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Modern Microtia Reconstruction

Editat de John F. Reinisch, Youssef Tahiri
en Limba Engleză Paperback – 25 sep 2020

În domeniul chirurgiei plastice, microtia rămâne una dintre cele mai mari provocări din cauza complexității anatomice a urechii externe. Modern Microtia Reconstruction aduce o perspectivă proaspătă în literatura de specialitate, oferind protocoale actualizate care transcend metodele tradiționale bazate exclusiv pe cartilaj costal. Putem afirma că lucrarea reprezintă o evoluție clinică esențială, integrând progresele tehnologice din ultimele trei decenii pentru a oferi rezultate estetice și funcționale durabile. Reținem organizarea riguroasă a volumului, care debutează cu bazele anatomiei și antropometriei, progresând logic spre clasificarea malformațiilor congenitale și a sindroamelor asociate. Un punct distinctiv îl reprezintă Capitolul 6, dedicat reconstrucției cu polietilenă, o tehnică de ultimă generație care oferă o alternativă viabilă pentru pacienții care nu sunt candidați pentru grefa autologă. Pe linia clinică a volumului Ear Reconstruction de Juarez M. Avelar, dar cu un accent mult mai pronunțat pe inovația materialelor alloplastice și pe managementul atreziei meatului auditiv, această ediție devine un instrument indispensabil. Merită menționat faptul că autorii nu evită subiectele dificile, rezervând secțiuni ample pentru „salvarea” reconstrucțiilor eșuate și pentru cazurile post-traumatice. Din punct de vedere al experienței de învățare, textul este susținut de o iconografie bogată și, crucial, de clipuri video care permit chirurgului să observe nuanțele intraoperatorii imposibil de surprins doar prin imagini statice. Structura narativă a cărții facilitează tranziția de la înțelegerea fiziopatologiei la aplicarea practică a metodei CAM (Combined Atresia Microtia), marcând trecerea către o chirurgie de reabilitare totală.

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Specificații

ISBN-13: 9783030163891
ISBN-10: 303016389X
Pagini: 364
Ilustrații: XX, 342 p. 201 illus., 192 illus. in color.
Dimensiuni: 155 x 235 x 19 mm
Greutate: 0.63 kg
Ediția:1st ed. 2019
Editura: Springer
Locul publicării:Cham, Switzerland

De ce să citești această carte

Această lucrare este esențială pentru chirurgii plasticieni și specialiștii ORL care doresc să stăpânească tehnici moderne de reconstrucție a urechii. Cititorul câștigă acces la o metodologie validată clinic pentru gestionarea atât a aspectului estetic, cât și a pierderii auzului conductiv. Este o resursă rară care tratează exhaustiv reconstrucția cu polietilenă poroasă, oferind soluții concrete pentru cazurile complexe de microtie unilaterală și bilaterală.


Despre autor

Editorul principal, John F. Reinisch, este un pionier recunoscut la nivel mondial în chirurgia reconstructivă a urechii, fiind cel care a dezvoltat tehnica utilizării polietilenei poroase pentru reconstrucția microtiei, metodă care a transformat prognosticul estetic pentru mii de copii. Alături de Youssef Tahiri, un chirurg plastician cu expertiză vastă în anomalii craniofaciale pediatrice, aceștia cumulează peste un sfert de secol de practică dedicată. Ambii editori sunt recunoscuți pentru abordarea lor multidisciplinară, combinând rigoarea științifică cu o viziune artistică necesară în modelarea structurilor complexe ale urechii externe.


Descriere scurtă

Microtia is a rare congenital deformity where the external ear is underdeveloped or absent. Occurring on average in one out of 12,000 children born in the world, there are very few books dedicated to ear reconstruction and microtia, specifically. Microtia reconstruction is a relatively uncommon and notoriously difficult procedure, where hearing as well as external ear deformity need to be addressed. This book is the result of 30 years dedicated to the surgical treatment of microtia: understanding in depth the pathophysiology and trying various surgical techniques to provide long lasting and pleasing aesthetic and functional results.
With the limited amount of published information on microtia and ear reconstruction, Modern Microtia Reconstruction shines significant light on the new techniques and advances currently available. It presents advanced surgical techniques alongside inventive approaches that will lay the foundation on which surgeons can continue to expand their knowledge and know-how of the surgical approach of ear reconstruction. While the literature that is currently available on ear reconstruction focuses primarily on cartilage-based surgery, this book explores several other techniques detailing their advantages and disadvantages for both the surgeon and the patient discussing techniques for primary ear reconstruction, secondary ear reconstruction, reconstruction in the unsatisfied patient, as well as for post-traumatic ear reconstruction. Providing not only full-color images and illustrations but extensive video clips of each surgical technique to truly see and experience the subtleties of the surgery in a variety of patients.
The primary audience is plastic surgeons, ENT surgeons, oral/maxillofacial surgeons, audiologists, physician’s assistants, and nurse practitioners with a secondary audience of course being highly knowledgeable parents of patients with microtia. With over a quarter of a century experience between the two editors, this book represents a major advance in showing a reliable approach to ear reconstruction surgery

