If you have purchased a print title that contains an access token, please see the token for information about how to register. Clinical and experimental correlation of this classification is determined by the predictive value of the vascular pattern of each. The distally based peroneus brevis flap encounters the merits of expandable muscle with excellent reach, which was first described by mathes and nahai 5. Mathes and nahais reconstructive surgery, 2nd edition. The lower trapezius island musculocutaneous flap revisited. Zenn and jones pay full deference to mathes and nahai s original contribution to the field while adding their own considerable expertise to this topic.
The vascular anatomy of muscle is basically the key to knowledge of blood supply to the skin. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription. Recent reports have shown unacceptably high rates of failure and have questioned the. Although this book is quite dated the anatomical descriptions and pictures are sensational. Skin graft breast reconstruction pedicled flap recipient site fasciocutaneous flap these keywords were added by machine and not by the authors. Mathes and nahai muscle flap classifications plastics with. Five patterns of muscle circulation, based on studies of the vascular anatomy of muscle, are described. Anatomy pearlsmathes and nahai classification of flap patterns of muscle flap vascular anatomy. A minimum of 34cm skin island is necessary to prevent skin necrosis. It offers thin, pliable tissue and a long arc of rotation to reach virtually any defect in the head and neck. The reconstructive ladder in light of evidencebased medicin. An axial vessel, a direct cutaneous vessel mathes and nahai type a, or a septocutaneous vessel mathes and nahai type b. Recipient gold medal paper presentation, southeastern surgical conference, 1976, best paper award atlanta clinical society, 1980, award american medical writersassn.
The lower trapezius island musculocutaneous flap is valuable in head and neck reconstruction. Intraoperatively, a chandler tool represented here with the. Textbook of plastic reconstructive and aesthetic surgery pp. His contribution to reconstructive surgery is extensive including the mathes nahai classification of flaps and the description of the tensor fascia lata flap as well as. The peroneus brevis muscle flap is a wellknown distally based safe flap that is used to cover a small defect. The term flap originated in the 16th century from the dutch word flappe, meaning something that hung broad and loose, fastened only by one side. The distally based sural artery island flap, described first by masquelet et al.
The reconstructive ladder in light of evidencebased. Professor nahai is internationally recognized as an innovator in the field of plastic surgery, where he has developed and refined many aesthetic and reconstructive procedures. A flap is a unit of tissue that is transferred from one site donor site to another recipient site while maintaining its own blood supply. These chapters are then subdivided into a total of 68 separate sections that. Michael zenn and glyn jones represents the next generation of mathes and nahais classic work on reconstructive surgery. Pdf classification of flaps and application of the. Clinical applications for muscle and musculocutaneous flaps.
Ten distally based peroneus brevis muscle flaps were elevated in 10 patients 8 males and 2 females with major lower third leg and ankle defects that were 612 cm in length and 610 cm in width, with open book splitting of the proximal portion of the muscle to cover. The gracilis muscle is commonly used as a flap in microsurgery. Grabbs new flap atlas is super comprehensive but the classic mathes and nahai atlas is a better how to text bentz has a good peds book art of aesthetic surgery by nahai is a classic sherrell aston has a new single volume aesthetic text which i havent seen but i. The distally pedicled peroneus brevis muscle flap anatomic. His contribution to reconstructive surgery is extensive including the mathesnahai classification of flaps and the description of the tensor fascia lata flap as well as. He is the editorinchief of aesthetic surgery journal and the current president of the american association for the accreditation of ambulatory surgical facilities. Plus it is the only book to provide technical data on tissue expansion and its application in reconstructive surgery. Professor foad nahai is a graduate of bristol university in the uk and is professor of plastic surgery at emory university in atlanta, georgia, in the united states. Clinical applications for muscle and musculocutaneous. Jul 11, 2018 clinical atlas of muscle and musculocutaneous flaps mathes and nahai 19. An anatomical study of the blood supply of the soleus muscle. Its blood supply according to the classification of mathes and nahai 3 is type ii. This artery enters the muscle about 10 cm from the pubic symphysis. Chapters are grouped into separate sections based on the anatomic region of the flaps.
