Markéta Dušková et al.
PLASTIC SURGERY
Textbook for Students of 3. FM CU
Univerzita Karlova v Praze, 3. Lékařská fakulta, Klinika plastické chirurgie 3. LF a FNKV
2010
CD
Markéta Dušková et al. PLASTIC SURGERY Textbook for Students of 3. FM C
Editor: Markéta Dušková, Prof., M. D., Ph.D.
Authors: Jiří Bayer, M. D. Michaela Čakrtová, M. D. Eva Dřevínková, M. D. Markéta Dušková, Prof., M. D., Ph.D. Michal Haas, M. D. Eva Leamerová, M. D. Andrej Sukop, M. D., Ph.D. Miroslav Tvrdek, Asc. Prof., M. D.
Graphic design Michal Haas, M. D.
Reviewers: Vlastimil Bursa, M. D. Jan Válka, Asc. Prof., M. D., Ph. D.
Publisher : Univerzita Karlova v Praze, 3. lékařská fakulta, Klinika plastické chirurgie 3. LF a FNKV Address 3. LF: Ruská 87, Praha 10, 100 00 1st edition, 2010 Print medium : CD Price : not for sale
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ISBN: 978-80-254-8781-5
Plastic surgery | 2
INTRODUCTION (MARKÉTA DUŠKOVÁ) ...... 4
WOUND HEALING AND TREATMENT (EVA DŘEVÍNKOVÁ, MICHAL HAAS) ...... 10
SOFT TISSUE DEFECTS COVERAGE (MIROSLAV TVRDEK) ...... 21
FACIAL INJURIES (JIŘÍ BAYER) ...... 32
HAND INJURIES, DIAGNOSTICS, TREATMENT, PHYSIOTHERAPY (ANDREJ SUKOP, EVA DŘEVÍNKOVÁ) ...... 40
AMPUTATION INJURIES OF THE UPPER EXTREMITY (MIROSLAV TVRDEK) ...... 55
CONGENITAL ANOMALIES OF THE FACE (EVA LEAMEROVÁ, MARKÉTA DUŠKOVÁ) ...... 63
CONGENITAL ANOMALIES OF UPPER LIMB AND HAND (ANDREJ SUKOP, EVA DŘEVÍNKOVÁ) ...... 75
SKIN TUMORS, DIAGNOSTICS, SURGICAL TREATMENT (MICHAELA ČAKRTOVÁ) ...... 82
RECONSTRUCTION OF THE FACE (MARKÉTA DUŠKOVÁ) ...... 99
AESTHETIC PLASTIC SURGERY (MARKÉTA DUŠKOVÁ) ...... 111
REFERENCES ...... 120
WEB SOURCES ...... 125
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Introduction Markéta Dušková
Plastic surgery helps patients of all ages and types, improving the natural body or restoring a damaged or deformed body, whether for example it is a child with a birth defect, a young adult injured in an accident, or an older adult with a problem caused by different illnesses or even by aging.
Plastic Surgery in Ancient world and in Middle Ages The Sushruta Samhita is a Sanskrit text on surgery, attributed to Sushruta, likely a physician of 6th century BCE in Varanasi, sometimes dubbed the "father of Surgery". Also the earliest known procedures of plastic surgery were described in this book, including a nose reconstruction, or rhinoplasty. The reason was high incidence of this problem, because amputation of nose was common practice in ancient India as a punishment. A method of rotated frontal flap and brilliance of approach was set on Sushruta’s understanding of the function of skin blood supply (see fig. 1).
This approach was renewed and described in 1794 as the Indian Method (see fig. 2). Fig. 1. Indian flap
A Greco Roman tradition developed in the first century AD. Celsus described the advancement flap and a form of subcutaneous island flap in that time. In the Renaissance of the 15th century the Branca family in Sicily reapplied the Indian method to nasal reconstruction. They used the upper arm flap, a method later elaborated by Gasparo Tagliacozzi
(1546 99) (see fig.3). Fig. 2. Renewed Indian Method
Modern plastic surgery The first half of the 19th century started the modern period of plastic surgery. Dieffenbach worked beyond the face on many reconstructive challenges. Von Langenbeck established new
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principles of cleft lip and palate surgery. Dupuytren contributed by the pathology and correction of palmar fibromatosis and he made the classification of burns according to their skin depth. In 1804, Baronio published his experimental work on skin grafts in sheep. In 1817, Cooper performed the first successful human skin grafting. Further Fig . 3 Upper arm flap development of skin transplantation is mainly connected with names of Guyon, Warren, Reverdin, and Thiersch (1869). The two greatest advances in the history of surgery anesthesia and asepsis