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Contributors

Samer Abouzeid, MD

Fellow, Craniofacial and Pediatric Plastic Surgery, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Lee W.T. Alkureishi, MBChB, MRCS

Doctor, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Jonathan Bank, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Zach J. Barnes, MD

Clinical Assistant Professor of Plastic Surgery, Department of Plastic Surgery, ohio State University, Columbus, ohio

Deniz Basci, MD

Resident, Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Daniel O. Beck, MD

Aesthetic Fellow, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Amanda Y. Behr, MA, CMI, FAMI

Assistant Professor, Department of Medical Illustration, Georgia Regents University, Augusta, Georgia

Prosper Benhaim, MD

Associate Professor and Chief of Hand Surgery, Department of orthopaedic Surgery and Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, Los Angeles, California

Brian P. Bradow, MD

Assistant Clinical Professor, Department of Surgery, University of Illinois College of Medicine, Peoria, Illinois

John L. Burns, Jr., MD

Clinic Instructor, Department of Plastic Surgery, University of Texas Southwestern Medical Center; Dallas Plastic Surgery Institute, Dallas, Texas

Daniel R. Butz, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Carey Faber Campbell, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

David S. Chang, MD

Assistant Clinical Professor, Department of Surgery, University of California, San Francisco, San Francisco, California

Tae Chong, MD

Assistant Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

James B. Collins, MD

Resident, Department of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Fadi C. Constantine, MD

Aesthetic Surgery Fellow, Department of Plastic Surgery, Manhattan eye, ear, and Throat Hospital, New york, New york

Kristin K. Constantine, MD

Fellow, otolaryngology-Head & Neck Surgery, New york Head & Neck Institute, New york, New york

Melissa A. Crosby, MD, FACS

Associate Professor, Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas

Marcin Czerwinski, MD, FRCSC, FACS

Assistant Professor of Surgery, Division of Plastic Surgery, Department of Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Phillip B. Dauwe, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Michael E. Decherd, MD, FACS

Clinical Assistant Professor, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Chantelle M. DeCroff, MD

Resident, Department of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Christopher A. Derderian, MD

Assistant Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Children’s Medical Center, Dallas, Texas

Michael S. Dolan, MD, FACS

Hand Surgeon, Department of orthopedic Surgery, Jackson-Madison County General Hospital, Jackson, Tennessee

Jordan P. Farkas, MD

Chief Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Private Practice, Department of Plastic Surgery, Paramus, New Jersey

Douglas S. Fornfeist, MD

Assistant Professor, Department of orthopedic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Sam Fuller, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

C. Alejandra Garcia de Mitchell, MD

Adjunct Assistant Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio, San Antonio, Texas

Patrick B. Garvey, MD, FACS

Associate Professor, Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas

Ashkan Ghavami, MD

Assistant Clinical Professor, Department of Plastic Surgery, David Geffen UCLA School of Medicine, Los Angeles, California; Private Practice, Ghavami Plastic Surgery, Beverly Hills, California

Amanda A. Gosman, MD

Associate Clinical Professor, Residency

Training Program Director, Division of Plastic and Reconstructive Surgery, University of California, San Diego, San Diego, California

Matthew R. Greives, MD

Craniofacial Fellow, Children’s Hospital of Pittsburgh, University of Pittsburgh Department of Plastic Surgery, Pittsburgh, Pennsylvania

Adam H. Hamawy, MD, FACS

Private Practice, The Juventus Clinic, New york, New york

Bridget Harrison, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Bishr Hijazi, MD

Private Practice, Nevada Surgical Institute, Las Vegas, Nevada

John E. Hoopman, CMLSO

Certified Medical Laser Specialist, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Tarik M. Husain, MD

Attending orthopaedic/Sports Medicine

Surgeon and Hand Surgeon, orthoNoW, Doral, Florida; Attending Plastic and Hand Surgeon, MoSA Medspa, Miami Beach, Florida

Jeffrey E. Janis, MD, FACS

Professor and executive Vice Chairman, Department of Plastic Surgery, ohio State University; Chief of Plastic Surgery, University Hospital, Columbus, ohio

Charles F. Kallina IV, MD, MS

Assistant Professor, Department of Surgery; Hand Surgeon, Department of orthopedic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Phillip D. Khan, MD

Aesthetic Surgery Fellow, The HunstadKortesis Center for Cosmetic Plastic Surgery & Medspa, Charlotte, North Carolina

