Review of Plastic Surgery

386 Pages·2015·64.444 MB·English

by  Donald W Buck II

Review of
Plastic
Surgery
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Review of
Plastic
Surgery

Donald W. Buck II, MD
Assistant Professor
Plastic and Reconstructive Surgery
Washington University School of Medicine
St. Louis, MO, USA
Foreword by
Peter C. Neligan, MB, FRCS(I), FRCSC, FACS
Professor of Surgery, Division of Plastic Surgery
University of Washington
Seattle, WA, USA
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v
Contents
Foreword.................................................................................vi Section 4: Hand
Preface..................................................................................vii
14. Congenital.Hand.Disorders...........................................140
List.of.Question.Contributors.................................................viii
15. Hand.Masses,.Vascular.Disorders,.and.Dupuytren’s.
Acknowledgments...................................................................xii Contracture...................................................................151
Dedication..............................................................................xii 16. Hand.Fractures.and.Dislocations..................................160
17. Nail-Bed.Injuries,.Soft-Tissue.Amputations,.and.
1. Anesthesia,.Practice.Management,.Patient.Safety,. Replantation.................................................................173
and.Coding........................................................................1 18. Carpal.Injuries.and.Hand.Arthritis.................................184
19. Tendon.Injuries.and.Reconstruction..............................195
Section 1: Craniofacial, Head, and Neck
2. Head.and.Neck.Anatomy.and.Facial.Palsy........................9 Section 5: Integument
3. Head.and.Neck.Cancer,.Odontogenic.Tumors,.and. 20. Wound.Healing.and.Tissue.Expansion...........................212
Vascular.Anomalies........................................................19
21. Soft-Tissue.and.Hand.Infections...................................219
4. Craniofacial.Trauma........................................................26
22. Burns.and.Burn.Reconstruction....................................224
5. Craniosynostosis.and.Craniofacial.Syndromes................35
23. Benign.Skin.Conditions.and.Skin.Disorders..................228
6. Clefts.and.Orthognathic.Surgery.....................................44
24. Malignant.Skin.Conditions............................................235
7. Ear.Reconstruction.........................................................60
25. Flaps.and.Microsurgery................................................243
Section 2: Breast
Section 6: Aesthetic
8. Breast.Anatomy,.Embryology,.and.Congenital.
26. Eyelid.Anatomy,.Reconstruction,.and.
Defects...........................................................................75
Blepharoplasty.............................................................260
9. Breast.Cancer.and.Breast.Reconstruction......................83
27. Rhinoplasty.and.Nasal.Reconstruction.........................269
10. Noncancer.Breast.Surgery..............................................91
28. Rhytidectomy.and.Neck.Rejuvenation...........................284
29. Body.Contouring.and.Suction-Assisted.
Section 3: Trunk and Lower Extremity
Lipectomy.....................................................................294
11. Trunk.Reconstruction.and.Pressure.Sores.......................97 30. Injectables,.Skin.Resurfacing,.Lasers,.and.Hair.
12. Peripheral.Nerve.Injuries,.Brachial.Plexus,.and. Restoration...................................................................299
Compression.Neuropathies...........................................112
13. Lower.Extremity.Reconstruction.and. Appendix............................................................................308
Lymphedema................................................................125
Index..................................................................................353
vi
Foreword
This book by Donald Buck is unique in several ways. It fills a niche knowledge. This is really the genius of this book. Dr. Buck has
segment of the plastic surgery literature, as it is aimed at residents invited renowned and recognized experts not specifically to write
and fellows training in plastic surgery. However, it is also of use to chapters, as most textbook editors do, but rather to write self-
the full spectrum of those interested in plastic surgery, from medical assessment questions that are fashioned as board-type questions.
students to attending physicians. This is not an encyclopedic text- These individuals are not only household names in the specialty,
book nor is it meant to be. It is meant as a review and that is exactly but they are obviously experienced in the topic, as well as in edu-
what it achieves. Each topic is presented in point format, excluding cating residents and, more importantly, in examining them. This
the fluff and including only what has to be known. Condensing makes this book unique and incredibly useful.
material like this requires a lot of skill and knowledge, and Dr. Buck Dr. Buck is to be congratulated not only in compiling this book
has achieved this with flying colors. The format and layout make it but in having the wit to use his experts in an ingenious way. In
easy to read yet it is small enough to fit in a backpack or satchel. It doing so he has contributed invaluably to the education of the next
is easy to find one’s way round this book and it is ideal for quickly generation of plastic surgeons. I think this book will become a
revisiting a topic before rounds or the operating room. It is standard resource for medical students, residents, and fellows.
extremely useful as a review for exams and for testing one’s by Peter C. Neligan
vii
Preface
Plastic surgery is a vast specialty, encompassing the management This book is not intended to be a replacement for your favorite
of diseases and conditions from head to toe, in patients who are plastic surgery textbooks or “encyclopedias,” nor is it meant to
