Over the past ten years, carbon dioxide laser surgery has made impressive strides and is now applied to every field of surgery without exception. It is the intention of this book to record the work done in this field in the Department of Plastic and Maxillofacial Surgery of the Beilinson Medical Center and Tel Aviv University Medical School, Israel, as well as that performed in association with other depart ments. In this context, one feels that it is incumbent upon one to acknowledge the cooperation of the medical and paramedical staff of the Department of Plastic and Maxillofacial Surgery of the Beilinson Medical Center, as well as that of Prof. Yehuda Shindel and Dr. Daniel Katenelson of the Department of Ear, Nose and Throat, Dr. Y ona Tadir of the Department of Obstetrics and Gynecology and Dr. Itamar Kott of the Department of General Surgery. I should like to make special mention of Dr. Ralph Ger of New York, who worked with me on the original clinical trials, and the engineer Uzi Sharon, who developed the Sharplan Laser with me. The progress of Laser Surgery is well demonstrated by the participation in the four meetings of the International Society for Laser Surgery, the first of which was held in Tel Aviv in 1975 with an attendance of 65 and the last in Tokyo in 1981 with an attendance of 1200.

The scope of dermatologic surgery is so wide that inevitably a large number and variety of complications arise. Of course the majority of complications can be prevented by careful preoperative preparation, meticulous surgical technique, and proper postoperative care, but when they do occur, they can be recognized and managed with skill and competence. This book provides a valuable source of reference for the prevention, recogni tion, and management of complications in dermatologic surgery. Avoiding pro blems is at least as important as dealing with them, and so all the chapters in this book deal with both prevention and management. This book addresses dermatologic surgeons in practice or in training and to surgeons in other specialties who may be required to undertake repair of skin defects. Many ofthe authors accepted the responsibility of contributing to this work in addition to their many other obligations. For this, I am extremely grateful to them. MARwALI HARAHAP Contents Local Anesthesia and Regional Anesthesia George B. Winton ...................................................... 1 Electrodesiccation and Curettage Harvey Finkelstein and Robert Jackson. . . . . . . . . . . . . . . . . . . . . .. . . . 16 . . . . . . . ."

This book provides the dermatologist with the essential information needed to properly treat all skin types cosmetically.

All chapters have been written by female dermatologists with many years of personal experience in the field.

The volume includes an overview of the systemic, intrinsic and extrinsic aging process, essential information on anti-aging skin care product ingredients, detailed discussions of patient selection and indications, and a wide range of cosmetic procedures.

This concise book allows you - through its well-organized use of sidebars, photographs and illustrations - to extract any information you may need quickly and easily.

This monograph presents a comprehensive review of the clinical experience in surgical repair of cranial defects which the author has gained during a period of over ten years. Particular problems of patients undergoing cranioplasty, such as neurological impairments, EEG changes, variations of intracranial pressure, and sinking skin flap syndrome are described and discussed. The author presents convincing evidence of the importance of cranioplasty in improving the quality of life of patients with large and disfiguring cranial defects. Unfortunately, cranioplasty still ameliorates only to a minimal extent the general condition in patients suffering of major cerebral lesions. I am convinced that this volume will serve the purpose it was designed for : that it will be a most helpful introduction into the problems related to reconstructive surgery. Basel, August 1984 Otmar Gratzl Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. History of Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 B. Clinical Aspects of Cranial Bone Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 I. Origin of Cranial Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. Acquired Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2. Congenital Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 3. Demographic and Other Characteristics of Patients . . . . . . . . . . . . . . . . . 9 II. Neurological and Psychic Changes Before and After Cranioplasty . . . . . . . 11 1. Classification of Neurological Deficits and of the Skin Flap Types . . . . . 13 2. The "Sinking Skin Flap Syndrome" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 3. The Influence of Cranioplasty Upon Neurological and Psychic Changes 17 III. Electroencephalographic (EEG) Changes in Patients with Cranial Defects 21 1. EEG Recordings and Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2. Evaluation of EEG Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IV. Scintigraphy Findings in Patients with Cranial Bone Defects . . . . . . . . . . . . 26 1. Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2. Results and Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The greater the poverty, The stronger the will. In the face of hardship, Soar, soar, soar on still WANG Bo (650-676 A.D.) In the late spring of 1958 a patient was admitted to Rui Jin Hospital with extensive burns; just minutes before he had been dexterously operating one of Shanghai's" productive converters" used in the making of steel. He resembled a mass of charcoal but was mentally alert, asserting that he must survive, not only because of the great expectations he had of life but also to con tinue working in his beloved post as first-generation steelworker in this newly liberated country. The case presented a stern challenge; faced with this man yearning both for his own life and for that of the society in which he lived, we had no way of escaping either "poverty" (in the form of our limited facilities) or hardships. However, by pooling all our efforts we were able to ensure that the patient ultimately survived the extremely tortuous course that followed, in addition to which quite good functional recovery was achieved. So began our burn unit. It was on this patient that we performed for the first time artificial hibernation (in the treatment of burns), early eschar excision, repeated autos kin cropping, and allografting. Not only were these the decisive measures which helped our patient to achieve his professed intention, but they also gradually evolved to become the characteristics of our present-day treatment.