Apr 01, 2020 clinical atlas of muscle and musculocutaneous flaps. The authors are assisted by a select group of internationally recognized contributors who provide expert commentary on clinical cases. Grabbs new flap atlas is super comprehensive but the classic mathes and nahai atlas is a better how to text bentz has a good peds book art of aesthetic surgery by nahai is a classic sherrell aston has a new single volume aesthetic text which i havent seen but i hear is great. The reconstructive ladder proposes a stagedapproach to select the appropriate reconstructive procedure in a stepwise fashion, and was introduced in 1982 by stephen mathes and foad nahai in their book clinical applications for muscle and musculocutaneous flaps. The art of aesthetic surgery principles and techniques. Study 23 mathes and nahai muscle flap classifications flashcards from robert s. This beautifully illustrated clinical reference fully documents the three approaches to reconstructive surgery flaps, microsurgery and tissue expansion as they apply to the entire body.
According to the classification of mathes and nahai, it presents a type ii blood supply, allowing it to be transferred on its artery derived from the medial circumflex femoral artery. And musculocutaneous flaps 1 selection of the muscle and musculocutaneous flap in reconstructive surgery, 3. Sep 25, 20 international flap manual by kayvan shokrollahi, 9781903378700, available at book depository with free delivery worldwide. Mar 02, 2015 pectoralis major myocutaneous flap in head and neck reconstruction 1. Oct 22, 20 the art of aesthetic surgery principles and techniques foad nahai volume i volume ii volume iii foad nahai author. The soleus muscle is richly supplied by many arterial pedicles and can be used safely as a free flap, hemisoleus flap or composite flap to cover defects in the lower limb. And the only one to use anatomical dissections with accompanying. Armed with this information, the trained surgeon can undertake flap transposition with an enhanced degree of safety and reliability. Pdf classification of flaps and application of the concept. Ten distally based peroneus brevis muscle flaps were elevated in 10 patients 8 males and 2 females with major lower third leg and ankle defects that were 612 cm in length and 610 cm in width, with open book splitting of the proximal portion of the muscle. International flap manual by kayvan shokrollahi, 9781903378700, available at book depository with free delivery worldwide. I also really like the 2 volume spears breast book.
The art of aesthetic surgery principles and techniques foad nahai volume i volume ii volume iii foad nahai author. The authors are assisted by a select group of internationally recognized contributors who provide expert commentary. Recommended plastic surgery text student doctor network. Mathes and nahai muscle flap classifications plastics with sunishka at wright state university school of medicine studyblue. Once the muscle flap has been mobilized proximally, a technique called tunneling is used to transpose the flap from the distal aspect of the muscle flap incision to the wound bed site. Flaps, muscle and musculocutaneous statpearls ncbi. Pectoralis major myocutaneous flap in head and neck. Openbook splitting of a distally based peroneus brevis.
Foad nahai born september 23, 1943, american plastic. A muscle or musculocutaneous perforator mathes and nahai type c, in which the. Zenn and jones pay full deference to mathes and nahais original contribution to the field while adding their own considerable expertise to this topic. It fulfills the original authors plan to produce a definitive publication that captures the anatomy and technique in the earlier work while adding clinical applications, dissection techniques, expert. Michael zenn and glyn jones represents the next generation of mathes and nahai s classic work on reconstructive surgery. It unfortunately could do with updating of the more recent flaps which have been developed. An anatomical study of the blood supply of the soleus. I learned almost all of my flap knowledge from this book. An anatomical study of the blood supply of the soleus muscle in humans. The atlas is not a cookbook to clinical practice, but rather is a guide to anatomic dissection so that clinical skills can be enhanced thereby. Please subscribe or login to access full text content.
