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Amy L. Strong, MD, PhD, MPH
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Shelby Svientek, MD
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Sherry Tang, MD
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Jennifer Waljee, MD, MPH, MSc
Associate Professor of Surgery
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Chien-Wei Wang, MD
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
https://t.me/medicina_free

Christine S. Wang, MD
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Ayobami L. Ward, MD
Resident
Department of Neurosurgery
University of Michigan Medical School
Ann Arbor, Michigan
Johnny Yanjun Xie, MD
Resident
Department of Otolaryngology–Head and Neck Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Alisa Yamasaki, MD
Clinical Instructor
Division of Facial Plastic and Reconstructive Surgery
Department of Otolaryngology–Head and Neck Surgery
University of Michigan Medical School
Ann Arbor, Michigan
Alfred P. Yoon, MD
Resident
Section of Plastic Surgery
Department of Surgery
University of Michigan Medical School
Ann Arbor, Michigan
https://t.me/medicina_free

Foreword
It is with great pleasure that I write the Foreword for the third edition
of the Michigan Manual of Plastic Surgery. The Michigan Manual of
Plastic Surgery has become the go-to reference guide for medical
students, physician assistants, nurses, residents, and medical
practitioners from around the world, as they provide care for their
patients. It highlights all of the critical aspects of plastic surgery in a
compact, information rich, visually pleasing, and yet surprisingly
comprehensive book. It provides each physician and surgeon exactly
what they need to know in sufficient depth and breadth to be highly
valuable throughout the entire duration of a patient’s care from their
initial outpatient evaluation through the successful completion of their
care. In addition, the Michigan Manual of Plastic Surgery has been
written entirely by residents and fellows in plastic surgery and related
specialties. As such, the Michigan Manual of Plastic Surgery has a
focus, structure, and approach, which is perfectly suited to the
people who need to access this information the most. It doesn’t
require reading exhaustively detailed chapters to glean the critical
information they need on each topic. Instead, the nicely crafted
Michigan Manual of Plastic Surgery has a visually pleasing
presentation style with readily accessible information, which is
designed to provide “on-time” learning, whether it is the night before
an operation, during an outpatient clinic visit, on the hospital wards,
or between cases in the operating room. The first two editions of the
Michigan Manual of Plastic Surgery have been highly successful and
have helped countless health care providers and learners. I am very
excited about the enhancements and additions made by Drs. David
Brown, Widya Adidharma, and Geoffrey Hespe to make the third
edition even more valuable. The editors have significantly improved
and updated the content of the book, revamped the layout to
enhance readability, created new chapters on hot topics in plastic
surgery (ie, lymphedema surgery, gender affirmation surgery, and
https://t.me/medicina_free

neuroma surgery), and added beautiful illustrations and figures to
enhance the visual learning experience. The third edition will also be
available electronically for ease of accessibility to the content of the
book. If you prefer a copy of the book in your hands, the third edition
of the Michigan Manual of Plastic Surgery will still fit in your white
coat so the information is no further than a pocket away. I am excited
about the release of the third edition of the Michigan Manual of
Plastic Surgery, the most comprehensive, portable plastic surgery
textbook available. I am sure you will find it an incredibly valuable
resource to provide “just-in-time” information as you care for your
patients.
Paul S. Cederna, MD, FACS
Chief, Section of Plastic Surgery
Robert Oneal Collegiate Professor of Plastic Surgery
Professor, Department of Biomedical Engineering
University of Michigan Medical School
Ann Arbor, Michigan
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Preface
We are excited to present the third edition of the Michigan Manual of
Plastic Surgery, the world’s only pocket-sized, yet comprehensive
treatise on this vast subject.
As in the first edition, we sought to present the entire scope of
contemporary plastic surgery in an easily accessible format. We
have produced this handbook primarily for medical students and
surgical residents to facilitate clinical consultations and pre-, intra-,
and postoperative care. The content and format are also an excellent
reference for practitioners in the multitude of other fields with which
plastic surgery interacts, who need ready access to basic, practical
information. Additionally, we trust that the Michigan Manual will
provide a succinct review for the in-service and written board
examinations. To aid in review for such examinations, we have
placed an * in front of material that is commonly tested. Additionally,
we have included questions that are commonly asked in the
operating room at the end of each chapter to prepare for each case.
We have also included key references for additional reading on each
topic.
This book was written and edited by residents at the University of
Michigan. We wish to thank our section editors, Megan Lane, Rami
D. Sherif, Sherry Tang, Christine S. Wang, and Chien-Wei Wang, for
their contributions.
We hope that you find this handbook helpful in your quest for
improving your knowledge base of plastic surgery. We are delighted
to contribute to the education of those dedicated to caring for plastic
surgery patients. Never stop learning!
David L. Brown, MD, FACS
Widya Adidharma, MD
Geoffrey E. Hespe, MD
https://t.me/medicina_free