For many years, the operative manipulation of the most minute struc- tures was frustrated by the limitations of the human eye. With the introduction of the operating microscope by Nylen (1921), fine detailed anatomy was made visible, so that structures could be prepared, pre- sented and manipulated. Nylen used the microscope for treating dis- eases of the middle ear. In 1946 Perrit in the U. S. A. introduced the operating microscope into the field of ophthalmic surgery. In 1964, Smith, Kunze and Mitchen published reports on their clinical experi- ence using the operating microscope in nerve surgery. Using this tech- nique, it was possible to divide a peripheral nerve into individual fascicle bundles and reapir each bundle precisely. Following on from these developments, the term" microsurgery" was introduced to cover that branch of surgery which was carried out using the" equiped" eye - either by using 10upe spectacle magnifica- tion or, more commonly, the operating microscope. The term "micro- vascular surgery" developed for the operative treatment of small ves- sels below 2 mm in diameter. Experimental studies for the use of microsurgery in the clinical situation developed alongside its use on small research animals for transplantation models in immunological study. Microsurgical techniques were used in the transplantation of rat liver, kidneys, pancreas, heart and other organs. The clinical appli- cation of these microsurgical techniques is nowadays called "recon- structive microvascular surgery".

No other book covers as extensively all aspects of peripheral nerve surgery. This includes the pathology and pathophysiology of compression neuropathies, traumatic nerve lesions and nerve tumours, and their treatment with various techniques. All body regions are described adequately. The second part of the book deals with palliative surgery for reconstruction of lost function. This includes a comprehensive array of muscle and tendon transfers, functional muscle transplantation and intramuscular neurotisation.

Endoscopic Techniques in Plastic and Aesthetic Surgery comprehensively addresses both the aesthetic and reconstructive aspects of endoscopic surgery as applied to plastic surgery. The editors, renowned pioneers of these techniques, have assembled a group of distinguished contributors to present, step-by-step, the operative strategies for incorporation of endoscopic procedures to the armamentarium of the practicing plastic surgeon. The procedures are precisely and exquisitely rendered by 721 illustrations, including over 300 full color endoscopic views and operative photographs. This book is the essential, definitive source for mastery of these state-of-the-art techniques.

This volume is published with a triple aim: to take a look back over the advances during the ten years of the Mediterranean Burns Club and mark its anniversary; to follow up and strengthen the successful twin ning of burns as a clinical, individual illness problem and fires as a societal, disaster management problem; and to look ahead at the per spectives of burn care and fire prevention in the fast-approaching new century. The occasion also marks the tenth annual presentation of the prestigious G. Whitaker International Burns Prize, to which the Mediterranean Burns Club acts as the scientific fulcrum. The award is now established as the most distinguished recognition in burns science worldwide, and it is gratifying that the contributions of many of the renowned recipients will be found in this book. This is a sequel to The Management of Mass Burn Casualties and Fire Disasters, which contained the Proceedings of the First International Conference on Burns and Fire Disasters. The book and the conference have fully justified the authors' initial concept that burn specialists, con stantly combatting burn disease and promoting rehabilitation of the victims, especially in mass casualty situations, had for too long remained separate from that other essential sector, the fire-fighting authorities and fire prevention systems, whose aim is also the protection of the individual and the promotion of safety. This long overdue synergism has now become reality, and the present volume strengthens this desirable trend."

