Raising of Microvascular Flaps A Systematic Approach

Raising of Microvascular Flaps provides all those who deal with microsurgical tissue transfer, i.e. plastic surgeons, ENT surgeons, trauma surgeons, and oral and maxillofacial surgeons, with all they need to know in their daily practice. In this second ed

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K.-D. Wolff · F. Hölzle

Raising of Microvascular Flaps A Systematic Approach Second Edition

With 139 Figures and 58 Drawings

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Prof. Dr. Dr. K.-D. Wolff Technische Universität München Klinikum rechts der Isar Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Ismaninger Straße 22 81675 München Germany [email protected] Priv.-Doz. Dr. Dr. Frank Hölzle Technische Universität München Klinikum rechts der Isar Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Ismaninger Straße 22 81675 München Germany [email protected] IV

ISBN 978-3-540-93831-6       eISBN 978-3-642-13831-7 DOI 10.1007 / 978-3-642-13831-7 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2011928507 © 2005, 2011 Springer-Verlag Berlin Heidelberg This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, ­specifically the rights of translation, reprinting, reuse of illustrations, recitations, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is per­mitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. The use of general descriptive names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Illustrator: Harald Konopatzki, Heidelberg Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

This book is dedicated to those who put their bodies at the disposal of teaching and science in medicine

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Preface With the introduction of microvascular tissue transfer in the early 1970s, a new universe of reconstructive possibilities was opened. In the meanwhile, this technique has proven to be one of the most important developments for our patients. One of the reasons for this triumphal march of reconstructive microsurgery is the high number of excellent textbooks describing all the numerous flaps that can be raised from nearly every region of the human body. Even though much high-level literature was already available, we gained very positive feedback and encouragement with the first edition of this book and we were asked to apply this concept to the next generation of flap raising, i.e., perforator flaps. Thus we continued with high-quality photographs taken from clearly dissected sites that were split into a series of exactly defined sequences of flap elevation. Important anatomical la