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resident:pimp_questions [2021/04/08 12:21] – [Dr. Chong] vincentresident:pimp_questions [2022/12/14 10:09] (current) – [Dr. Kaoutzanis] jerry
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 **What is the (Mathes and Nahai) Reconstructive Triangle?**\\ **What is the (Mathes and Nahai) Reconstructive Triangle?**\\
 This is the idea that rather than a ladder or an elevator, you can apply different principles to treat different wounds as well as combinations of these principles. The triangle consists of (Local) Flaps - Microsurgery - Tissue Expansion. Really this is meant to instill in the young plastic surgeon a sense of choices. Dr. Janis published a paper called [[http://www.drjeffreyjanis.com/wp-content/uploads/2014/04/The-New-Reconstructive-Ladder-PMID21200292.pdf|The New Reconstructive Ladder]] which further expands this idea. He adds some of the new concepts such as use of negative pressure wound vac therapy and dermal matrices. Others have suggested adding distraction osteogenesis. (While first introduced by Dr. Ilizarov, this technique was adopted by the plastic surgeon Dr. McCarthy for Craniofacial Surgery.)\\ This is the idea that rather than a ladder or an elevator, you can apply different principles to treat different wounds as well as combinations of these principles. The triangle consists of (Local) Flaps - Microsurgery - Tissue Expansion. Really this is meant to instill in the young plastic surgeon a sense of choices. Dr. Janis published a paper called [[http://www.drjeffreyjanis.com/wp-content/uploads/2014/04/The-New-Reconstructive-Ladder-PMID21200292.pdf|The New Reconstructive Ladder]] which further expands this idea. He adds some of the new concepts such as use of negative pressure wound vac therapy and dermal matrices. Others have suggested adding distraction osteogenesis. (While first introduced by Dr. Ilizarov, this technique was adopted by the plastic surgeon Dr. McCarthy for Craniofacial Surgery.)\\
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 ==== Dr. Iorio ==== ==== Dr. Iorio ====
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 ^ Question ^ Pearl ^ ^ Question ^ Pearl ^
 | For thigh lifts or mass excisions, how do you prevent labial spreading? | Suture advanced dermis to Colle’s fascia. | | For thigh lifts or mass excisions, how do you prevent labial spreading? | Suture advanced dermis to Colle’s fascia. |
 +| For mandibular contouring, what structure on buccal mucosa near the first molar must avoid |Stenson/parotid duct |
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resident/pimp_questions.1617898883.txt.gz · Last modified: 2021/04/08 12:21 by vincent

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