New developments in the surgical management of breast disease surgery daily. New techniques for tumor resection, reconstructive surgery, lymph node assessment and cosmetic surgery are surfacing due to new demands in the market. The treatments are aimed at those patients diagnosed with breast disease who need quality medical treatment and require equally pleasing aesthetic results. This is an international text that outlines the management of both the malignant and benign diseases of the breast. High quality illustrations accompany the text to highlight the key aspects of surgical techniques. An emphasis on the techniques that provide good cosmetic outcomes is the underlying theme of this text.

Carpal Tunnel Syndrome, with its surgical profile, is a must for those specialising in this condition (hand surgeons, orthopaedic surgeons, plastic surgeons, physiatrists and hand physical therapists), for both experts and newcomers to this field. For the young surgeon just starting out, the book explains the technical modalities of surgical treatment for this condition and describes alternative non-surgical procedures. It also depicts the complications that can arise in treatment. For more experienced surgeons, this book is an instrument for deepening their knowledge of this condition and its management. It can be considered a moment for reflection on a condition that is erroneously considered simple to treat and easy to resolve. The surgical chapters compare various complications as well as various conservative and rehabilitative treatment options, thus underlining that this condition must not be underestimated. Incorrect treatment can have many negative ramifications: not only that the patient is dissatisfied but it can also lead to the hand s functional loss and render the patient an invalid. This book is also intended for all physicians and medical students interested in this subject, presenting the broad range of problems caused by this condition and how best to manage them."

This Great Ormond Street Handbook provides a stepwise illustrated description of the surgical procedures used for correction of congenital deformities of the auricle. The content features over 600 intraoperative high-quality photographs of every step of each of the surgical procedures in addition to photographs of the preoperative planning and preparation.Chapters and topics covered: Microtia reconstruction, Prominent ear correction, Lop ear, Cryptotia, Stahl's ear, Mirror ear, Cleft earlobe correction, Reconstruction of absent earlobe. Registrars and Residents aswell as more experienced surgeons in the specialties of Plastic Surgery, and Otolaryngology Head & Neck Surgery will benefit from this useful surgical guide.

Over the past decade vertical scar mammaplasty has gained wide popularity amongst surgeons and patients because it stands for minimal scars and long-lasting aesthetic results. The refinements and modifications of the technique achieved during the past decade and now collected in this book will facilitate the use of the technique and give each plastic surgeon the opportunity to adopt his or her own technique to obtain an optimal outcome. The step-by-step instructions and their high-quality illustrations will help improve results, lessen the number of complications and successfully manage any complications that do arise.

In preparation for the quadrennial international IPRAS conference, leading plastic surgeons worldwide have been asked by the International Confederation for Plastic, Reconstructive and Aesthetic Surgery to contribute their most up-to-date findings, research results, and experiences in their area of expertise. The book is structured according to the major fields of plastic surgery, and the reader is thus offered insight into the most significant contributions to the international community, as well as into new developments, tricks, and refinements in the field.

This book is about visions and pioneers in the field share their innovations with the reader.

Innovations in Plastic and Aesthetic Surgery will not only give plastic surgeons up-to-date knowledge of new developments, but will inspire with its innovations, many of which have not been published before."

All over the world research is going on to improve the outcome of the treatment of peripheral nerve lesions. Yet, there exist many questions, such as: Is the autologeous nerve grafting still the golden standard in bridging defects? Have alternative techniques to overcome defects reached a level to replace autografting? What can be expected from end to side coaptation? The contributions in this book give answers to all of these questions.

