This volume covers the entire spectrum of acute burn treatment. Individual chapters deal with basic aspects of different burn mechanisms as well as the acute care of burn patients. Pre-hospital management, critical care and basic concepts of burn surgery related to the acute phase, as well as the use of skin and skin substitutes in early stages of therapy are addressed in this volume. Chapters on supportive therapies such as optimizing nutrition and fluid homeostasis, infection control and treatment, respiratory support and pain management complete the comprehensive approach to the patient in this early stage of treatment, while chapters on epidemiology, prevention and disaster management enable the reader to evaluate the given information in a broader context.

This volume compiles the perspectives of a multi-author team examining the entire spectrum of burn reconstruction and long-term treatment. Individual chapters cover basic aspects of wound healing and scarring, and those of plastic surgery relating to tissue rearrangement and the use of flaps, as well as the long-term use of skin and skin substitutes. Furthermore, topics such as rehabilitation and scar management are addressed in detail. This part provides detailed reconstruction guidelines divided by anatomic region (e.g. face, hands,...), as well as aspects of future trends and prospects in burn reconstruction, among which are e.g. allotransplantation and bionics.

This superbly illustrated book describes how techniques previously developed by Dr. Rollin Daniel for use in open rhinoplasty can be adapted for use in the closed approach. It is the author's opinion that this combination offers greater feedback during surgery, a shorter recovery period and absence of scar. Full explanation is provided of preoperative preparation, including evaluation of the nasal surface aesthetics using the concept of geometric polygons as aesthetic subunits to define both the existing deformity and the aesthetic goals. The surgical techniques developed and modified to achieve the desired surface appearance are then described step by step with the aid of a wealth of color photos. It is illustrated how the novel dissection and redrape control methods reduce the healing time and enhance outcome and an extensive series of case analyses is presented to document the benefits of the approach. The book is written in a "cookbook format" that will enable plastic surgeons quickly to learn how to utilize the closed approach to rhinoplasty to optimal aesthetic benefit.

Computer-assisted techniques in the surgery of the facial skeleton including the skull base are depicted for the very first time in this atlas of navigational surgery. Experienced surgeons as well as trainees will benefit from the detailed and well-illustrated information on the use of computer technology in clinical routine, accompanied by the experimental basis of intraoperative accuracy. New methods of non-invasive referencing and the use of virtual models in the field of oral and cranio-maxillofacial surgery are demonstrated. Clinical cases illustrate the practical use of this new technique.

Most women who elect to have cosmetic surgery want a "natural" outcome-a discrete alteration of the body that appears unaltered. Under the Knife examines this theme in light of a cultural paradox. Whereas women are encouraged to improve their appearance, there is also a stigma associated with those who do so via surgery. Samantha Kwan and Jennifer Graves reveal how women negotiate their "unnatural"-but hopefully (in their view) natural-looking-surgically-altered bodies. Based on in-depth interviews with 46 women who underwent cosmetic surgery to enhance their appearance, the authors investigate motivations for surgery as well as women's thoughts about looking natural after the procedures. Under the Knife dissects the psychological and physical strategies these women use to manage the expectations, challenges, and disappointments of cosmetic surgery while also addressing issues of agency and empowerment. It shows how different cultural intersections can produce varied goals and values around body improvement. Under the Knife highlights the role of deep-seated yet contradictory gendered meanings about women's bodies, passing, and boundary work. The authors also consider traditional notions of femininity and normalcy that trouble women's struggle to preserve an authentic moral self.

Georg von Bekesey was awarded the Nobel Prize for his seminal everyone all over the world. In other words it is directed toward work on hearing. It was, however, 43 years later in 2004 that evolving a common scientifc language that is spoken uniformly Linda Buck and Richard Axel were awarded the Nobel Prize for and consistently all over the world. Universality, so that norms, their work on olfaction. Tis is indicative of how the science of staging systems, etc., can be applied anywhere in the world with rhinology is only now coming into its own. For quite some time, equal validity. Tis can only be achieved through consensus. rhinology was thought to be limited in scope. It is now appreci- Tis book contains not only the genesis and pathogenesis of ated that the nose is not only an organ of aesthetic appeal, but rhinologic disease, but also what all surgeons want and that is one that carries out several important, complex functions. Te operative steps to bring about successful resolution of disease, tremendous surge in medical literature in recent times bears with the return of normal function.

