← All decks
ENT
Basic Plastic Reconstruction Procedures in the Head and Neck
Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery
What’s inside
6 sections · 40 slides
Overview
- What this topic teaches you
Principles of Reconstruction
The rules that govern every head-and-neck repair
- Why the head and neck are rebuilt
- The two founding principles
- Relaxed skin tension (RST) lines: the map for every cut
- The reconstructive toolbox at a glance
Simple Incisions
Reshaping tension using tissue that is already there
- Z-plasty: redirecting a scar's pull
- VY-plasty: gaining or releasing length
- Relaxed skin tension lines and Z-plasty
- Geometric techniques for reshaping facial skin
Free Transplants (Grafts)
Moving tissue that must re-connect to a new blood supply
- What a free graft is
- Skin grafts: split-thickness vs full-thickness
- Free skin grafts of different thickness
- Composite grafts: two tissues in one
- Composite auricular graft for a nasal alar defect
- Composite graft used to repair a defect
- Structural grafts, contour grafts, and implants
Flaps
Tissue moved with its own blood supply still attached
- Graft versus flap: the key distinction
- Local and advancement flaps
- Random-pattern versus axial-pattern blood supply
- Transposition flaps
- Covering a defect with a bilobed flap
- Bilobed flap after removal of a skin tumour
- Rotation (sliding) flaps
- Regional island flap transfer
- Pedicled regional flaps
- Forehead flap rebuilding the nasal tip
- Distant flaps
- Pectoralis major myocutaneous flap
- Microvascular free flaps and customized flaps
- Radial forearm free flap with microvascular anastomosis
Prostheses
When an artificial part beats a long rebuild
- When a prosthesis is the wiser choice
- Three ideas to carry away
- Key takeaways
- Ear, Nose, and Throat Diseases: With Head and Neck Surgery