By Andrew Hodges
The A-Z is a short reference consultant to the ever increasing strong point of cosmetic surgery. The succinct bullet pointed references will allow the reader to speedily assimilate the necessities of every access. The move referencing hyperlinks will permit the reader the lookup comparable entries. it is going to be fairly suitable to trainees in cosmetic surgery as a operating reference ebook and as a useful source in the course of guidance for ultimate exams.
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Additional info for A-Z of Plastic Surgery
Get dimple or tract close to parotid, associated with facial nerve. ● Second branchial cleft cysts: more common. Occurs at the junction of middle and lower thirds of sternocleidomastiod in the direction of the tonsillar fossa between internal and external carotid artery. ● Third branchial cleft cysts: rare. ● Fourth branchial cleft cysts: runs behind the internal carotid artery then beneath the subclavian artery on the right and aortic arch on the left, opening into upper oesophagus. See Head and neck embryology.
Cysts are soft non-tender. They often become infected which should be treated prior to excision. Require imaging prior to surgery. Cysts: ● First branchial cleft cysts: very rare. Get dimple or tract close to parotid, associated with facial nerve. ● Second branchial cleft cysts: more common. Occurs at the junction of middle and lower thirds of sternocleidomastiod in the direction of the tonsillar fossa between internal and external carotid artery. ● Third branchial cleft cysts: rare. ● Fourth branchial cleft cysts: runs behind the internal carotid artery then beneath the subclavian artery on the right and aortic arch on the left, opening into upper oesophagus.
Position: ● Subglandular: below breast tissue, above fascia. ● Submuscular: below pectoralis and rectus abdominus. ● Subpectoral: below pectoralis major superiorly and subglandular inferiorly. 2%, most commonly with Staph. epidermidis. Prophylactic antibiotics are required. Complications: ● Nerve injury to Nipple with decreased sensation in 15%. ● Capsular contracture. ● Rupture: around 2% per year, but less with newer implants. ● Autoimmune disease and cancer: no evidence of increased risk. Breast cancer: ● Incidence: 1:8.
A-Z of Plastic Surgery by Andrew Hodges