Facial Plastic and Reconstructive Surgery: Clinical Reference Guide is a portable reference guide that fills the void of an easy to read, concise, but comprehensive book encompassing all aspects of facial plastic and reconstructive surgery, both in the clinical setting as well as in preparing for board exams. Each chapter follows a uniform outline to facilitate quick review of a topic, and the comprehensive nature of each chapter provides the depth required for written and oral standardized tests. Chapters incorporate authors from all specialties -- Facial Plastic and Reconstructive Surgery, General Plastic and Reconstructive Surgery, Oculoplastic Surgery, and Dermatology -- as well as encompass all aspects of Facial Plastic and Reconstructive Surgery, from cosmetic to reconstructive to craniofacial.Formatted like the bestselling "Pasha" (Otolaryngology-Head and Neck Surgery) pocket guide, this text provides a condensed amount of high-yield information with a multidisciplinary approach to bring a broader range of insight into complex clinical challenges.Combining key insights from senior and junior authors, each chapter provides a unique perspective on the relevant information needed by those getting themselves established within the field.

The definitive multimedia resource on wide awake hand surgery from renowned experts WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos. WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste. New Features A three times larger video library with more than 500 videos, most of which are new New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion, clavicle, tibia, fibula, ankle, and fo

A Practical Guide to Chemical Peels Microdermabrasion and Topical Products This third volume in the Cosmetic Procedures series details a broad array of minimally invasive cosmetic skin procedures. Regardless of your experience level with aesthetic medicine, this reference delivers useful facts and procedural guidance readers can apply directly to daily practice. Content features step-by-step instructions for chemical peels and other in-office exfoliation treatments and daily home skin care regimens to treat sun-damaged and prematurely aged skin, acne, rosacea, and hyperpigmentation. Detailed coverage encompasses the basics of aesthetic medicine, including relevant anatomy, target regions, and areas to be avoided to help improve outcomes and minimize complication risks. Each chapter focuses on a skin care procedure or topical product regimen. Full-color design and illustrations boost understanding of each procedure and aid in retention of essential information. Step-by-step instructions guide readers through each procedure to rapidly acquire procedural skill. Convenient companion website includes videos that provide a surgeon’s-eye-view of the procedures. Look at all you’ll discover… • Detailed coverage encompasses the basics of aesthetic medicine, including relevant anatomy, target regions, and areas to be avoided to help improve outcomes and minimize complication risks. • Well organized chapters focus on a skin care procedure or topical product regimen. • Full-color design and illustrations boost understanding of each procedure and aid in retention of essential information. • Step-by-step instructions guide you through each procedure to rapidly acquire procedural skill. • Convenient companion website includes videos that give you a surgeon’s-eye-view of the procedures. Pick up your copy today!

Since the first successful digit replantation in Japan in 1965, the field of microvascular surgery has rapidly progressed throughout Japan and the world. Experimental and Clinical Reconstructive Microsurgery draws on the experience of a large number of experts in the areas of experimental microsurgery, limb and digit replantation, and composite tissue transplantation. The result is an extensive monograph covering the history and future prospects of microsurgery, essential microsurgical techniques for laboratory research, and the fundamental methods of harvesting tissues and their grafting techniques. Because the field of microsurgery includes a broad range of clinical disciplines, this book is a valuable resource to all orthopedic, traumatic, and plastic surgeons with an interest in microsurgery.

This atlas gives careful step-by-step guidance for endoscopic sinus surgery. In doing so, it provides exciting firsthand accounts of modern advanced endoscopic sinus procedures. In the first part of the book the surgical anatomy of the nose and sinuses and the basic surgical techniques are described. The second part deals with advanced techniques and postoperative care. The detailed, step by step narratives - integrated with many intraoperative photographs - accurately convey both surgical fundamentals and nuances. For each procedure the authors give a piece of advice ("golden rules"), making it ideal for those who want to implement well-coordinated surgical approaches to sinus disease.

Secondary Rhinoplasty begins with the basic anatomy of the nose that often predetermines which technique is possible and which is realistic. Each region of the nose and its particular anatomy is analyzed and explained as a specific unit and as part of the total aspect of management. Reconstruction of the nose, biologic deteriorations, tumors, the effects of aging, and associated congenital abnormalities are also dealt with. Nothing of substance has been left out, and yet the primary value of this text is the presentation of the most optimal surgical methods of correction.

