Plastics Surgery
Reconstructive Ladder
Tissue Expansion
▲
Alloplastics materials
▲Flaps (local v regional v distant)
▲
Grafts (Skin - FTSG/ STSG, Composite, catilage, bone, tendon, fascia, nerve)
▲
Direct Closure
▲
Negative Pressure Dressing
▲
Nothing (START CONSIDERING FROM HERE)
Source
Dr Michael Thomson
Tissue Expansion
▲
Alloplastics materials
▲Flaps (local v regional v distant)
- like for like
▲
Grafts (Skin - FTSG/ STSG, Composite, catilage, bone, tendon, fascia, nerve)
- Split = larger grafts, takes easily, but more contraction
▲
Direct Closure
▲
Negative Pressure Dressing
▲
Nothing (START CONSIDERING FROM HERE)
Source
Dr Michael Thomson