Sách Phẩu thuật thẩm mỹ 2012

v
Foreword
The surgical trainee is required to assimilate an ever increas-
ing amount of knowledge and for the plastic surgeon this
covers a wide area. Consequently, it can sometimes be diffi-
cult to maintain attention on the fundamentals of patient
assessment. This book aims to bring the focus back on the
patient by providing an algorithmic approach to taking a his-
tory, examination and formulating a management plan. This
refreshingly different clinical problem-based style makes it
easy to read. At the end of every chapter the authors provide
some key references for further reading.
The book should appeal to the early years trainee as well
as to those preparing for clinical examinations

vii
Preface
Plastic surgery is a big subject and the size of traditional text-
books reflects this. This book was conceived as something
different. Instead of a top-down, subject-by-subject approach,
we wanted a bottom-up approach, with the starting point
being a patient with a problem. The stimulus for this method
was lack of any decent texts for the clinical sections of the
professional exams in plastic surgery FRCS Plast in the UK,
boards in the USA and their equivalents in other parts of the
world). The chapters were written with the concept of a
patient sitting in front of the reader, as there would be in the
exam situation. However the same approach works when one
first sees a patient in the clinic. We aimed to provide the
reader with the structure and information necessary to be
successful in their careers. We have used our experience to
ensure the text is as succinct and relevant as possible. We
hope we have achieved this in some way and that this book
forms a useful adjunct to more traditional texts.
Many have contributed to the book and we would like to
thank them for their hard work and effort. SH would particu-
larly like to thank Jon Simmons for getting us across the fin-
ish line; it would not have happened without him and his
dogged determination. Finally, we would like to thank our
patients from whom we have learnt everything that is in this
book.
Shehan Hettiaratchy
Jon Simmons

ix
Acknowledgements
The Editors would specifically like to thank the following for
providing the artwork in this book:
Simon Mackey
Specialist Registrar, Plastic and Reconstructive Surgery
Pan-Thames Training Scheme
London, UK

xi
Contents
1 Abdominoplasty 1
Robert Caulfi eld and Shehan Hettiaratchy
2 Blepharoplasty 9
Robert Caulfi eld
3 Breast Reconstruction 17
Robert Caulfi eld and Matthew Griffi ths
4 Large Breasts/Reduction 25
Robert Caulfi eld and Matthew Griffi ths
5 Ptotic Breasts/Mastopexy 33
Robert Caulfi eld and Matthew Griffi ths
6 Burns Contracture 41
Farida Ali and Jon Simmons
7 Burns 47
Farida Ali, Abhilash Jain, and Jon Simmons
8 Cleft Lip and Palate 57
Ivo Gwanmesia, Matthew Griffi ths,
and Jon Simmons
9 Congenital Hand 65
Shehan Hettiaratchy and Jon Simmons
10 Craniosynostosis 73
Ivo Gwanmesia and Matthew Griffi ths
xii Contents
11 Dupuytren’s Disease 79
Shehan Hettiaratchy and Jon Simmons
12 Facial Palsy 87
Ivo Gwanmesia, Farida Ali, and Jon Simmons
13 Maxillofacial Trauma 93
Farida Ali, Ivo Gwanmesia, and Jon Simmons
14 Gynaecomastia 103
Robert Caulfi eld and Jon Simmons
15 Hand with Nerve Palsy 109
Shehan Hettiaratchy and Jon Simmons
16 Hand with Infl ammatory Arthropathy 117
Shehan Hettiaratchy, Abhilash Jain,
and Jon Simmons
17 Hypospadiat 125
Ivo Gwanmesia and Matthew Griffi ths
18 Lower Limb Trauma 131
Shehan Hettiaratchy, Abhilash Jain,
and Jon Simmons
19 Lump in the Neck 137
Farida Ali, Ivo Gwanmesia, and Jon Simmons
20 Complex Wounds: Pressure Sore 143
Jon Simmons and Matthew Griffi ths
21 Abnormal Ear 149
Ivo Gwanmesia, Matthew Griffi ths,
and Jon Simmons
22 Management of the Pigmented Lesion 157
Fiona Harper
xiii Contents
23 Aged Face: Facelifting 165
Shehan Hettiaratchy
24 Nerve Compression 175
Shehan Hettiaratchy, Abhilash Jain,
and Jon Simmons
25 Severe Soft Tissue Infection 181
Jon Simmons, Shehan Hettiaratchy,
and Carolyn Hemsley
26 Rhinoplasty 187
John Henton and Jon Simmons
Appendix: FRCS Plast Classifi cation Systems 197
Index 235

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