Clinical atlas of muscle and musculocutaneous flaps. They range from simple advancements of skin to composites of many. Indirect perforators first pass through an intermediary structure before ultimately reaching the subdermal plexus. Anatomy pearlsmathes and nahai classification of flap. Then there is masquelets flap book, and the nahai reconstructive 2 volume set. A stepbystep manual for the most versatile flaps in reconstructive surgery this handbook is an introductory guide to harvesting essential workhorse flaps of the torso and upper and lower extremities.
I guess you can tell from this that my program was traumareconstructive heavy. Nahai, the reconstructive triangle, a paradigm for surgical decision making, in s. Get the best deal by comparing prices from over 100,000 booksellers. Gaining additional length the 1st is to transect the pectoralis major muscle just below the clavicle, taking great care to preserve the vascular pedicle the 2nd maneuver to gain additional length is to pass the flap behind the clavicle 20. It fulfills the original authors plan to produce a definitive publication that captures the anatomy and technique in the earlier work while adding clinical applications, dissection techniques, expert commentary, and pearls and pitfalls. And the only one to use anatomical dissections with. Foad nahai get textbooks new textbooks used textbooks. The need, therefore, for such an atlas of muscle and musculocutaneous flaps is immediate and obvious. Pectoralis major myocutaneous flap in head and neck reconstruction by dr. The history of flap surgery dates as far back as 600 bc, when sushruta samita described nasal reconstruction using a cheek flap. It is the only book to provide technical data on tissue expansion and its application in reconstructive surgery, and use anatomical dissections with accompanying illustrations to give a better. Classification of flaps and application of the concept of vascular territories november 2016 in book.
Mathes and nahai s reconstructive surgery, 2nd edition. It fulfills the original authors plan to produce a definitive publication that captures the anatomy and technique in the earlier work while adding clinical applications, dissection techniques, expert commentary, and. Diplomate american board surgery, american board plastic surgery. Mathes and nahai muscle flap classifications plastics. For the first time, this beautifully illustrated clinical reference fully documents the three approaches to reconstructive surgery flaps, microsurgery and tissue expansion as they apply to the entire body. Nov 22, 2011 anatomy pearls mathes and nahai classification of flap patterns of muscle flap vascular anatomy. Mathes and nahai have firsthand knowledge in the field.
It is the only book to provide technical data on tissue expansion and its application in reconstructive surgery, and use anatomical dissections with accompanying illustrations to give. Clinical applications for muscle and musculocutaneous flaps2nd edition by foad nahai, stephen j. The selection of a given technique is based on its ability to satisfy the particular. The book has beautiful artwork that elegantly depicts important flap anatomy as well as the stepbystep surgical technique that is included for each of the operations that are described. Mathes, a professor emeritus at ucsf whose groundbreaking work in plastic and reconstructive surgery served as a model for surgeons. Pectoralis major myocutaneous flap in head and neck reconstruction 1. Muscle and myocutaneous flaps get organized according to the pattern of vascular supply.
Anatomy, technique, and clinical applications, drs. Clinical atlas of muscle and musculocutaneous flaps mathes and nahai 19. Reconstructive surgery was undergoing a transformation through definition and application of anatomically based flaps, principally muscle and myocutaneous. Mathes, 9780443079818, available at book depository with free delivery worldwide. In type i muscles, such as tensor fascia lata, there is a single dominant vascular pedicle. Mathesnahai type v ascending branch of deep circumflex iliac artery dom, posterior intercostal arteries seg, deep inferior epigastric artery seg. The book, however, is a guide, and each surgeon interested in the field should use the book as it is intended. Openbook splitting of a distally based peroneus brevis musc. Mathes nahai type v ascending branch of deep circumflex iliac artery dom, posterior intercostal arteries seg, deep inferior epigastric artery seg. Reconstructive ladder an overview sciencedirect topics. Mathes and nahai developed a classification system recognizing five basic patterns of muscle circulation.
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