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Facial plastics and reconstructive surgery
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author "Jenna Rebelo"
tags ""
folders "ent"
description ""
fileName "Facial plastics and reconstructive surgery"
Describe the design and ideal conditions for a bilobed flap
Place incisions on aesthetic borders and RSTLs
Double transposition flap w one base
Each lobe 45 to 50 degrees for total transposition under 100 degrees
Drawback
: getting scars to fall in RSTLS
Primary lobe - size of defect
Secondary lobe - 80-85% size of defect
Ideal:
Thin mobile skin on patient
Nasal tip or supratip defect
Defect 1.5cm or less
Based laterally
Secondary lobe axis perpendicular to alar rim to avoid displacing it (ideal location is zone of transition between tip, ala, side wall)
What are the aesthetic subunit of the nose (6)
1- Dorsum
2- sidewall
3- Alar nostril sill
4- tip
5- Columella
6- soft triangle
Name the steps of the reconstructive ladder
2° intention
1° closure
Grafting
Local flaps
(tissue expanders?)
regional flaps
free flaps
Author
jemarelepa
ID
279245
Card Set
Facial plastics and reconstructive surgery
Description
Facial plastics & reconstructive Sx
Updated
2014-07-19T20:42:59Z
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