克氏外科学19版chapter 69.pdfVIP

CHAPTER 69 PLASTIC SURGERY Mary H. McGrath and Jason Pomerantz region is needed. Microvascular free tissue transfer represents the reconstructive techniques most complex flap option and is usually the top rung on the pediatric plastic surgery reconstructive ladder. plastic surgery of the head and neck When using the concept of the reconstructive ladder, the plastic surgery of the trunk triad of form, function, and safety is the basis for setting the pressure sores reconstructive goals for any given defect. For example, when reconstruction of the lower extremity reconstructing the face, awareness of form would suggest a more body contouring complex technique, such as tissue expansion, instead of the conclusions simpler technique of skin grafting because it is optimal to restore with skin and soft tissue of the same thickness, texture, and color. For any specific reconstructive situation, this matrix of going from simple to complex, considering form and function, and keeping safety paramount provides direction. Challenged by complex clinical problems, the pace of innova- tion in plastic su