both young and old. With such a diverse and overarching surgical cover the minutiae of our specialty. Instead, it is intended to provide
discipline, it comes as no surprise that our textbooks read like a foundation of plastic surgery fundamentals and themes upon
encyclopedias with seemingly limitless pages of detail and descrip- which further details can be added. It is also intended to serve as
tions. An entire bookcase can easily be filled with textbook after an added resource for treating the anxiety and heartburn of exami-
textbook attempting to cover the topics that we encounter as plastic nation preparation by providing a useful, relevant, and easily acces-
surgeons. As a student, resident, or young attending, the vastness sible collection of high-yield topics and facts covering plastic
of plastic surgery can become overwhelming, and it is easy to get surgery.
lost in the details. One quick look at the six volumes required to The book consists of 30 chapters, conveniently designed to align
cover our specialty in Plastic Surgery 3rd Edition alone can generate with the defined topics that are frequently covered in plastic surgery
a tremendous amount of heartburn. This is particularly true during examinations. Within each chapter are numerous pearls of wisdom
examination time, be it the in-service examination for trainees or and abundant facts in bulleted format that cover some of the most
the written examination for plastic surgery certification. frequently tested topics. These pearls are complemented by beauti-
I vividly remember the anxiety surrounding the exam prepara- ful figures and illustrations that further drive home important con-
tion process and my disbelief at the lack of a “go-to” plastic surgery cepts and themes. In addition, each chapter has dedicated exam-style
review book highlighting frequently tested, high-yield facts for multiple-choice questions written by topic experts from around the
the in-service exam and written boards. It seemed that all other world, to test your knowledge and enhance your preparation
specialties had one: a handy companion book with tattered pages through creation of a practice exam.
of fruitful facts, figures, and illustrations that covered the broad It is my sincere hope that you find this book useful and comfort-
topics and themes of the specialty, perfect for focused studying and ing and that it will help to alleviate some of the anxiety associated
examination review. The purpose of this book is to fill that void with rotations, examinations, and review of our awesome specialty.
and serve as a trustworthy companion to students, residents, and Best of luck!
young plastic surgeons alike. Donald W. Buck II
viii
List of Question Contributors
Sonya Agnew, MD Donald W. Buck II, MD Marco Ellis, MD
Assistant Professor Assistant Professor Director of Craniofacial Surgery
Division of Plastic Surgery, Department of Plastic & Reconstructive Surgery Northwestern Specialists in Plastic Surgery
Surgery Washington University School of Medicine Northwestern University
Department of Orthopaedic Surgery and St. Louis, MO, USA University of Illinois Chicago
Rehabilitation Chapter 2. Head and Neck Anatomy and Chicago, IL, USA
Loyola University Medical Center Facial Palsy, Questions 1–5 Chapter 26. Eyelid Anatomy, Reconstruction,
Maywood, IL, USA Chapter 4. Craniofacial Trauma, Questions and Blepharoplasty, Questions 6–10
Chapter 15. Hand Masses, Vascular 1–5
Disorders, and Dupuytren’s Contracture, Chapter 7. Ear Reconstruction, Questions 1–5 Neil A. Fine, MD
Questions 1–5 Chapter 19. Tendon Injuries and President NSPS
Reconstruction. Questions 1–5 Clinical Associate Professor
Jamil Ahmad, MD, FRCSC Chapter 20. Wound Healing and Tissue Division of Plastic Surgery
Lecturer, Division of Plastic and Expansion, Questions 1–5 Northwestern University, Feinberg School
Reconstructive Surgery Chapter 22. Burns and Burn Reconstruction, of Medicine
Department of Surgery Questions 1–10 Chicago, IL, USA
University of Toronto Chapter 25. Flaps and Microsurgery, Chapter 9. Breast Cancer and Breast
Toronto, Ontario, Canada Questions 1–5 Reconstruction, Questions 6–13
Chapter 27. Rhinoplasty and Nasal
Reconstruction, Questions 1–5 Ming-Huei Cheng, MD, MBA, FACS Ida Fox, MD
Professor and Vice President Assistant Professor of Plastic Surgery
C. Bob Basu, MD, MPH, FACS Department of Plastic and Reconstructive Department of Surgery
Director, Basu Center for Aesthetics & Surgery Washington University School of Medicine
Plastic Surgery Chang Gung Memorial Hospital St. Louis, MO, USA
Chief of Plastic Surgery Taoyuan, Taiwan Chapter 12. Peripheral Nerve Injuries,
North Cypress Medical Center Chapter 13. Lower Extremity Reconstruction Brachial Plexus, and Compression
Houston, TX, USA and Lymphedema, Questions 1–5 Neuropathies, Questions 1–5
Chapter 1. Anesthesia, Practice Management,
Patient Safety, and Coding, Questions 1–5 Brian M. Derby, MD Robert D. Galiano, MD, FACS
Private Practice Associate Professor
Phillip Blondeel, MD, PhD Sarasota Plastic Surgery Center Director of Research
Professor of Plastic Surgery Sarasota, FL, USA Division of Plastic Surgery
Department of Plastic and Reconstructive Chapter 26. Eyelid Anatomy, Reconstruction, Northwestern University, Feinberg School
Surgery and Blepharoplasty, Questions 1–5 of Medicine
University Hospital Ghent Chicago, IL, USA
Ghent, Belgium Brent Egeland, MD Chapter 20. Wound Healing and Tissue
Chapter 9. Breast Cancer and Breast Attending Surgeon Expansion, Questions 6–10
Reconstruction, Questions 1–5 Institute of Reconstructive Plastic Surgery
University Medical Center Brackenridge Catharine B. Garland, MD
Lucas Boehm, PharmD Austin, TX, USA Chief Resident, Plastic Surgery
Medical College of Wisconsin Chapter 19. Tendon Injuries and Department of Surgery
Milwaukee, WI, USA Reconstruction, Questions 6–10 University of California San Francisco
Chapter 8. Breast Anatomy, Embryology, San Francisco, CA, USA
and Congenital Defects, Questions 1–15 Chapter 27. Rhinoplasty and Nasal
Reconstruction, Questions 6–10
ix