Rohit K. Khosla, MD

Assistant Professor, Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, California

Grant M. Kleiber, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Reza Kordestani, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Essie Kueberuwa, MD, BSc (Hons)

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Huay-Zong Law, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Danielle M. LeBlanc, MD, FACS

Private Practice, Department of Plastic and Reconstructive Surgery, Forth Worth Plastic Surgery Institute, Fort Worth, Texas

Michael R. Lee, MD

Plastic Surgeon, The Wall Center for Plastic Surgery, Shreveport, Louisiana

Jason E. Leedy, MD

Private Practice, Mayfield Heights, ohio

Benjamin T. Lemelman, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Joshua A. Lemmon, MD

Plastic and Hand Surgeon, Regional Plastic Surgery Associates, Richardson, Texas

Raman C. Mahabir, MD, MSc, FRCSC, FACS

Vice Chair, Associate Professor, Chief of Microsurgery, Department of Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Janae L. Maher, MD

Resident, Division of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Menyoli Malafa, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

David W. Mathes, MD

Associate Professor of Surgery, Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, Washington

Ricardo A. Meade, MD

Plastic Surgeon, Department of Plastic Surgery, University of Texas Southwestern Medical Center; Private Practice, Dallas Plastic Surgery Institute, Dallas, Texas

Blake A. Morrison, MD

Medical Director, The Advanced Wound Center, Clear Lake Regional Medical Center, Webster, Texas

Scott W. Mosser, MD

Private Practice, San Francisco, California

Purushottam A. Nagarkar, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Karthik Naidu, DMD, MD

Attending Surgeon, Division of oral and Maxillofacial Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Kailash Narasimhan, MD

Chief Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Trang Q. Nguyen, MD

Fellow, Plastic and Reconstructive Surgical Service, Memorial Sloan-Kettering Cancer Center, New york, New york

Sacha I. Obaid, MD

Medical Director, North Texas Plastic Surgery, Southlake, Texas

Babatunde Ogunnaike, MD

Vice Chairman and Chief of Anesthesia Services, Parkland Hospital, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas

Eamon B. O’Reilly, MD, LCDR MC US Navy

Staff Surgeon, Department of Plastic Surgery, Naval Medical Center San Diego, San Diego, California

Thornwell Hay Parker III, MD, FACMS

Volunteer Faculty, Department of Plastic Surgery, University of Texas Southwestern Medical Center; Staff, Department of Plastic Surgery, Texas Health Presbyterian Hospital of Dallas, Dallas, Texas

Wendy L. Parker, MD, PhD, FRCSC, FACS

Associate Professor, Division of Plastic Surgery, Department of Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Jason K. Potter, MD

Clinical Assistant Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Benson J. Pulikkottil, MD

Plastic Surgeon, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Smita R. Ramanadham, MD

Senior Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Rey N. Ramirez, MD

Pediatric Hand Surgeon, Shriners Hospital of erie, erie, Pennsylvania

Timmothy R. Randell, MD

orthopedic Surgery Resident, Department of orthopedic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Lance A. Read, DDS

Assistant Professor of Surgery; Director, Division of oral and Maxillofacial Surgery, Department of Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Gangadasu Reddy, MD, MS

Fellow in Hand and Microsurgery, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Edward M. Reece, MD, MS

Attending Surgeon, St. Joseph’s Medical and Trauma Center, Phoenix, Arizona

José L. Rios, MD

Private Practice, Joliet, Illinois

Luis M. Rios, Jr., MD

Adjunct Clinical Professor, Department of Surgery, University of Texas Health Science Center−RAHC, San Antonio, Texas

Kendall R. Roehl, MD

Assistant Professor, Division of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Jason Roostaeian, MD

Clinical Instructor, Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California

Michel Saint-Cyr, MD, FRCSC

Professor of Plastic Surgery, Practice Chair, Department of Plastic Surgery, Mayo Clinic, Rochester, Minnesota

Douglas M. Sammer, MD

Assistant Professor, Program Director, Hand Surgery Fellowship, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Kevin Shultz, MD

Plastic Surgeon, Department of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Services Center College of Medicine, Temple, Texas

Christopher M. Shale, MD

Private Practice, Department of Plastic and Reconstructive Surgery, McKay-Dee Dermatology and Plastic Surgery, ogden, Utah

Deana S. Shenaq, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Alison M. Shore, MD

