This new second edition of the best-selling Atlas of Microvascular Surgery is updated with the latest information on harvesting, fabricating, and dissecting vessels in all areas of the body. It features coverage of 45 donor sites with thorough review of anatomy and potential anatomic variations; step-by-step instructions for 110 techniques for flap harvesting and fabrication, including many of the perforator flap harvesting details; and descriptions for 39 procedures for exposure of recipient site vessels. Highlights of the second edition: More than 650 color illustrations, including 115 new drawings, provide a visual guide to anatomy and possible variations Clear descriptions of 110 different flap-harvesting techniques, from planning and designing to harvesting surgical free flaps Discussion of perforator flaps based on the deep inferior epigastric artery, superior and inferior gluteal arteries, thoracodorsal artery, and lateral circumflex femoral artery Insightful review of the clinical indications for, as well as the advantages and disadvantages of, using specific donor sites helps the surgeon to approach each dissection with confidence Easy-to-reference organization according to upper extremity, lower extremity, trunk, and head and neck All plastic and reconstructive surgeons, orthopedic surgeons, hand surgeons, neurosurgeons, and residents in these specialties will benefit from the wealth of information in this landmark book.

For many years, the operative manipulation of the most minute struc tures was frustrated by the limitations of the human eye. With the introduction of the operating microscope by Nylen (1921), fine detailed anatomy was made visible, so that structures could be prepared, pre sented and manipulated. Nylen used the microscope for treating dis eases of the middle ear. In 1946 Perrit in the U.S.A. introduced the operating microscope into the field of ophthalmic surgery. In 1964, Smith, Kunze and Mitchen published reports on their clinical experi ence using the operating microscope in nerve surgery. Using this tech nique, it was possible to divide a peripheral nerve into individual fascicle bundles and reapir each bundle precisely. Following on from these developments, the term" microsurgery" was introduced to cover that branch of surgery which was carried out using the" equiped" eye - either by using 10upe spectacle magnifica tion or, more commonly, the operating microscope. The term "micro vascular surgery" developed for the operative treatment of small ves sels below 2 mm in diameter. Experimental studies for the use of microsurgery in the clinical situation developed alongside its use on small research animals for transplantation models in immunological study. Microsurgical techniques were used in the transplantation of rat liver, kidneys, pancreas, heart and other organs. The clinical appli cation of these microsurgical techniques is nowadays called "recon structive microvascular surgery."

In this completely revised and enlarged new edition, Professor Sanna and his team provide systematic demonstrations of the major lateral skull base approaches, drawing from 20 years of experience of the eminent Gruppo Otologico located in Piacenza, Italy.Key features: Introductory chapters on the general principles, instrumentation, and special considerations that characterize this type of surgery Discussion of the radiology of skull base lesions as it relates to surgery, with particular emphasis on findings that can influence the choice of surgical approach, alter the course of surgery, or affect the prognosis Actual demonstrations of the anatomy seen during the different surgical approache -- standard anatomy textbooks fail to address this issue For each approach, step-by-step descriptions of the surgical technique and numerous clinical cases representing the most commonly encountered lesions so that the reader receives a comprehensive understanding of how to perform the approach and what to expect during surgery Pearls and Pitfalls at the end of most chapters gathered from the vast number of cases managed throughout the years by the authors and included to help others avoid mistakes Over 1300 superb and instructive illustrations consisting of photographs of live surgery and cadaver dissections, radiologic images, and drawings This essential text also covers other must-know, highly advanced topics, including: Combined approaches providing the necessary route to manage certain extensive skull base tumors that represent particular challenges Management strategies for different skull base lesions (e.g., surgical vs. nonsurgicalmanagement, the different factors that determine the choice of the surgical approach, cases that are managed conservatively or with radiosurgery) Management of the internal carotid artery in skull base surgery, including the new technique of using stents to facilitate tumor dissection from the internal carotid artery This outstanding surgical atlas is invaluable for any surgeon who seeks not only to master the different surgical approaches but also to grasp the real essence of skull base surgery.Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.

Reconstructive microvascular surgery is now in its teens. At first many thought this new child was a whim and would fail to thrive. Some were un certain, others with vision either supported or became actively involved in this new area of surgical endeavour. Although initial interest was focused on the replantation of amputated parts, it has been the one stage free trans fer of living tissue to a distant site which has launched microsurgery into the surgical spotlight. From its humble beginnings we have witnessed a revolution in this branch of plastic surgery; many of the long established methods of recon struction have, like barricades, fallen before the advances made in this field. In its infancy there were relatively few procedures available. There was a tendency to make the patient's problem fit the operation, rather than the reverse, and this frequently led to an inferior result. The then known flaps, such as the groin flap and the deltopectoral flap, were employed. Unfortunately they were sites which posed many technical problems; namely those of vascular anomaly, a short pedicle and vessels of small cal ibre. Long operations were the norm, and vascular thrombosis was not un common. Hospital routine often was disrupted and there was a danger that these new techniques would fall into disrepute. Over the last decade this state of affairs has changed dramatically.

ATLAS OF OPERATIVE ORAL AND MAXILLOFACIAL SURGERY Comprehensive Learning Resource Covering All Aspects of Oral and Maxillofacial Surgery This textbook marks the second edition of the highly successful Atlas of Operative Oral and Maxillofacial Surgery. The first edition quicky became a staple with surgeons on rounds, in training programs and in preparation for board examinations. This atlas is comprised of concise text and detailed vignettes focusing on surgical indications, contraindications, pertinent anatomy, virtual surgical planning, operative techniques, postoperative management, complications and key points with over 2,000 high-quality images. The Atlas of Operative Oral and Maxillofacial Surgery serves as an innovative, multidisciplinary, surgical atlas covering core aspects of oral and maxillofacial surgery, head and neck reconstructive surgery, and facial cosmetic surgery. Chapters are written by experts in their fields and are designed to provide high-yield information utilizing a case report format. New to this second edition: Contemporary coverage of dental implants, including digital implant planning, grafting techniques, implant supported restorations of the edentulous arch, immediate implant placement and provisionalization. Management of facial infections including odontogenic head and neck infections, osteomyelitis and medication related osteonecrosis of the jaws (MRONJ). Recent advances in facial trauma surgery, orthognathic surgery and facial reconstructive surgery utilizing virtual surgical planning, custom plate fabrication and the latest surgical techniques with case reports. Expansion of the orthognathic and craniofacial section to include new case reports and chapters on orthognathic surgery in cleft patients, cranial vault surgery and the evaluation and planning of concomitant TMJ and orthognathic surgeries. Advances in the field of facial cosmetic surgery including cryolipolysis, fat transfer, soft tissue fillers and the latest technique updates. Elaboration of the facial ablative and reconstructive surgery sections to include virtual surgical planning, custom plate fabrication, osteotomy cuts guides and the latest hard and soft tissue harvest techniques.