Patrick B. Garvey, MD, FACS Kristy L. Hamilton, MD Grant M. Kleiber, MD
Associate Professor of Plastic Surgery Plastic Surgery Resident Assistant Professor of Surgery
Department of Plastic Surgery Division of Plastic Surgery Division of Plastic and Reconstructive
The University of Texas MD Anderson Baylor College of Medicine Surgery
Cancer Center Houston, TX, USA Washington University School of Medicine
Houston, Texas, USA Chapter 11. Trunk Reconstruction and St. Louis, MO, USA
Chapter 11. Trunk Reconstruction and Pressure Sores, Questions 1–5 Chapter 15. Hand Masses, Vascular
Pressure Sores, Questions 1–5 Disorders, and Dupuytren’s Contracture,
James P. Higgins, MD Questions 6–10
Amanda Gosman, MD Chief, Curtis National Hand Center
Associate Professor Union Memorial Hospital Jason H. Ko, MD
Division of Plastic Surgery Baltimore, MD, USA Assistant Professor of Surgery
University of California San Diego Chapter 18. Carpal Injuries and Hand Division of Plastic Surgery and Department
San Diego, CA, USA Arthritis, Questions 1–5 of Orthopaedics and Sports Medicine
Chapter 4. Craniofacial Trauma, Questions University of Washington School of
6–10 John B. Hijjawi, MD, FACS Medicine
Program Director Seattle, WA, USA
Ronald P. Gruber, MD Reconstructive Microsurgery Fellowship Chapter 17. Nail-Bed Injuries, Soft-Tissue
Clinical Associate Professor Associate Professor Amputations, and Replantation, Questions
Divisions of Plastic and Reconstructive Department of Plastic Surgery 1–10
Surgery Medical College of Wisconsin
University of California Milwaukee, WI, USA Jeffrey H. Kozlow, MD, MS
San Francisco, CA, USA Chapter 8. Breast Anatomy, Embryology, Assistant Professor
Adjunct Clinical Associate Professor and Congenital Defects, Questions 1–15 Section of Plastic Surgery
Stanford University Medical Center University of Michigan Health System
Stanford, CA, USA Elliot M. Hirsch, MD Ann Arbor, MI, USA
Chapter 27. Rhinoplasty and Nasal Division of Plastic and Reconstructive Chapter 21. Soft-Tissue and Hand Infections,
Reconstruction, Questions 6–10 Surgery Questions 1–5
Feinberg School of Medicine
Anandev Gurjala, MD, MS Northwestern University Brian I. Labow, MD, FACS, FAAP
Attending Surgeon Chicago, IL, USA Associate Professor of Surgery
Department of Plastic and Reconstructive Chapter 23. Benign Skin Conditions and Boston Children’s Hospital, Harvard
Surgery Skin Disorders, Questions 1–5 Medical School
Kaiser Permanente San Francisco Boston, MA, USA
San Francisco, CA, USA Peter S. Kim, MD Chapter 14. Congenital Hand Disorders,
Chapter 24. Malignant Skin Conditions, Clinical Instructor of Surgery Questions 1–5
Questions 1–5 Department of Surgery
Beth Israel Deaconess Medical Center Victor L. Lewis, Jr., MD
Jeffrey A. Gusenoff, MD Harvard Medical School Professor of Clinical Surgery
Associate Professor of Plastic Surgery Boston, MA, USA Division of Plastic Surgery
Co-Director, Life After Weight Loss Chapter 16. Hand Fractures and Feinberg School of Medicine
Program Dislocations, Questions 1–10 Northwestern University
Department of Plastic Surgery Chicago, IL, USA
University of Pittsburgh Chapter 23. Benign Skin Conditions and
Pittsburgh, PA, USA Skin Disorders, Questions 6–11
Chapter 29. Body Contouring and Suction-
Assisted Lipectomy, Questions 1–5