Zaccone Family Fellow in Reconstructive Microsurgery, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Amanda K. Silva, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Holly P. Smith, BFA

owner and Creative Director, HP Smith Design, Dallas, Texas

Georges N. Tabbal, MD

Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Sumeet S. Teotia, MD

Assistant Professor of Plastic Surgery, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Charter Plastic Surgeon, Alliance of Smiles, San Francisco, California

Chad M. Teven, MD

Resident, Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois

Jacob G. Unger, MD

Chief Resident, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Dinah Wan, MD

Medical Doctor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

Russell A. Ward, MD

Assistant Professor, Department of Surgery; Director, Musculoskeletal oncology, Department of orthopedic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Robert A. Weber, MD

Professor and Vice Chair of education, Department of Surgery; Chief, Section of Hand Surgery, Division of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Adam Bryce Weinfeld, MD

Faculty, Department of Pediatric Plastic Surgery, University of Texas Southwestern Medical Center Residency Programs at Seton Healthcare Family; Attending Plastic Surgeon, Institute for Reconstructive Plastic Surgery of Central Texas & Dell Children’s Medical Center of Central Texas, Austin, Texas

Dawn D. Wells, PA-C, MPAS

Physician Assistant, Advanced Dermasurgery Associates, Highland Village, Texas

Daniel S. Wu, MD

Medical Doctor, Department of Plastic Surgery, Scott and White Healthcare and Texas A&M Health Sciences Center College of Medicine, Temple, Texas

Foreword

When the first edition of Essentials of Plastic Surgery by Dr. Jeffrey Janis was published in 2007, it immediately achieved spectacular success worldwide, fulfilling its defined role (according to the oxford english Dictionary) as an “indispensible, absolutely necessary” publication. This compact yet comprehensive paperback handbook quickly became the “go-to” resource for plastic surgery residents and faculty alike. As a testament to its popularity, it could be seen stuffed into lab coat pockets of residents throughout the world, its cover worn with use.

Essentials, which is filled with valuable information on topics across the entire spectrum of our broad-based specialty, provides an excellent, portable resource for day-to-day education and the practice of plastic surgery. Its easy-to-use outline format is enhanced by numerous illustrations, tips, tables, algorithms, references, and key points. Now, seven years later, the dynamic nature of plastic surgery has mandated another edition of this beloved manual. This edition is even better than the previous one.

The architect of Essentials is Dr. Jeffrey Janis, a young, talented surgeon who I have had the pleasure to know and to help mentor when he was a medical student at Case Western Reserve. even at that early stage of his training, he expressed a strong interest in plastic surgery. Jeff impressed everyone with his intellect, work ethic, and organizational skills. His early promise has borne fruit during his time at the University of Texas Southwestern Medical Center at Dallas and now in his new position at ohio Statue University Medical Center. He has become a recognized leader in academic plastic surgery and a respected educator and author.

This second edition of Essentials of Plastic Surgery continues its emphasis on core content in plastic surgery, as encapsulated by Dr. Janis and a superb group of contributors. The substantial advances in our specialty have been fully incorporated, with 13 new chapters and dozens of new illustrations. New chapters on topics such as fat grafting, perforator flaps, lymphedema, surgical treatment of migraine headaches, and vascularized composite allografts and transplant immunology attest to the new information and extensive updating that is evident in this edition. While remaining compact, the book has grown to 102 chapters and more than 1000 pages, expanding the book’s coverage while making it both current and timely. Updated content is included in every chapter This comprehensive yet concise edition will ensure that Essentials of Plastic Surgery will retain its role as an indispensible element in the fabric of graduate and continuing medical education in plastic surgery.

Edward Luce, MD

Professor, Department of Plastic Surgery,

The University of Tennessee Health Science Center, Memphis, Tennessee

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Preface

It’s hard to believe that it’s been 10 years since I sat at the kitchen table of one of my best friends, José Rios, in Dallas, Texas, where the idea for Essentials of Plastic Surgery was born. At the time, we wanted to create a “quick and dirty one-stop shopping” utility book for medical students, residents, and fellows to provide high-impact information across the spectrum and variety of plastic surgery to better prepare them for their training programs. Essentials was intentionally designed to be a portable reference book, whether for an emergency department consult, an operating room case, a clinic patient, or for teaching conferences.

Neither of us had any idea that the book would turn into an item that is used by so many people in the United States and around the world. A testament to its success has been not only the number of copies sold, but the number of requests for a second edition. In the 6 years that have passed since the first edition was released, there have been many significant changes in the field of plastic surgery, so it was high time to produce an updated book.