This book is the most up-to-date publication on fluorescence diagnostic (FDAP) and photodynamic therapy (PDT) methods used in dermatology. Both techniques are presently world wide introduced as standards for the delineation and the treatment of cutaneous precancerous stages and tumors, which show steadily increasing numbers due to e.g. more frequent sun exposure. Summarizing experiences on more than 5.000 treated patients, it offers a comprehensive information on every aspect of skin tumor detection and treatment. The main part of the book focuses on the clinical aspects giving detailed descriptions on skin tumor detection as well as photodynamic treatment of selected diseases (solar keratoses, basal cell carcinomas, squamous cell carcinomas, Bowen's disease, psoriasis lesions, etc.). The clinically oriented chapters are supplemented by practical guidelines for PDT and FDAP. The included atlas is comprised of 270 high quality color figures allowing daily use as a handbook.

Thermal harm is one of the most traumatizing assaults on man and his environment. Whether suffered by living beings as burn injury, or sustained by societal structures as fire damage, the resulting physical pain and material loss can be extremely distressing both to the person and to society. The health professions and in particular burn specialists have been continually developing effective means of combating burn disease and promoting rehabili tation of the victims, especially in mass casualty situations. In parallel, various levels of the community have been mobilizing fire prevention and fire-fighting mechanisms that protect society and the environment from the ever-increasing hazards of fire disasters. It is therefore surprising that, while aiming at the same objective, the two sectors have rarely come together; doctor has rarely worked with fire chief. Yet both disciplines have so much to learn from and contribute to each other's efforts. The Mediterranean Burns Club is a professional organization that brings together persons concerned with burn therapy and fire safety in all forms, especially in the countries of the Mediterranean basin. It is honoured to have been identified by the United Nations as a premier scientific body in its field within the programme of the International Decade for Natural Disaster Reduction. It is therefore natural that it should have initiated an international gathering of specialists engaged in burns as a surgical, clinical problem, and of counterparts dealing with fires as a societal, disaster management problem."

The distinguished authors have perfected the most frequently performed oculoplastic surgical techniques. The Atlas is designed to instruct all ophthalmologists who wish to learn these techniques. Mastery of these procedures is made easy by numerous superbly illustrated step-by-step instructions. The study of the supporting anatomy, followed by clear-cut guidelines with heavily illustrated techniques, offers a format that allows the learner to gain the necessary understanding for achieving a more favourable result.

This volume summarizes the proceedings of the Reisensburg workshop which took place at Reisensburg Castle in November 1997". The castle is built on the site of an - cient Roman compound and situated in the south of Germany at the Danube river. Sci- tists from Australia, Austria, Belgium, Estonia, Germany, Italy, Netherlands, South Africa, Switzerland, and the United States participated in the workshop. Like the 1996 workshop, the proceedings of which will be published in Medicine and Science in Sports and Ex- cise in 1998, the 1997 workshop also focused on the topic of overtraining in its widest sense to deepen our knowledge in this particularly sensitive field of sports science and sports practice. The authors see the present volume in a context with the proceedings p- sented by Guten (ed. ) "Running Injuries"; Saunders, Philadelphia (1997) and Kxeider, Fry, and O'Toole (eds. ) "Overtraining in Sport"; Human Kinetics, Champaign IL (1997). Overtraining, that is, too much stress combined with too little time for regeneration, can be seen as a crucial and threatening problem within the modern athletic community, of which significance can already be recognized reading daily newspapers: ". . . During the 1996 European championships, a gymnast shook his head almost imperceptibly, closed his eyes briefly and left the arena without looking up. He was fatigue personified. 'Suddenly, I just couldn't do any more. I just wanted to rest'". A look at his schedule showed why.

Guidelines, operative techniques, and postoperative management for rhinoplasty of the non-Caucasian nose. Starting with the basics of Black, Hispanic, and Asian nasal anatomy, the book goes on to encompass preoperative nasal evaluation and surgical planning. The author demonstrates his renowned techniques, including those for nasal septum and turbinates, nasal dorsum and bridge, alar rim and nasal base reduction, and the nasal tip. Close to 200 clinical and operative illustrations - 50 in full colour - are backed by important protocols for revision rhinoplasty as well as for the management of risks and complications. A must for all plastic surgeons wishing to add the latest in non-Caucasian nasal refinement techniques to their office practice.

The latest techniques in utilising ultrapulsed CO2 lasers in aesthetic plastic surgery. Edited by an expert and pioneer in the field, this handy manual teaches practitioners the clinical applications of lasers in facelifts, blepharoplasty, resurfacing of the skin, pigmented lesions, vascular lesions, and sun damage, etc. - including material on surgical "pearls", complications, patient selection and management, together with the advantages and disadvantages of each technique. With over 200 full-colour illustrations, and chapters by top contributors, plastic surgeons, cosmetic surgeons, and dermatologists will all find this to be a valuable resource in becoming skilled in the use of lasers.

