Bøger af Arpit Singhal

Reconstructive oral and maxillofacial surgery is to revive the shape and form of the head and neck region, which can or might not embody aesthetic or cosmetic surgery. Reconstructive surgeons employs the conception of reconstructive ladder to manage progressively complicated injuries. These procedures vary from easy techniques like primary closure and dressing to complicated skin grafts, tissue growth and free flaps. Similarly, distraction osteogenesis has been used to reconstruct defects of the mandible, negating the need for a donor bone graft. Recently, facial allotransplantation has been described. It permits the replacement of whole facial anatomical units with the possibility of sensory recovery and facial reanimation being completed in a single procedure.The book content can have sensitive images.

The facial plastic and reconstructive surgeon may choose a variety of techniques when attempting to close a facial defect. Adherence to basic principles aids in guiding reconstructive efforts. Successful reconstruction requires analysis of the entire defect and careful planning. The specific reconstructive method used should take into account a variety of factors and attempt to maximize function and minimize cosmetic deformity. Multiple closure techniques-may be used when defects cross facial aesthetic units. Surgeons are tirelessly working to reconstruct continuity defect in maxillofacial region for more than a century. Enormous progress has made especially over the last 40 years. Technique such as microvascular autogenous graft procedures have proved better options for reconstructing large and complex defects, but morbidity associated with harvesting bone graft is a major disadvantage. Alternatively, use of tissue engineering showed exciting promising results at preclinical level and in the limited clinical trial. Yet refinement of the technique and identification of the ideal scaffolding are necessary before wider clinical application.