In this second edition, we have expanded the number of chapters from 88 to 102. This reflects the increasing knowledge and understanding of plastic surgery that has occurred since 2007. New chapters such as Fundamentals of Perforator Flaps, Vascularized Composite Allografts and Transplant Immunology, Negative Pressure Wound Therapy, Surgical Treatment of Migraine Headaches, Face Transplantation, Augmentation-Mastopexy, Nipple-Areolar Reconstruction, Foot Ulcers, Lymphedema, Distal Radius Fractures, Hand Transplantation, Facial Analysis, and Fat Grafting join updated chapters across the entire table of contents. The book retains its familiarity, though, in that it is still divided into seven parts: Fundamentals and Basics; Skin and Soft Tissue; Head and Neck; Breast; Trunk and Lower extremity; Hand, Wrist, and Upper extremity; and Aesthetic Surgery. Also retained are the familiar bullet point style, format, and pocket size of the first edition that made it both useful and successful. References have been updated and expanded to guide the reader to classic and definitive articles and chapters.

Since this book belongs to all of plastic surgery, authors from around the country were solicited to update, and in many cases completely rewrite, chapters to make the information current, accurate, and contemporary. There have been significant additions of graphics, specifically tables, charts, diagrams, and illustrations, all of which have been created by in-house Quality Medical Publishing illustrators so that the consistency and quality are uniform. This richly augmented graphical content should make the text even more clear to the reader.

Ultimately, this book reflects the tremendous effort of a great number of authors and contributors, taking all of the most useful aspects of the first edition and building on that foundation with improvements in content, graphics, and utility. To that end, an electronic format of this book will be released to serve as a useful adjunct to readers as they journey through residency training, fellowship training, or preparation for maintenance of certification.The true test of the book’s utility will lie with you, the reader, as you decide what book to keep in your pocket or on your shelf. My hope is that this one is the book with a cracked and worn spine, creased pages, and absolutely no dust.

Jeffrey E. Janis

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Acknowledgments

This book truly is a labor of love that simply could not have come to life without the tremendous time and effort invested in it by so many people.

First credit must go to the authors across the country who have taken a significant amount of time to pour through the literature to carefully craft these chapters, and who endured a rigorous editing process where every word and illustration were carefully scrutinized. As they will clearly attest, meticulous attention to detail and emphasis on quality and accuracy demanded much energy and determination. To them, I am sincerely grateful for their time and for the fruits of their efforts.

Distinct recognition must also go to Karen Berger, Amy Debrecht, Suzanne Wakefield, Carolyn Reich, Carol Hollett, Makalah Boyer, Hilary Rice, and all of the amazing, hard-working staff at Quality Medical Publishing, who poured their heart and soul into this book and have created a book that could not be done by anyone else. Special gratitude goes to Amanda Good and Sarah Taylor, the illustrators, who deserve an incredible amount of credit for all of the illustrations that make this book pop alive with color, clarity, and flavor.

Most of all, with tremendous sincerity, I want to thank my wife, emily, and our children, Jackson and Brinkley, for their understanding and patience, and above all else, their unconditional love and support. Without them, this book would not be possible, and what is most important, my life would not be complete.

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14 structure and FunctIon oF skIn 167

Brian P. Bradow, John L. Burns, Jr.

15 Basal cell carcInoma, squamous cell carcInoma, and melanoma 176

Danielle M. LeBlanc, Smita R. Ramanadham, Dawn D. Wells

16 Burns 195

Reza Kordestani, John L. Burns, Jr.

17 Vascular anomalIes 203

Samer Abouzeid, Christopher A. Derderian, John L. Burns, Jr.

