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Menick, Frederik:

Aesthetic Nasal Reconstruction Principles and Practice
Preis:   490,00 Euro

Erscheinungsdatum: 07/2017
Seiten: Two Vols, 1.583 pp
Abbildungen: 6.000 Images and illustrations

ISBN-10: 1-61956-543-9   
ISBN-13: 978-1-61956-543-2

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Volumes 1 and 2 will teach you how to:
•Know the Normal
•Examine a deformity and formulate an approach to reconstruction based on fundamental principles applicable to all defects
•Define the “true” tissue loss and determine what is missing, what is present, and what tissues are available for repair
•Prepare the wound, patient, and surgeon
•Perform a preliminary operation to recreate the defect or reestablish a stable platform
•Design operative templates to replace tissues exactly
Employ secondary healing
•Use forehead skin grafts for nasal resurfacing
•When and how to use local flaps
•Choose between nasolabial and forehead donors
•Use 2- and 3-stage forehead flap–indications and technique
•Handle the forehead donor site–primary closure, expansion, surgical delay, harvest multiple forehead flaps
•Control design errors and imperfections before pedicle division
•Avoid and treat complications–intraoperative problems and postoperative necrosis and infection
•Use microvascular free flaps for nasal reconstruction
•Revise an imperfect result or redo a failed reconstruction with a second flap
•Restore the normal
I hope to share my “pearls” gathered from the care of patients with varied defects, their complications, study of the literature and, most importantly, the review of my own results. I wish I could have whispered them in my own ear when I started practice. I am whispering to you now. Hopefully, this book will provide the reader with new pearls and a longer, stronger string.
The occasional surgeon will find information useful to a specific defect, but my hope is to provide insight and renew enthusiasm in this fascinating subject. Nasal injury is common and patients are looking for a surgeon who is interested and skilled.
No surgeon has “seen it all”, regardless of training or experience. The cause, site, dimension and depth of damage, adjacent lip and cheek loss, history of prior repair, and the subsequent deformities are diverse and many. Fortunately, defects vary but the Normal does not. This book describes an approach to solve almost any problem by employing fundamental principles and thoughtful planning.
It required the presentation of hundreds of cases and multiple thousands of preoperative, intraoperative, and postoperative photographs, in two volumes–the most comprehensive text on modern nasal repair.
The book is organized so the surgeon can find a solution for a specific clinical case or study the subject in depth.
Review the Table of Cases to find a defect similar to the one which presents before you and find the solution. The donor materials and surgical techniques are provided in a step-bystep fashion.

Or study the Table of Contents which outlines topics by chapter–the how, when, where, why, and what of the nasal repair. It describes its history, pathophysiology, principles, planning, and the materials and techniques available to replace cover, lining, and support.
This includes modern lining techniques such as the folded forehead and skin graft for lining, microvascular lining, the full-thickness forehead skin graft for superficial defects, and the 3-stage full-thickness forehead flap for large and deep defects, the avoidance and treatment of complications (flap ischemia and infection), the revision of the imperfect result, and redoing the failed repair. Other chapters include treatment of primary intranasal lining loss, reconstruction of the columellar defects, and the repair of composite defects.
Ralph Millard described “3 P’s” for success–Principles, Planning, and Precision. I believe that “6 P’s” are needed–Purpose, Principles, Planning, Proper methods and materials, Precision, and Patience.

Nasal reconstruction has been the centerpiece of my clinical practice and, as Gillies said at the start of the First World War, after observing Hippolyte Morestin making cheeks and noses in Paris–
“This is the one job in the world that I want to do.” Dr. Frederick Menick

Aesthetische Chirurgen