Cover images from Yaremchuk MJ, Vibhakar D, Dayan E. Mandible Implants. In:
Chung KC, Disa JJ, Gosain A, Lee G, Mehrara B, Thorne CH, van Aalst J, eds.
Operative Techniques in Plastic Surgery. Wolters Kluwer; 2020:398-405. Figure
1.74.2A; Copyright Man Koon Suh, MD and Suh MK, Dung PT. Technique for
Dorsal Augmentation Using Alloplastic Material. In: Chung KC, Disa JJ, Gosain A,
Lee G, Mehrara B, Thorne CH, van Aalst J, eds. Operative Techniques in Plastic
Surgery. Wolters Kluwer; 2020: 350-361. Figure 1.66.2D; and Mays C, Calobrace
B. Breast Augmentation: Subglandular, Subfascial, and Submuscular Implant
Placement. In: Chung KC, Disa JJ, Gosain A, Lee G, Mehrara B, Thorne CH, van
Aalst J, eds. Operative Techniques in Plastic Surgery. Wolters Kluwer; 2020:1297-
1313. Figure 4.2.1; Taghinia AH. Release of Finger Syndactyly Using Dorsal
Rectangular Flap. In: Chung KC, Disa JJ, Gosain A, Lee G, Mehrara B, Thorne
CH, van Aalst J, eds. Operative Techniques in Plastic Surgery. Wolters Kluwer;
2020:2216-2224. Tech Figure 6.63.1B; and Mioton LM, Dumanian GA. Superior
Gluteal Artery Perforator Flap. In: Chung KC, Disa JJ, Gosain A, Lee G, Mehrara
B, Thorne CH, van Aalst J, eds. Operative Techniques in Plastic Surgery. Wolters
Kluwer; 2020:1734-1737. Tech Figure 5.35.1E.
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Contents
About the Editors
Section Editors
Contributors
Foreword
Preface
SECTION I: GENERAL
Section Editor: Christine S. Wang
1 Complex Wound Care
Brigit Baglien
2 Grafts
Jennifer C. Lee and Widya Adidharma
3 Flaps
Jennifer C. Lee and Widya Adidharma
4 Vascularized Composite Allotransplantation
Sherry Tang
5 Tissue Expansion
Christine S. Wang
6 Fat Grafting
Amy L. Strong and Jaclyn T. Mauch
7 Benign and Malignant Skin and Soft Tissue Lesions
Naomi Briones
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8 Lymphedema and Vascular Anomalies
Geoffrey E. Hespe
9 Lasers in Plastic Surgery
Naomi Briones
10 Burns
Emily Barrett
11 Burn Reconstruction
Megan Lane and Ayana K. Cole-Price
12 Preoperative Cardiopulmonary Risk Stratification and
Prophylaxis
Kory LaPree
SECTION II: CRANIOFACIAL
Section Editor: Chien-Wei Wang
13 Cleft Lip
Gina N. Sacks
14 Cleft Palate
Katelyn G. Makar
15 Velopharyngeal Insufficiency
Alexandra O. Luby
16 Craniosynostosis and Craniofacial Syndromes
Alexandra O. Luby
17 Reconstruction of Congenital Ear Deformities
Chien-Wei Wang
18 Orthognathic Surgery
Hossein E. Jazayeri
19 Facial Palsy
Alisa Yamasaki
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20 Facial Trauma
Chien-Wei Wang
21 Scalp and Calvarial Reconstruction
Alexandra O. Luby
22 Ear Reconstruction
Chien-Wei Wang
23 Eyelid Reconstruction
Jane S. Kim and Peter M. Kally
24 Eyelid Malposition
Jane S. Kim and Peter M. Kally
25 Nasal Reconstruction
Alisa Yamasaki
26 Lip and Cheek Reconstruction
Chien-Wei Wang
27 Head and Neck Masses and Neoplasms
Rebecca W. Gao
28 Principles of Head and Neck Reconstruction
Rebecca W. Gao
SECTION III: UPPER EXTREMITY
Section Editor: Megan Lane
29 Hand and Wrist Anatomy and Examination
Jennifer C. Lee and Widya Adidharma
30 Basics of Fixation
Atticus Coscia
31 Congenital Upper Extremity Anomalies
Alfred P. Yoon and Jennifer Waljee
32 Brachial Plexus Injuries
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Ayobami L. Ward and Shay Nguyen
33 Distal Radius and Ulna Fractures
Cecilia M. Pesavento and Alexander N. Khouri
34 Carpal Fractures and Dislocations
Davin C. Gong and Stefano Muscatelli
35 Phalangeal and Metacarpal Fractures and Dislocations
Matthew T. Rasmussen and Evangeline F. Kobayashi
36 Traumatic Amputation Injuries
Evangeline F. Kobayashi and Matthew T. Rasmussen
37 Fingertip and Nail Bed Injuries
Alexander N. Khouri
38 Tendon Injuries and Tendonitis
Alexander N. Khouri and Lauren Bruce
39 Tendon Transfers
Widya Adidharma
40 Thumb Reconstruction
Ryan O. Davenport and Shahan Saleem
41 Soft Tissue Coverage of the Upper Extremity
Connor Mullen and Katherine L. Burke
42 Hand Infections
Alexander N. Khouri and Meera Kattapuram
43 Compartment Syndrome and High-Pressure Injections
Alexandria Sherwood and Stacia M. Ruse
44 Hand Tumors
Paul Gagnet
45 Nerve Injuries, Neuromas, and Compression Syndromes
Shelby Svientek
46 Rheumatoid Arthritis, Osteoarthritis, and Dupuytren
Contracture
Stacia M. Ruse and Alexandria Sherwood
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