BookBrendan C. Stack Jr., Mauricio A. Moreno, Jennings R. Boyette, Emre A. Vural, editors.
Summary: 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 patients 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.
Contents:
Intro
Foreword
Preface
Acknowledgments
Contents
Contributors
Part I: Free Tissue Transfer Donor Site Options
1: Radial Forearm Fasciocutaneous Tissue Transfer
1.1 Indication
1.2 Technical Considerations
1.3 Patient Positioning and Skin Marking
1.4 Technical Description
1.5 Complications
Suggested Reading
2: Anterolateral Thigh Free Flap
2.1 Anatomy
2.2 Patient Positioning, Preparation, and Marking
2.3 Surgical Technique
Suggested Reading
3: Osseoseptocutaneous Fibular Free Flap Harvest 3.1 Preoperative History and Physical Exam
3.2 Imaging
3.3 Laterality Selection and Incision Planning
3.4 Harvest Technique
3.4.1 Positioning and Skin Markings
3.4.2 Operative Technique
3.5 Closure
Suggested Reading
4: Subscapular System Flaps: An Introduction
4.1 Anatomy of the Subscapular System
4.2 Thoracodorsal Artery
4.3 Circumflex Scapular Artery
4.4 Indications and Limitations
4.4.1 Mandible
4.4.2 Maxilla
4.4.3 Large Soft Tissue Defects
4.4.4 Patient Positioning
Further Reading
5: Scapula-Free Flap 5.1 Patient Positioning, Preparation, and Marking
5.2 Surgical Technique
5.3 Special Considerations: Multiple Skin Paddles, Complex Defects
5.4 Donor Site Closure and Care
Suggested Reading
6: Latissimus Dorsi-Free Flap
6.1 Patient Positioning
6.2 Patient Preparation and Marking
6.3 Surgical Technique
6.3.1 Musculocutaneous Latissimus Flap
6.3.2 Thoracodorsal Artery Perforator Flap
6.3.3 Myofascial Latissimus Flap
6.4 Donor Site Closure and Care
Suggested Reading
7: Myocutaneous Rectus-Free Flap
7.1 Relevant Anatomy
7.2 Technique 7.3 Complications
Suggested Reading
Part II: The Matrix of Anatomic Locations of Defects of the Head and Neck: Scalp
8: Reconstruction of a Scalp Defect with an Advancement Flap
8.1 Indications and Limitations
8.2 Technical Considerations
8.3 Complications
8.4 Case Report
Further Reading
9: Reconstruction of a Scalp Defect, Rotational Flap
9.1 Indications and Limitations
9.2 Technical Considerations
9.3 Complications
9.4 Case Report
Further Reading
10: Reconstruction of a Scalp Defect, O-S Rotational Flaps
10.1 Indications and Limitations 10.2 Technical Considerations
10.3 Complications
10.4 Case Report
Suggested Reading
11: Scalp Reconstruction with Fasciocutaneous Radial Forearm-Free Tissue Transfer
11.1 Indications
11.2 Limitations
11.3 Technical Considerations
11.4 Complications
11.5 Case Report
Suggested Reading
12: Reconstruction of Scalp Defects Using Latissimus-Free Flaps
12.1 Indications
12.2 Limitations
12.3 Technical Considerations
12.4 Complications
12.5 Case Report
Suggested Reading