We have come a long way since the days when abdominal wall contouring was p- formed by simple dermolipectomies, with no attention to diastasis correction and muscular reinforcement, and little regard for the final aesthetic result. Nowadays, an abdominoplasty may be indicated for even the most demanding of patients. Details such as placement of the incision and umbilicoplasty are meticulously planned so as to conceal undesirable scars. Since the advent of suction-assisted lipectomy, in as- ciation with a classical operation or as an isolated procedure, the plastic surgeon has become capable of remodeling the entire trunk, assuring removal of considerable amounts of adipose tissue. Drs. Shiffman and Mirrafati have brought all of these aspects together, in this most timely book, Aesthetic Surgery of the Abdominal Wall. Here the reader will find an all-encompassing textbook, written in collaboration with outstanding colleagues, all of whom have contributed to this field of plastic s- gery that has been of particular interest to me. I am sure that, for both the younger and the more experienced surgeon, this book will become a reference text, covering all aspects of plastic abdominal surgery. Ivo Pitanguy, MD Preface This book on aesthetic surgery of the abdominal wall is an attempt to bring together the existing knowledge on body contouring of the abdomen. The major emphasis is on abdominoplasty and liposuction of the abdomen with the various combinations and techniques.

Covers cutting edge areas of fiber design and function in an introductory format

Addresses a wide range of applications and modifications of natural and synthetic fibers for various applications

Focuses on medical applications, but not exclusively

Military and homeland security related applications

Wound dressing design and future improvements are also covered

Contains several different subjects such as magnetic fibers and electrospun fibers

"Essentials in Total Knee Arthroplasty" is a succinct, yet comprehensive book that provides a unique look into the world of total knee arthroplasty (TKA), beginning with an in-depth history of this common procedure, and then progressing to strategies that will manage, treat, and prevent complications.

Inside the pages of "Essentials in Total Knee Arthroplasty," Dr. Javad Parvizi and Dr. Brian Klatt, along with more than 40 contributors, cover a wide-range of topics, including:

- Knee biomechanics and biomaterials
- Surgical approaches to TKA
- Postoperative Analgesia Options for the Total Knee Arthroplasty Patient
- Controversies in TKA
- Mechanisms of failure in TKA
- Complex primary total TKA
- TKA revision
- TKA rehabilitation

With over 100 color images, clear & descriptive text, and a forward thinking approach to clinical and basic research in the reconstruction of the knee, Essentials in Total Knee Arthroplasty will become the "go-to" book for orthopedic residents, fellows, junior attendings, medical students, and physical therapists involved with all matters related to total knee arthroplasty.

Radiographic cephalometry has been one of the most With "Three-Dimensional Cephalometry - A Color important diagnostic tools in orthodontics, since its Atlas and Manual"by the authors Swennen,Schutyser introduction in the early 1930s by Broadbent in the and Hausamen you have an exciting book in your United States and Hofrath in Germany.Generations of hands. It shows you how the head can be analysed in orthodontists have relied on the interpretation of these three dimensions with the aid of 3D-cephalometry. images for their diagnosis and treatment planning as Of course,at the moment the technique is not available well as for the long-term follow-up of growth and in every orthodontic of?ce around the corner. H- treatment results.Also in the planning for surgical ever, especially for the planning of more complex orthodontic corrections of jaw discrepancies, lateral cases where combined surgical - orthodontic tre- and antero-posterior cephalograms have been valu- ment is indicated,it is my sincere conviction that wi- able tools.For these purposes numerous cephalomet- in 10 years time 3D cephalometry will have changed ric analyses are available.However,a major drawback our way of thinking about planning and clinical of the existing technique is that it renders only a two- handling of these patients. dimensional representation of a three-dimensional structure.

Over the past decade, tremendous innovations in technology, clinical applications, and implant design have transformed the field of facial implant surgery, leading to improved outcomes and greater patient satisfaction. The highly anticipated 2nd Edition of Atlas of Facial Implants, led by renowned plastic surgeon Dr. Michael J. Yaremchuk, brings you fully up to date with these changes, offering authoritative coverage of both aesthetic and reconstructive applications of alloplastic implants for recontouring the craniofacial skeleton. Provides step-by-step descriptions of each procedure enhanced by hundreds of color illustrations and color photographs depicting preoperative, intraoperative, and postoperative views. Reviews indications for implant use, patient evaluation, and surgical planning, as well as pearls and pitfalls throughout. Discusses Computer-Aided Design (CAD)/Computed-Aided Manufacture (CAM) for both cranial reconstruction (cranioplasty) as well as aesthetic applications. Features new coverage of facial implants as an important adjunct in rejuvenative aesthetic surgery, as well as their role in refining orthognathic surgical procedures, surgical treatment of Graves' disease, and facial skeletal augmentation. Provides access to procedural videos depicting post orthognathic irregularities and imbalances, functional cranioplasty, and more. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Achieving the best aesthetic results in Mohs and other cutaneous surgery requires proper patient selection, careful surgical technique, and meticulous postoperative care. Yet despite the best efforts of both surgeon and patient, complications may develop, sometimes resulting in suboptimal or objectionable scarring. Mohs and Cutaneous Surgery: Maximizing Aesthetic Outcomes describes in detail the techniques and procedures that help achieve the most aesthetic results in cutaneous surgery. The book covers wound healing, surgical planning, intraoperative techniques, and complications. Also covered are surgical scar revision, dermabrasion, laser scar revision, neuromodulators and fillers, as well as topical and intralesional therapies for the improvement of scars.

