Raising of Microvascular Flaps: A Systematic Approach - Hardcover

Wolff, Klaus-Dietrich; Hölzle, Frank

Hardcover

ISBN 10: 303181911X ISBN 13: 9783031819117

Publisher: Springer, 2025

Synopsis

This book serves as a comprehensive resource for everyone involved in microsurgical tissue transfer, including plastic surgeons, ENT surgeons, oral and maxillofacial surgeons, and trauma surgeons, equipping them with essential knowledge for daily practice. The new fourth edition builds on the didactic approach of breaking down complex surgical procedures into a sequence of simple, manageable steps, guided by clearly defined landmarks specific to each donor site. For each flap, an anatomically guided, step-by-step approach is presented, prioritizing simplicity, safety, and reliability to ensure successful flap harvesting. Each step is illustrated with photographs complemented by detailed schematic color drawings, providing a clear understanding of the anatomy. Supplementary online videos provide detailed demonstrations of the surgical techniques.

This edition also introduces the elevation of the ulnar forearm flap and includes a new chapter on the gracilis free flap, a dependable option for motor reinnervation in cases of facial paralysis. This fourth edition also includes two additional perforator flaps: the thoracodorsal artery perforator flap and the medial femoral condyle bone flap. The latter serves as an excellent donor site for craniofacial bony defects and has been specifically proposed for use in jaw reconstruction within the oral cavity. As with previous editions, the book serves as a concise and focused resource, providing invaluable information for any reconstructive surgeon.

About this title

About the Author

Klaus-Dietrich Wolff is Professor and Head of the Department of Maxillofacial Surgery, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany, since 2007. After studying medicine and dentistry at Free University Berlin, Professor Wolff completed his PhD in both subjects in 1987 and acquired his postdoctoral teaching qualification (Habilitation) in 1994. Subsequently he was appointed adjunct professor at FU Berlin in 1999. This was followed by a position at Ruhr University Bochum, where he held the Chair of Oral and Maxillofacial Plastic Surgery from 2000 to 2007 and the post of Medical Director from 2004 to 2007. He moved to TUM in 2007. Professor Wolff researches in the area of plastic reconstructive facial surgery with the aim of improving the microsurgical transfer of tissue through a better understanding of the construction, physiology, and healing of tissue transplants. He introduced an extracorporal perfusion system in the specialty of Oral and Maxillofacial Surgery intended to expand the scope of reconstruction even in the most difficult situations. Moreover, he developed the national guidelines for the treatment of oral cavity carcinoma. He has been a recipient of the Martin Wassmund Award from the German Society of Maxillofacial Surgery, which is the highest scientific decoration of the German OMFS Society. Five of his academic and clinical pupils became heads and chairmen of OMFS Departments of University Hospitals within Europe. Professor Wolff has been President of the European Association for Cranio Maxillo Facial Surgery 2016-2018.

Frank Hölzle is Chairman, Full Professor, and Head of the Department of Oral and Maxillofacial Surgery at the University Hospital of RWTH University Aachen, Germany. He was previously Vice Chairman and Assistant Professor at the Department of Oral and Maxillofacial Surgery, Klinikum rechts der Isar, Technische Universität München (TUM), and prior to that Vice Chairman at the Department of Oral and Maxillofacial Plastic Surgery at Ruhr University Bochum, both periods under the leadership of his mentor Professor Klaus-Dietrich Wolff. Professor Hölzle studied medicine and dentistry at the Free University of Berlin, the Humboldt University of Berlin, the University of Glasgow, and University College London Medical School from 1989 to 1998. He was recognized as a medical Specialist for Oral and Maxillofacial Surgery in 2002, and in 2005 he achieved additional qualification as a Plastic and Reconstructive Face Surgeon. In 2006, he received his venia legendi for Oral and Maxillofacial Surgery and also became a Fellow of the European Board of Oral & Maxillofacial Surgeons, when he successfully passed the EBOMFS exam in Barcelona. Professor Hölzle is especially known for his work in the field of plastic facial reconstruction and further development of automation in microsurgical bone flaps and its utilization also for osteoplastic cranioplasty. In 2007 he received the Martin Wassmund Award from the German Society of Oral and Maxillofacial Surgery for his research work on monitoring and improvement of the perfusion of microsurgical flaps and development of retrograde perfusion for perforator flaps in the head and neck. This is the highest scientific decoration of the German OMFS society. Since 2018 he is Executive Officer of the European Association for Cranio-Maxillofacial Surgery and since 2019 Executive Officer in the Section as well as in the Board of OMFS within the European Union of Medical Specialists (UEMS) in the EU.

From the Back Cover

This book serves as a comprehensive resource for everyone involved in microsurgical tissue transfer, including plastic surgeons, ENT surgeons, oral and maxillofacial surgeons, and trauma surgeons, equipping them with essential knowledge for daily practice. The new fourth edition builds on the didactic approach of breaking down complex surgical procedures into a sequence of simple, manageable steps, guided by clearly defined landmarks specific to each donor site. For each flap, an anatomically guided, step-by-step approach is presented, prioritizing simplicity, safety, and reliability to ensure successful flap harvesting. Each step is illustrated with photographs complemented by detailed schematic color drawings, providing a clear understanding of the anatomy. Supplementary online videos provide detailed demonstrations of the surgical techniques.

This edition also introduces the elevation of the ulnar forearm flap and includes a new chapter on the gracilis free flap, a dependable option for motor reinnervation in cases of facial paralysis. This fourth edition also includes two additional perforator flaps: the thoracodorsal artery perforator flap and the medial femoral condyle bone flap. The latter serves as an excellent donor site for craniofacial bony defects and has been specifically proposed for use in jaw reconstruction within the oral cavity. As with previous editions, the book serves as a concise and focused resource, providing invaluable information for any reconstructive surgeon.

Edition details

• Publisher: Springer
• Publication date: 2025
• Language: English
• ISBN 10: 303181911X
• ISBN 13: 9783031819117
• Binding: Hardcover
• Edition number: 4
• Number of pages: 463