PLASTIC & RECONSTRUCTIVE SURGERY. Neurofibromatosis. Outline . Terminology Anatomy of Skin and Hand Pathology Medications Anesthesia Supplies, Instrumentation, and Equipment Considerations and Post-op Care Procedures: Skin and Hand. Terminology.
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PLASTIC & RECONSTRUCTIVE SURGERY
Not really a layer but serves as an anchor for the skin to the underlying structures
Composition: adipose (fat) & loose connective tissue
Purpose: insulation & internal organ protection
Some Lovers Try Positions That They Can’t Handle
14 per hand
3 phalanges per finger or digit
Numbered 1-5 beginning with the thumb
Female patient who suffers with severe burns on 70% of her body
Redness or erythema
Partial Thickness Burn
Epidermis and Dermis
If Deepest Epithelial layer undamaged will heal
Infection can result in damage same as third degree burn
Blistering, pain, moist/red/pink in appearance
Epidermis and Dermis destroyed
Extends to subcutaneous layer and structures
Requires skin grafts to heal
Dry, pearly white, charred surface (eschar)
Damage to bones, tendons, muscles, blood vessels, and nerves
Electrical burns most common
Extensive skin grafting required
Patient might survive and/or limb might be saved.
Lund-Browder Method - used in the evaluation of all pediatric patients.
The Lund-Browder system uses fixed percentages for the feet, arms, torso, neck, and genitals, but the values assigned to the legs and head vary with a child's age.
Is more accurate but also more difficult to use.
Used to remove STSG
Brown - oscillating blade
Padgett-Hood-rotating blade housed in drum
Powered by nitrogen or electricity
Can be hand held
Cleft = split or gap between two structures that normally are joined
Cheiloschisis = cleft lip (hair lip) -Say cheiloschisis
Palatoschisis = cleft palate
- Say palatoschisis
May see alone or in conjunction
May be unilateral or bilateral
Surgical intervention = cheiloplasty and palatoplasty
1. DeQuervain’s Disease
Reimplantation of digits is a microvascular procedure
Restoration of appearance
Restoration of function
KEY GOAL = FUNCTION