Girish N Amlani

A radial forearm free flap is one way of filling a hole which is left when a cancer has been removed. It is one of the most common ways of replacing tissue in the head and neck, particularly after mouth cancers have been removed. It can be used to replace large parts of the mouth and has the advantage that when it heals it does not shrink so that hopefully speech and swallowing will not be greatly affected. For the procedure, a surgeon takes a piece of skin from the inside surface of the patient’s forearm near the wrist. The skin and fat layer in this region are removed (the flap) along with two blood vessels, one of which supplies blood to the flap (the artery) and one of which drains blood from it (the vein). The vessel which supplies blood to the flap is the artery which gives rise to the pulse at the wrist at the base of the thumb. Once the flap of skin is raised it is transferred to the head and neck and sewn into the hole created by the removal of the cancer. The blood vessels supplying and draining the flap are then joined to blood vessels in the neck under a microscope. These blood vessels then keep the flap alive while it heals into its new place. Once the flap is removed from the forearm the hole created is covered with a graft of skin. This graft of skin can be taken from one of several places. Commonly a thin piece of skin is shaved from the arm above the elbow. Alternatively, some skin will be borrowed from the stomach. This highly illustrated colour atlas is a comprehensive guide to head and neck reconstruction using free radial artery forearm flap. Beginning with an introduction to the history of the technique and its advantages and disadvantages, the book then provides step by step guidance on surgical anatomy, pre- and post-operative care, surgical procedures, and potential complications. A selection of case studies is included to assist learning. Key points Colour atlas explaining radial forearm free flap for head and neck reconstructionPresented as step by step guide through procedures and pre- and post-operative careIncludes case studies to assist learningHighly illustrated with surgical images and diagrams

Cleft lip and cleft palate are facial and oral malformations that occur very early in pregnancy, while the baby is developing inside the mother. Clefting results when there is not enough tissue in the mouth or lip area, and the tissue that is available does not join together properly (WebMD). This book is a concise guide to the management of cleft lip and cleft palate. Beginning with an introduction to embryology and anatomy related to the conditions, the following sections explain different surgical techniques for their repair. Classification systems are discussed in depth, enhanced by clinical photographs and 3D sonography images. Each topic includes the very latest information in the specialty, and high quality illustrations demonstrate operative steps in each procedure. Key points Concise guide to the management of cleft lip and cleft palateProvides detailed overview of embryology and anatomyDiscusses different surgical techniques for repairCovers classification systems with clinical photographs and 3D images

A myocutaneous flap is a type of skin graft consisting of tissue taken from a patient and used on that patient's own body. The graft includes skin and muscle. The pectoralis major is the large fan-shaped muscle of the upper anterior chest wall. Pectoralis major myocutaneous flap is the most commonly used flap by head and neck surgeons due to their familiarity with the anterior chest and because the flap supplies bulk and has high success rates. This atlas is a concise guide to the use of pectoralis major myocutaneous flap in head and neck reconstruction. Beginning with an introduction to the history of the procedure, the following sections explain its various uses, advantages, disadvantages and limitations. The anatomy of the area is explained with the help of detailed illustrations. The following sections illustrate every step of the surgical procedure, pre- and post-operative care, and complications, through high quality clinical photographs. Key points Concise guide to pectoralis major myocutaneous flap in head and neck reconstructionDetailed explanations on history, uses, advantages, disadvantages and limitationsSurgical anatomy illustrated through high quality diagramsClinical photographs explain every step of the procedure