Cuprins

Contents.- Dedication.- First Preface:  Ear Reconstruction in the Twenty First Century.- Second Preface:  Benefits of Connecting the Dots and Staying Hungry.- Contributors.- 1: Anatomy and Anthropometry of the Ear.- 2: Classification of Congenital Ear Deformities.- 3: Microtia.- 4: Microtia-Associated Syndromes.- 5: Autologous Ear Reconstruction.- 6: Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Technique.- 7: Complications and Management of Alloplastic Ear Reconstruction.- 8: Other Techniques for Microtia Management.- 9: Management of Conductive Hearing Loss Associated with Aural Atresia and Microtia.- 10: Combined Atresia Microtia (CAM) Repair:  A New Method of Reconstruction of Form and Function in Congenital Aural Atresia and Microtia.- 11: Bilateral Microtia Reconstruction.- 12: Adjunct Procedures Related to Mandibular Reconstruction and Soft Tissue Facial Improvement.- 13: Salvage of the Unsatisfactory Microtia Reconstruction.- 14: Non-Microtia Ear Reconstruction.- 15: Treacher Collins Franceschetti Syndrome.- 16: Tissue Engineering an Ear.- 17:  Anesthesia Considerations in Ear Reconstruction.- 18: Medical Photography.- 19: Evolution of Porous Polyethylene Ear Reconstruction.- Index.


Notă biografică

John Reinisch, MD, FACS
Plastic and Reconstructive Surgery
Cedars Sinai Medical Center
Beverly Hills, CA

A graduate of Harvard Medical School, Dr. Reinisch has been working as a craniofacial and pediatric plastic surgeon since 1978. In 1983, the University of Southern California (USC) recruited Dr. Reinisch to come to Los Angeles from the east coast to start the Division of Pediatric Plastic Surgery at Children’s Hospital Los Angeles.  After performing the traditional rib cartilage reconstruction method for many years, Dr. Reinisch saw the limitations of this technique. To improve microtia surgery and enable treatment from an earlier age, Dr. Reinisch developed Medpor ear reconstruction. Dr. Reinisch has also served as the Head of the Division of Plastic Surgery at USC. He currently serves as the Director of Craniofacial and Pediatric Plastic Surgery for Cedars-Sinai Medical Group in Los Angeles.

YoussefTahiri, MD, FRCSC
Plastic and Reconstructive Surgery
Cedars Sinani Medical Center
Beverly Hills, CA

Dr. Youssef Tahiri is a Board Certified Plastic and Reconstructive Surgeon with a subspecialty in Craniofacial Surgery. After graduating from McGill Medical School, in Montreal, Canada, he completed his Plastic and Reconstructive Surgery residency at McGill University and became certified by the Royal College of Physicians and Surgeons of Canada as well as the American Board of Plastic Surgery. During his residency, he demonstrated his commitment to research and academia by pursuing a Masters Degree in Experimental Surgery, which he obtained with Honors.

Following his training at McGill, Dr. Tahiri completed an ACGME accredited Pediatric and Adult Craniofacial Surgery Fellowship at the University of Pennsylvania. Dr. Tahiri then joined the Division of Plastic and Reconstructive Surgery at Indiana University beforemoving to Los Angeles to join Dr. Reinisch at Cedars Sinai Medical Center.

Dr. Youssef Tahiri has published a very large number of peer-review articles and presented his work at numerous regional, national and international scientific meetings. His research interests include outcomes evidence based clinical studies and translational research to enhance patients’ care and safety through improved techniques and technology.

Caracteristici

Detailing not only the reconstruction of the ear in the case of microtia but also addressing hearing considerations Features full-color images and illustrations alongside extensive video clips of each surgical reconstruction on a variety of patients Offers insight on complications in a case-based manner that covers primary, secondary, and traumatic reconstruction of the ear