-257
Reconstruction of a Nasal Tip Defect Bilobe Flap
Pages 259-264
Reconstruction of a Nasal Tip Defect with a Trilobed Flap
Pages 265-267
Reconstruction of a Nasal Soft Triangle or Tip Defect, Extended Melolabial Interpolation Flap
Pages 269-272
Nasal Vestibular Lining Defect: Ipsilateral Septal Mucoperichondrial Hinge Flap
Pages 273-276
Reconstruction of a Nasal Lining Defect: Contralateral Septal Mucoperichondrial Flap
Pages 277-279
Reconstruction of a Nasal Tip Defect with Paramedian Forehead Flap
Pages 281-288
Reconstruction of a Nasal Dorsum or Sidewall Defect, Paramedian Forehead Flap
Pages 289-294
Reconstruction of a Nasal Alar Defect, Paramedian Forehead Flap
Pages 295-302
Front Matter
Pages 303-303
Reconstruction of a Lateral Upper Lip Defect, Rotational Flap
Pages 305-306
Reconstruction of a Lateral Upper Lip Defect, V-Y Island Advancement Flap
Pages 307-309
Reconstruction of an Upper or Lower Lip Defect with an O to T Advancement Flap
Pages 311-313
Reconstruction of an Upper Lip Defect, V to Y Philtral Advancement Flap
Pages 315-316
Lower Lip Reconstruction with Karapandzic Flap
Pages 317-320
Reconstruction of an Upper Lip Defect, Melolabial Interpolation Flap
Pages 321-322
Estlander Flap for Lip Reconstruction
Pages 323-326
Reconstruction of a Vermillion Lip Defect: V to Y Mucosal Island Advancement Flap
Pages 327-329
Abbe Flap for Lip Reconstruction
Pages 331-334
Bernard-Burow-Webster Flap for Lip Reconstruction
Pages 335-337
Lip and Oral Commissure Reconstruction
Pages 339-342
Front Matter
Pages 343-343
Palatal Island Flap for Oral Cavity Reconstruction
Pages 345-348
Reconstruction of Maxillary Defects Using Radial Forearm Free Flap
Pages 349-351
Scapular Free Flaps for Palate Defects
Pages 353-357
Front Matter
Pages 359-359
Reconstruction of Buccal and Retromolar Trigone Defects with Musculocutaneous Submental Island Flap
Pages 361-364
Pages 365-370
Lower Island Trapezius Musculocutaneous Flap for Oral Cavity and Oropharyngeal Space Reconstruction
Pages 371-373
Pectoralis Major Myocutaneous Flap for Oral Cavity Reconstruction
Pages 375-378
Reconstruction of Buccal Defects with Radial Forearm Free Flaps
Pages 379-382
Reconstruction of Hemiglossectomy Defect with Fasciocutaneous Radial Forearm Free Flap
Pages 383-385
Reconstruction of Tongue Defects with Rectus Abdominis Free Flap
Pages 387-390
Tongue Reconstruction Utilizing Anterolateral Thigh Flap
Pages 391-393
Front Matter
Pages 395-395
Reconstruction of a Chin Defect with Advancement Flaps
Pages 397-399
Reconstruction of a Chin Defect, Rotational Flaps
Pages 401-403
Reconstruction of a Chin Defect, Bilobe Transposition Flap
Pages 405-407
Floor of Mouth Reconstruction Utilizing an Anterolateral Thigh Flap
Pages 409-411
Reconstruction of the Chin Using a Radial Forearm Free Flap
Pages 413-415
Front Matter
Pages 417-417
Reconstruction of Mandibular Defect with a Radial Forearm Free Flap
Pages 419-422
Mandibular Reconstruction Utilizing Scapular Free Flaps
Pages 423-425
Fibula Free Flap Reconstruction of the Mandible
Pages 427-430
Front Matter
Pages 431-431
Deltopectoral Fasciocutaneous Flap for Anterior Neck Reconstruction
Pages 433-438
Reconstruction of Cervical Cutaneous Defects with Fasciocutaneous Supraclavicular Artery Island Flap
Pages 439-442
Pectoralis Major Musculocutaneous Flap for Lateral Neck Reconstruction
Pages 443-445
Lower Island Trapezius Musculocutaneous Flap for Posterior Neck Reconstruction
Pages 447-450
Reconstruction of Posterolateral Cutaneous Neck Defect Using Anterolateral Thigh Free Flap
Pages 451-453
Latissimus Dorsi Free Flap for Posterior Neck Cutaneous Defects
Pages 455-458
Front Matter
Pages 459-459
Reconstruction of Pharyngeal Defects with Anterolateral Thigh and Radial Forearm Free Flaps
Pages 461-464
Reconstruction of Pharyngeal Defects with Latissimus Dorsi Free Flaps
Pages 465-467
Front Matter
Pages 469-469
Pages 471-478
Pages 479-482
Fasciocutaneous Radial Forearm Free Flap for Reconstruction of Laryngectomy Defects
Pages 483-486
Fasciocutaneous Anterolateral Thigh Free Flap for Reconstruction of Laryngectomy Defects
Pages 487-489
Jejunum Free Tissue Transfer for Laryngopharyngeal Defects
Pages 491-494
Pages 495-501
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