Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 237 - файл
.pdf
156 / Index
https://t.me/medicina_free
S
scalp
adjuvant techniques with, 133
advancement fl aps for, 125, 125f
anatomy, 117–121, 118f–120f
complications, 135
controlled tissue expansion for, 133–134
defect evaluation, 121–122, 122f
dermal regeneration templates for, 134–135
esthetic reconstruction, 122, 122f
functional closure, 121–122, 122f
grafting for, 123–124, 124f
hair transplants, 134
intraoperative tissue expansion for, 134
latissimus dorsi free fl ap for, 132–133, 132f
layers, 118f
local fl aps for, 124–129, 125f–131f
microsurgical tissue transfer for, 132–133, 132f
motor nerve anatomy, 120–121, 121f
multiple rotational fl aps for, 126, 127f–128f
neural anatomy of, 118f, 120–121, 121f
patient characteristics, 122
planes of dissection, 120
postoperative care for, 135
preoperative considerations, 122
primary wound closure, 123, 123f
regional fl aps for, 129, 132
regional mobility, 120, 120f
replantation, 133
rotational fl aps for, 125–126, 126f–127f
secondary intention healing with, 122–123
sensory nerve anatomy, 121
superfi cial temporal artery-based fl aps for, 126, 128,
129f–130f
transposition fl aps for, 128–129, 130f–131f
vacuum-assisted closure for, 134
vascular anatomy of, 117, 119f, 120
scars
camoufl age for, 139–140
hypertrophic, 18–19
long-term care for, 139
malpositioned, 147–148, 148f
revision techniques for, 140
unsightly, 147–148, 148f
Schirmer’s test, 112–113
scissors, 22–24, 23f
sebaceous gland, 2f
septal composite chondromucosal pivotal fl ap, 76, 77f
septal mucoperichondrial hinge fl aps, 73–76, 74f–75f
sidewall, nasal, 67–69, 68f–71f
skeleton, nasal, 60–61, 61f
skin
anatomy of, 1–11
histology of, 1–2, 2f
neural anatomy of, 2–3, 4f
physiology of, 1–11
vascular anatomy of, 2, 3f
SMAS. see superfi
(SMAS)
smoking, healing and, 10
smoldering infections, 149
strabismus, restrictive, 113
stratum corneum, histology of, 1, 2f
stratum germinativum, histology of, 1, 2f
stratum granulosum, histology of, 1, 2f
stratum spinosum, histology of, 1, 2f
submental artery, 34f
superfi cial musculoaponeurotic system (SMAS), 98, 98f
superfi cial temporal artery, 34f, 91, 119f, 126, 128,
129f–130f
superior labial artery, 34f
superior thyroid artery, 34f
supraorbital artery, 91, 117, 119f
supraorbital nerve, 91, 118f
supratrochlear artery, 63f, 91, 117, 119f
supratrochlear nerve, 91, 118f
suture cleaning, 135–136
sutures, 27–29, 28f, 29f, 30f
suture selection, 29–31, 31t
sweat gland, 2f, 4f
T
tarsus, 105
temporalis, 91, 92, 119f
temporal region, 96, 96f
tensile strength, wound healing and, 17
tension lines, 26, 26f, 27f
in cheek, 97–98
in forehead, 89, 91f
nose and, 35–36, 36f
Tenzel-type semicircular advancement fl aps, 110, 110f
tetracaine, 24t, 25t
TGFs. see tissue growth factors (TGFs)
timeline, healing, 7f, 16f
tip, nasal, 70–71
tissue adhesives, cutaneous, 31–32, 138–139
tissue expansion, for scalp, 133–134
tissue growth factors (TGFs), at wound sites, 9t
tissue injury response, 6, 7f. see also healing
TNF. see tumor necrosis factor (TNF)
topical anesthetics, 25
transconjunctival fl ap, 111
transposition fl ap, 38, 38f, 44–51, 47f–50f
for cheek defects, 101
for glabellar defects, 94–95
for lip/perioral defects, 83, 83f
for scalp, 128–129, 130f
transverse facial artery, 34, 34f
trap door deformity, 83, 148, 148f
trigeminal nerve, 91, 99
tubed interpolation fl ap, 47, 48f
tumescent anesthesia, 25–26
tumor necrosis factor (TNF), 9t
turbinate fl ap, inferior, 76, 76f
cial musculoaponeurotic system
–131f
Index / 157
https://t.me/medicina_free
U
undermining, 26–27, 27f
V
vacuum-assisted closure, for scalp, 134
vascular anatomy
of cheek, 98, 99f
of forehead/brow, 91, 92f
of nose, 59–60, 60f
of scalp, 117, 119f, 120
of skin, 2, 3f
vascular endothelial growth factor (VEGF), 9t
vascular supply, fl ap design and, 33–34, 34f
VEGF. see vascular endothelial growth factor (VEGF)
vitamins, wound healing and, 18
vitreous membrane, 4f
V-to-Y advancement fl aps, 42–43, 42f, 43f
for glabellar defects, 94–95, 95f
W
Webster-Bernard technique, 86–87
Webster fl ap, 46f
wound healing. see healing
wound vacuum-assisted closure, 134
Y
Y-to-V advancement fl aps, 42–43, 42f, 43f
Z
Z-plasty fl ap, 49, 49f
zygomatic nerve, 92
zygomaticomaxillary nerve, 99
zygomaticotemporal nerve, 99
Соседние файлы в папке @xirurgi_2025