Do you encounter patients with hand and wrist problems? Are there times when you wish you had a hand surgeon next to you to help guide you in the right direction? The answers you are looking for can be found inside "Acute Management of Hand Injuries "by hand surgeons, Drs. Andrew J. Weiland and Rachel S. Rohde.
"Acute Management of Hand Injuries "is a concise and user-friendly book including the most common acute hand and wrist complaints including fractures, dislocations, tendon and nerve injuries, infections, bite injuries, and industrial trauma. This book acts as a "pocket consultant" for non-hand specialists who temporize acute hand issues before referring the patient to a specialist.
"Acute Management of Hand Injuries "is designed to provide the most current and up-to-date information on even the smallest hand afflictions.
Inside You'll Also Find:
- Numerous photographs and radiographs
- Hand evaluation diagram template
- Suggested readings at the end of each chapter
- Quick reference appendices covering topics such as antibiotic recommendations and burn treatment
"Acute Management of Hand Injuries "also will serve as a perfect introductory guide for residents and students in orthopedic or plastic surgery programs who will be expected to master these basic principles.
Each Chapter Includes:
- Mechanism of Injury
- Evaluation
- Acute Treatment
- Definitive Treatment
- Potential Problems
"Acute Management of Hand Injurie"s is ideal for orthopedic surgeons, physicians, physician assistants, nurse practitioners, residents, occupational therapists, physical therapists, and all who provide care in emergency room, urgentcare, and primary practice settings.

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional hip arthroplasty references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? "Curbside Consultation in Hip Arthroplasty: 49 Clinical Questions "provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues. Dr. Scott Sporer has designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with hip arthroplasty. The unique Q&A format provides quick access to current information related to hip arthroplasty with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the management of the hip. "Curbside Consultation in Hip Arthroplasty: 49 Clinical Questions "provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedists, orthopedic residents, and non-physician personnel will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: How do you treat a young patient with severe hip arthritis? When should they be indicated for surgery? What type of components should I use? What should I do when I suspect a patient has an infected hip? When do I need to remove his/her prosthesis? How do I treat a fracture of the femur when it occurs with surgery? several years post-surgery? What should I tell a patient that has persistent painfollowing a hip replacement and how should they be evaluated? How can I determine the severity of acetabular and femoral bone loss? What should I do to reconstruct the deficient bone?

Childhood Abuse, Body Shame, and Addictive Plastic Surgery explores the psychopathology that plastic surgeons can encounter when seemingly excellent surgical candidates develop body dysmorphic disorder postoperatively. By examining how developmental abuse and neglect influence body image, personality, addictions, resilience, and adult health, this highly readable book uncovers the childhood sources of body dysmorphic disorder. Written from the unique perspective of a leading plastic surgeon with extensive experience in this area and featuring many poignant clinical vignettes and groundbreaking trauma research, this heavily referenced text offers a new explanation for body dysmorphic disorder that provides help for therapists and surgeons and hope for patients.

The second edition of Operative Plastic Surgery is a fully-updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances, while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedure, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Detailing over 90 specific surgical techniques, this book covers both reconstructive and aesthetic plastic surgery. A new section addresses non-invasive techniques such as Botox, injectables, lasers, and skincare. New chapters throughout the book also include ALT flaps, nasal cleft deformities, ZMC fractures, augmentation mastoplexy, body contouring for the massive weight loss patient, and endoscopic carpal tunnel repair. Led by Gregory R.D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner, and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.