Libri di Mack

Discover a revolutionary approach to reconstructive surgery! Now in its Second Edition, "The Atlas of Regional and Free Flaps for Head and Neck Reconstruction" delivers clear, heavily illustrated coverage of regional skin, muscle, and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. The Atlas will prove invaluable information to otolaryngologists, plastic surgeons, and general surgeons, who use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction. The in-depth coverage that readers trust - clinically detailed full-color line drawings emphasize proper harvesting technique for all flaps; full procedural discussions address relevant anatomy, flap design and utilization, anatomic variations, preoperative and postoperative care, tips for avoiding potential pitfalls, and harvesting techniques for each donor site; and use of fresh cadaver dissections provides the most realistic portrayal of step-by-step detail that gives the resident and attending surgeon a thorough understanding of each donor site. A wealth of features NEW to the Second Edition - new chapters address the submental flap, ulnar forearm flap, anterolateral thigh flap, paramedian forehead flap, cervicofacial advancement flap, and perforator flaps; new content on skin-flap harvesting includes: addition of the coronoid harvest process to the temporalis chapter; addition of the osteocutaneous radial forearm flap to the radial forearm flap chapter; addition of scalp harvest to the chapter on the temporoparietal fascial flap; addition of scapular tip harvest for use in palatomaxillary reconstruction; and addition of harvest of the IMA and IMV recipient vessels and harvest of the TAC system of vessels to the recipient vessel chapter; and new demonstrations of flap insetting and design for a number of reconstructions.

This volume, the first of its kind ever, is designed to provide both laypersons and professionals with a detailed description of the occurrence of each common form of cancer in the ethnically, socially, and environmentally complex milieu of a modern urban complex. The place is Los Angeles County, and the patterns of 72 different malignancies are described according to race, age, sex, social class calendar time (since 1972) and most notably, individual neighborhood, using detailed maps of high risk. The book permits residents to screen the malignancies and identify those of special concern locally, and to identify other communities with similar concerns. The pattern of each malignancy is briefly discussed with reference to background knowledge of causation and the degree to which the observed pattern was expected on that basis. Persons residing outside Los Angeles County will identify patterns likely to prevail in their own communities. Physicians and scientific investigators in California and elsewhere can use the material provided to counsel patients and evaluate the consistency of any specific pattern of occurrence with each specific causal hypothesis. There is a detailed appendix that describes the source of data, provides the basis for the choices made in the production of the volume, and gives a perspective on the search for 'clusters' of malignancy. This title compares different types of cancers with respect to the degree of non-random occurrence. It contains numerous maps detailing the demographic and geographic pattern of cancer occurrence in Los Angeles County. It provides an empirical perspective to the search for disease 'clusters'.