18 congenItal neVI 211

Dawn D. Wells, John L. Burns, Jr., Kendall R. Roehl

Part III  Head and neck

19 Head and neck emBryology 217

Huay-Zong Law, Thornwell Hay Parker III

20 surgIcal treatment oF mIgraIne HeadacHes 223

Jeffrey E. Janis, Adam H. Hamawy

Congenital Conditions

21 cranIosynostosIs 234

Carey Faber Campbell, Christopher A. Derderian

22 cranIoFacIal cleFts 248

Samer Abouzeid, Christopher A. Derderian, Melissa A. Crosby

23 dIstractIon osteogenesIs 258

Christopher A. Derderian, Samer Abouzeid, Jeffrey E. Janis, Jason E. Leedy

24 cleFt lIP 264

Bridget Harrison

25 cleFt Palate 275

Marcin Czerwinski, Amanda A. Gosman

26 VeloPHaryngeal dysFunctIon 288

Marcin Czerwinski

27 mIcrotIa 295

Danielle M. LeBlanc, Kristin K. Constantine

28 PromInent ear 304

Jeffrey E. Janis, Adam Bryce Weinfeld

traumatiC injuries

29

30

FacIal soFt tIssue trauma 315

James B. Collins, Raman C. Mahabir, Jason K. Potter

FacIal skeletal trauma 323

Jason K. Potter, Adam H. Hamawy

31 mandIBular Fractures 349

Jason K. Potter, Lance A. Read

32

BasIc oral surgery 358

Jason K. Potter, Karthik Naidu

aCquired deformities

33 PrIncIPles oF Head and neck cancer: stagIng and management 371

Kristin K. Constantine, Michael E. Decherd, Jeffrey E. Janis

34 scalP and calVarIal reconstructIon 382

Jason E. Leedy, Smita R. Ramanadham, Jeffrey E. Janis

35 eyelId reconstructIon 392

Jason K. Potter, Adam H. Hamawy

36 nasal reconstructIon 403

Fadi C. Constantine, Melissa A. Crosby

37 cHeek reconstructIon 420

Chantelle M. DeCroff, Raman C. Mahabir, David W. Mathes, C. Alejandra Garcia de Mitchell

