Global Reconstructive Surgery

Eyelid Burn Reconstruction

Synopsis The sequelae of facial burn injury can be devastating. Involvement of the eyelid area is of particular importance, both functionally and esthetically. It is essential to recognize eyelid injuries early and to institute aggressive management to prevent immediate and…

Burn Wound Management

Synopsis The assessment and treatment of burn wounds requires a knowledgeable interprofessional health care team. Burn injuries can range in depth from a minor superficial injury to a deep full-thickness wound that may include the underlying structures and organs. All…

Acute Burn Management

Synopsis Burn care starts at the time of injury with appropriate wound care, fluid resuscitation, and nutrition. Appropriate early management of many burns can prevent infection, allow for healing without surgery, and prevent contracture formation. Knowledge of the burn wound…

Jaw Surgery

Synopsis Jaw surgery is a broad topic that encompasses a wide array of pathologies of the maxillofacial skeleton. With regard to global reconstructive surgery and the issues seen most commonly in developing nations, this chapter has been organized into the…

Microtia

Synopsis Microtia literally means “small ear” but is used in reference to a spectrum of auricular deformities that almost always occur in association with aural atresia (absence of an external auditory canal). From a practical point of view, any congenital…

Nasal Reconstruction

Synopsis Nasal defects pose a unique set of challenges for the reconstructive surgeon given the significance, both functionally and esthetically, and nuanced anatomy of the nasal framework. The character of the defect, including the size, location, depth (layers of tissue…

Ptosis Repair

Synopsis Blepharoptosis or ptosis describes the descent of the upper eyelid below the normal anatomical position, which can result in reduced visual function or, in children, amblyopia. The upper eyelid margin normally lies 0.5 to 2 mm below the superior corneal…

Scalp Reconstruction

Synopsis Scalp defects arise from a variety of etiologies and often have complex presentations. The reconstructive process begins with a thorough defect analysis, including size, location, wound conditions, and possible exposure of underlying structures. Reconstructive options follow the tenets of…

Alveolar Bone Grafting

Synopsis Cleft lip and palate provides a four-dimensional reconstructive challenge, encompassing all tissue types and extending across the age spectrum from infancy into adulthood. This chapter focuses on alveolar bone grafting, a component of cleft reconstruction typically performed in early…

Primary Cleft Palate Repair

Synopsis A cleft palate represents a developmental failure in separating the oral and the nasal cavities. The communication allows for uncontrolled passage of air, liquid, and food between the two cavities, thus significantly impairing feeding and normal speech development. Anatomically,…