CHEEK RECONSTRUCTION

CHEEK RECONSTRUCTION - RECONSTRUCTION OF THE CHEEK Dr.Madhu...

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Unformatted text preview: RECONSTRUCTION OF THE CHEEK Dr.Madhu Ganga Hospital IMPORTANCE FACIAL AESTHETICS CONTOUR PROTRUBERANCE FACIAL LINES FACIAL EXPRESSIONS EMOTIONAL GESTURES MASTICATION BOUNDARIES MEDIALLY – NASOLABIAL CREASE LATERALLY - PREAURICULAR BOUNDARIES MEDIALLY - NASOLABIAL CREASE LATERALLY- PREAURICULAR REGION SUPERIORLY - INFERIOR ORBITAL RIM INFERIORLY- MANDIBULAR RIM ANATOMY - MUSCLES ANATOMY –BLOOD SUPPLY ARTERIAL SUPPLY FACIAL ARTERY TRANSVERSE FACIAL ARTERY VENOUS DRAINAGE COMMON FACIAL VEIN INFRA ORBITAL VEINS DEEP VEINS ANATOMY- MOTOR NERVES ANATOMY – SENSORY SUPPLY CAUSES OF CHEEK DEFECTS NEOPLASIA TRAUMA INFECTION CONGENITAL IDIOPATHIC CANCRUM ORIS CARCINOMA TESSIER 4 CLEFT TRAUMA Cheek reconstruction METHODS PRIMARY CLOSURE SKIN GRAFTS LOCAL FLAPS TISSUE EXPANSION INTERPOLATION FLAPS FREE FLAPS PRIMARY CLOSURE CENTRAL WOUNDS < 2cm EXTENSIVE UNDERMINING OF SURROUNDING TISSUE ELDERLY INDIVIDUAL FINAL SCARS ALONG RSTLs COMPLEX FORMS M PLASTY W PLASTY GEOMETRIC BROKEN LINE CLOSURE M PLASTY SKIN GRAFTS BEST SUITED FOR THE INDIAN PATIENT > 4cm DEFECT HIGH GRADE NEOPLASMS WITH DOUBTFUL MARGINS HIGH RISK PATIENT FULL THICKNESS BURNS OF THE FACE FTSG LESS CONTRACTION BETTER COLOUR MATCH STSG MORE CONTRACTION LESS COSMESIS LOCAL FLAPS ADVANCEMENT FLAPS SINGLE PEDICLE / V-Y ADVANCEMENT FLAPS USUALLY RANDOM PATTERN FLAPS BEST SUITED FOR MEDIAL CHEEK DEFECTS...
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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CHEEK RECONSTRUCTION - RECONSTRUCTION OF THE CHEEK Dr.Madhu...

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