By Andrew Hodges
The A-Z is a short reference advisor to the ever increasing forte of cosmetic surgery. The succinct bullet pointed references will allow the reader to swiftly assimilate the necessities of every access. The move referencing hyperlinks will permit the reader the search for similar entries. will probably be quite proper to trainees in cosmetic surgery as a operating reference e-book and as a useful source in the course of education for ultimate exams.
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Additional info for A-Z of Plastic Surgery
10 mA will not allow the arm to let go, due to direct ﬂexor contraction, and respiratory muscle contraction will cause respiratory arrest. High voltage is >1000 V and may arc before mechanical contact. Treatment: ● Resuscitation. ● Treat compartment syndrome and Myoglobinuria and acute renal failure. ● Fluid load for diuresis, and mannitol and sodium bicarbonate. Surgery: ● Scalp and skull: ● may get exposed skull and brain injury; ● cover early – dead bone can remain as a graft; ● split calvarial grafts or methylmethacrylate.
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.
Terminates as ulnar nerve. Also note pain, fractures, phrenic nerve palsy and Horner’s syndrome. ● Brachial plexus injury Obstetric brachial plexus palsy Incidence 1:1000. Most recover, 10% are severe. Aetiology: ● Lateral distraction of the head from shoulder with injuries to upper roots. ● C5 has strong dural attachment so ruptures. ● C6 and C7 will avulse at the roots. ● C8 and T1 are usually only injured once the other roots are completely avulsed. ● However, Klumpke’s is lower root due to hyperabduction in breech delivery.
A-Z of Plastic Surgery by Andrew Hodges