Aesthetic Surgery of the Craniofacial Skeleton is a unique atlas presenting specific procedures for aesthetic craniofacial surgery in a comprehensive and easily understandable style. With over 190 fine line drawings specially created for this volume, this book will have multifaceted applications; as an operation manual for the aesthetic craniofacial surgeon, a reference source for the general plastic surgeon, and as an introductory text for residents in craniofacial, reconstructive, oral, head and neck surgery. It includes close to 100 osteotomy methods and imperative information on patient selection, preoperative procedures, complications and implants.

Lasers in Dermatology: An Introductory Guide provides a comprehensive guide to all aspects of cutaneous laser treatment. Practical aspects of laser selection and treatment are combined with easily understood sections on basic science, laser safety and current regulations. The author is internationally recognised for his research in the laser treatment of skin disease, and has close links with the development of training programmes for the use of lasers in Dermatology.

In this first volume of the series Update in Plastic Surgery, internationally acknowledged experts give an up-to-date view of the clinical possibilities in plastic surgery which result from video-assisted microsurgery with the endoscope. Advantages and disadvantages are discussed, and reasons are presented why it can be assumed that this technique will be the standard in plastic surgery within a few years.

Venous valves rank among the smallest and most delicate organs of the human and animal bodies - so why devote an entire book to them? We were induced to do so by several reasons. First of all we would point out the clinical significance of venous valves. In the pathogenesis of a number of widespread diseases, such as varicose veins or the post-thrombotic syndrome, venous valves are involved as the underlying cause or at least a factor contributory to the symptoms. According to Taheri et al. these venous diseases occur ten times more frequently than arterial obliterations. Incompetence of venous valves also plays a causal role in varicocele, the most frequent cause of male infertility. But not only pathogenetic reasons induced us to write this book. In more recent times there has been a growing tendency to reconstruct functional valve disorders therapeutically; several surgical methods have been developed, which are critically reviewed in this book. It was our aim to sum up existing knowledge with respect to structure and function of venous valves and to expand that knowl edge by findings of our own. Examinations of semi-thin sections and unilayered en-face preparations have hardly been published so far, and systematic studies of the ultrastructure by electron-microscopy were not to be found in the literature. We are very grateful, therefore, to Dr. Silvana Geleff for having undertaken such a study upon our suggestion."

As patient interest in more youthful, healthy looking skin has increased in recent years so has the physician's interest and demand for new, safe, effective and scientifically based skin rejuvenation programs. Dr. Zein Obagi's new book promises to fill this growing demand. Long famous for his skin classifications systems, Dr. Obagi's Skin Health and Rejuvenation will focus on his skin care regimens and his techniques for revitalizating the human skin. In addition to featuring over 100 photographs and illustrations, this new volume will include sections on Dr. Obagi's skin peels and how to correct sun damage, remove pre-cancerous cells, control the pigmentary system, stimulate skin collagen and help restore skin elasticity. This volume is certain to set the standard in skin care procedures for dermatologists, plastic surgeons and cosmetic facial surgeons alike.

This manual is conceived as an aid to AO course participants both in grasping theoretical principles and in performing practical exercises, as well as a practical guide for clinicians in the application of AO principles. These principles are discussed in Part I and related to notions of stability, biomechanics, and technique. In addition to interfragmentary fixation and load bearing, the technique of external fixation is explained. The use of rigid external fixators with the mandible is proposed as a replacement for pin fixation, which has been obsolete for over two decades. Part II is a practical guide to the theoretical principles set forth in the first section of the volume, with the focus on case studies classified according to fracture type. This section provides a solid empirical basis of particular value in establishing indications and selecting appropriate techniques. Equally important is the anatomy of surgical points of access. In Part III, the increasing variety of indications for rigid internal fixation is confirmed. Three areas take on particular relevance here: the surgical treatment of pseudarthrosis, the by-pass of primary defects as an integral part of mandibular tumor surgery, and sagittal splinting and condylar replacement for orthopedic interventions involving the locomotor system of the mandible. A foldout entitled "AO Classification of Mandibular Fractures" is inserted at the back of the book. Its purpose is to help the clinician confronted by an acute case to determine its classification.