38 ear reconstructIon 429

Christopher M. Shale, Amanda A. Gosman, Edward M. Reece

39 lIP reconstructIon 440

James B. Collins, Raman C. Mahabir, Scott W. Mosser

40 mandIBular reconstructIon 454

Patrick B. Garvey, Jason K. Potter

41 PHaryngeal reconstructIon 462

Phillip D. Khan, Raman C. Mahabir

42 FacIal reanImatIon 478

Daniel S. Wu, Raman C. Mahabir, Jason E. Leedy

43 Face transPlantatIon 498

Tae Chong

Part IV  Breast

44 Breast anatomy and emBryology 509

Melissa A. Crosby, Raman C. Mahabir

45 Breast augmentatIon 518

Jacob G. Unger, Thornwell Hay Parker III, Michael E. Decherd

46 mastoPexy 538

Joshua A. Lemmon, José L. Rios, Kailash Narasimhan

47 augmentatIon-mastoPexy 552

Purushottam A. Nagarkar

48 Breast reductIon 558

Daniel O. Beck, José L. Rios, Jason K. Potter

49 gynecomastIa 573

Daniel O. Beck, José L. Rios

50 Breast cancer and reconstructIon 580

Raman C. Mahabir, Janae L. Maher, Michel Saint-Cyr, José L. Rios

51 nIPPle-areolar reconstructIon 593

Deniz Basci

Part V  trunk and loWer extremIty

52 cHest Wall reconstructIon 607

Jeffrey E. Janis, Adam H. Hamawy

53 aBdomInal Wall reconstructIon 619

Georges N. Tabbal, Jeffrey E. Janis

54 genItourInary reconstructIon 632

Daniel R. Butz, Sam Fuller, Melissa A. Crosby

55 Pressure sores 641

Jeffrey E. Janis, Eamon B. O’Reilly

56 loWer extremIty reconstructIon 651

Jeffrey E. Janis, Eamon B. O’Reilly

57 Foot ulcers 667

Gangadasu Reddy

58 lymPHedema 682

Benson J. Pulikkottil

Part VI  Hand, WrIst, and uPPer extremIty

59 Hand anatomy and BIomecHanIcs 693

Douglas M. Sammer, David S. Chang

60 BasIc Hand examInatIon 708

Jeffrey E. Janis

61 congenItal Hand anomalIes 720

Rey N. Ramirez, Ashkan Ghavami

62 carPal Bone Fractures 741

Joshua A. Lemmon, Timmothy R. Randell, Prosper Benhaim

63 carPal InstaBIlIty and dIslocatIons 750

Tarik M. Husain, Joshua A. Lemmon

64 dIstal radIus Fractures 773

Wendy L. Parker, Georges N. Tabbal, Zach J. Barnes

65 metacarPal and PHalangeal Fractures 785

Tarik M. Husain, Danielle M. LeBlanc

66 PHalangeal dIslocatIons 801

Rohit K. Khosla, Douglas S. Fornfeist

67 FIngertIP InjurIes 810

Joshua A. Lemmon, Tarik M. Husain

68 naIl Bed InjurIes 824

Joshua A. Lemmon, Bridget Harrison

69 Flexor tendon InjurIes 834

Joshua A. Lemmon, Prosper Benhaim, Blake A. Morrison

70 extensor tendon InjurIes 845

Bishr Hijazi, Michael S. Dolan, Blake A. Morrison

71 tendon transFers 855

Purushottam A. Nagarkar, Bishr Hijazi, Blake A. Morrison

72 Hand and FInger amPutatIons 864

David S. Chang, Essie Kueberuwa, Prosper Benhaim

73 rePlantatIon 869

Ashkan Ghavami, Kendall R. Roehl

74 Hand transPlantatIon 881

Tae Chong

75 tHumB reconstructIon 890

Wendy L. Parker, David W. Mathes

76 soFt tIssue coVerage oF tHe Hand and uPPer extremIty 901

Sam Fuller, Grant M. Kleiber

77 comPartment syndrome 912

Alison M. Shore, Benjamin T. Lemelman

78 uPPer extremIty comPressIon syndromes 922

Prosper Benhaim, Edward M. Reece, Joshua A. Lemmon

79 BracHIal Plexus 934

Rey N. Ramirez, Ashkan Ghavami

80 nerVe InjurIes 951

Ashkan Ghavami, Prosper Benhaim, Charles F. Kallina IV

81 Hand InFectIons 964

Tarik M. Husain, Bishr Hijazi, Blake A. Morrison

82 BenIgn and malIgnant masses oF tHe Hand 981

Russell A. Ward, Melissa A. Crosby

83 duPuytren’s dIsease 995

Douglas M. Sammer

84 rHeumatoId artHrItIs 1003

Douglas M. Sammer

85 osteoartHrItIs 1017

Wendy L. Parker, Ashkan Ghavami

86 Vascular dIsorders oF tHe Hand and WrIst 1026

Kevin Shultz, Robert A. Weber

Part VII  aestHetIc surgery

87 FacIal analysIs 1055

Janae L. Maher, Raman C. Mahabir

88 nonoPeratIVe FacIal rejuVenatIon 1065

Daniel O. Beck, Sacha I. Obaid, John L. Burns, Jr.

89 Fat graFtIng 1099

Phillip B. Dauwe

90 HaIr transPlantatIon 1111

Jeffrey E. Janis, Daniel O. Beck

91 BroW lIFt 1122

Jonathan Bank, Jason E. Leedy

92 BlePHaroPlasty 1132

Kailash Narasimhan, Jason E. Leedy

93 BlePHaroPtosIs 1149

Jason E. Leedy, Jordan P. Farkas

94 Face lIFt 1160

Jason Roostaeian, Sumeet S. Teotia, Scott W. Mosser

95 neck lIFt 1189

Ricardo A. Meade, Trang Q. Nguyen, Deana S.Shenaq

96 rHInoPlasty 1203

Michael R. Lee

97 genIoPlasty 1230

Lee W.T. Alkureishi, Matthew R. Greives, Ashkan Ghavami

98 lIPosuctIon 1242

Fadi C. Constantine, José L. Rios

99 BracHIoPlasty 1253

Sacha I. Obaid, Jeffrey E. Janis, Jacob G. Unger, Jason E. Leedy

100 aBdomInoPlasty 1264

Luis M. Rios, Jr., Sacha I. Obaid, Jason E. Leedy

101 medIal tHIgH lIFt 1279

Sacha I. Obaid, Jason E. Leedy, Luis M. Rios, Jr.

102 Body contourIng In tHe massIVe-WeIgHt-loss

PatIent 1285

Luis M. Rios, Jr., Rohit K. Khosla

credIts 1301

Index 1321

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Essentials of Plastic Surgery

A UT Southwestern Medical Center Handbook

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Part I

Part I opening art: Picasso, Pablo (1881-1973) © Artist Rights Society (ARS), NY. Girl Before a Mirror. 1932. Oil on canvas, 64 0 3 511⁄4 0. Gift of Mrs. Simon Guggenheim. (2.1938).

The Museum of Modern Art, New York, NY, USA. Digital Image © The Museum of Modern Art/Licensed by SCALA/Art Resource, NY. © 2006 Estate of Pablo Picasso/ARS, New York.