Surgical practice routinely involves excision of body parts for treatment of pathologic lesions, producing defects of varying sizes. Defects may also be caused by other factors such as trauma, burns etc. Reconstruction of the lost body part is important in many respects. They include provision for cover, restoration of function and aesthetic rehabilitation. Flaps are usually used to repair structural defects following surgery i.e for malignant condition of head and neck. A flap is a unit of tissue that is transferred from one site (donorsite) to another (recipient site) while maintaining its own blood supply.Flaps come in many different shapes and forms. They range from simple advancements of skin to composites of many different types of tissue. These composites need not consist only of soft tissue. They may include skin, muscle, bone, fat, or fascia.
Spinal cord injury (SCI) resulting in paralysis hasan enormous impact not only on the health of theindividual, but more fundamentally, on theirindependence and self-image. Advancements intreatment and rehabilitation strategies have lead toan improvement in the quality of life of theseindividuals. Physiological systems and currentrehabilitative devices are presented along with aseries of studies conducted with the goal ofdeveloping functional electrical stimulation (FES)techniques for restoring standing and stepping afterSCI. Knowledge of natural systems was applied to thedevelopment of physiologically-based controlstrategies and stimulation paradigms to achieve thisgoal. Intraspinal microstimulation (ISMS) ishighlighted, a centrally applied FES technique whichtaps into some of the physiological characteristicsof neuronal recruitment. ISMS results in increasedfatigue resistance and more graded force recruitmentrelative to classical peripheral FES techniques. Thestudies described here have advanced the developmentof a FES system for restoring standing and steppingafter SCI while also providing insight into theneural control of locomotion.
This book provides readers with a succinct but comprehensive overview of current concepts relating to intestinal failure, including its treatment, with a particular focus on recent advancements. The opening chapters address basic aspects of intestinal failure, including etiology, clinical pathophysiology, physiology of intestinal adaptation, and intestinal microbiota. The complications of intestinal failure, such as bacterial overgrowth and intestinal failure-associated liver disease, are then discussed. A series of chapters specifically address important strategies in the nutritional, pharmacological, and surgical treatment of intestinal failure as well as the concept of intestinal rehabilitation. Finally, two significant emerging developments are considered: regenerative medicine and distraction enterogenesis. The authors are internationally recognized experts from Europe and North America who are ideally placed to describe current knowledge and progress in the field.
The definitive resource on clinical management of vestibular schwannoma from world renowned expertsAlthough a histologically benign and relatively uncommon tumor, otolaryngologists and neurosurgeons have maintained a lasting and deep-rooted fascination with vestibular schwannoma, also known as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an increased understanding of the natural history of the disease, have made modern management of this tumor considerably more complex. Concurrently, new controversies have added to the original debates among pioneering surgeons, with the pendulum swinging between conservatism and definitive cure.Comprehensive Management of Vestibular Schwannoma, by distinguished Mayo Clinic clinicians and renowned international contributors, is a comprehensive textbook covering all the clinical aspects of vestibular schwannoma management. Eighty-four chapters written by multidisciplinary experts including otolaryngologists, neurosurgeons, radiation oncologists, neurologists, neuroradiologists, and audiologists, ensure a balanced view of all treatment modalities for sporadic and neurofibromatosis type 2-associated vestibular schwannoma.Key FeaturesEvaluation, surgical and nonsurgical approaches, rehabilitation, controversies, and long-term clinical outcomesDetailed illustrations by Robert Morreale, senior medical illustrator at the Mayo Clinic, highlight relevant anatomy and surgical approachesChapter summary tables provide readers with a rapid clinical reference derived from the published world literatureThe chapter "Anatomy of Vestibular Schwannoma Surgery" by the late internationally renowned neurosurgeon Albert L. Rhoton Jr. reflects his major contributions on this subjectWith inclusion of fundamental principles to advanced concepts, this is a robust resource for residents, fellows, and early attending physicians, as well as mid- to later-career physicians who care for patients with vestibular schwannoma.This book includes complimentary access to a digital copy on https://medone.thieme.com.
A beautiful smile always gives pleasure. Crooked, discolored and missing teeth negate the good looks of an individual. The advancements in dentistry have made it possible to enhance the face value by improving the teeth through restorative and cosmetic treatment. Both function and health can be restored to badly deteriorated, diseased mouths by utilizing modern techniques of oral rehabilitation. Recent advances in dental technology, materials and equipment however, have simplified the task of rebuilding, restoring, and rehabilitating diseased mouths. This has enabled dentists to preserve many teeth which would have been sacrificed. Achieving success in full mouth rehabilitation requires a multidisciplinary approach. The ultimate goal of any dental treatment is to provide optimum oral health. The word rehabilitate implies 'To restore to good condition or to restore to former privilege'. The term 'full mouth rehabilitation' is used to indicate extensive and intensive restorative procedures in which the occlusal plane is modified in many aspects in order to accomplish "equilibration".
The impaired brain has often been difficult to rehabilitate owing to limited knowledge of the brain system. Recently, advanced imaging techniques such as fMRI and MEG have allowed researchers to investigate spatiotemporal dynamics in the living human brain. Consequently, knowledge in systems neuroscience is now rapidly growing. Advanced techniques have found practical application by providing new prosthetics, such as brain-machine interfaces, expanding the range of activities of persons with disabilities, or the elderly. The book's chapters are authored by researchers from various research fields such as systems neuroscience, rehabilitation, neurology, psychology and engineering. The book explores the latest advancements in neurorehabilitation, plasticity and brain-machine interfaces among others and constitutes a solid foundation for researchers who aim to contribute to the science of brain function disabilities and ultimately to the well-being of patients and the elderly worldwide.
In the last decade, research has led to dramatic advancements for treating spinal cord tumors and has confirmed the importance of radical surgery for primary bone tumors and the role of multidisciplinary treatment for metastatic tumors and sarcomas. Spine and Spinal Cord Tumors: Advanced Management and Operative Techniques is the first textbook to combine these cutting-edge developments from the forefront of medical oncology and radiosurgery with information on the most advanced procedures to reflect the latest trends, techniques, and information. The result is a comprehensive work that is current, clinically relevant, and filled with valuable insights that will change the way you treat spinal cord tumors. Comprehensive Coverage Divided into four parts, the book begins with fundamentals and includes chapters on anatomy, neuroradiology, heavy particle radiation, and radiosurgery, as well as rehabilitation and plastic surgery considerations for primary reconstruction. Part II focuses on oncology and includes chapters on site-specific disease and information about the prognosis and treatment of specific tumors. Part III contains comprehensive clinical chapters on a wide range of operative techniques used for treating and resecting primary tumors. Each chapter includes information on indications and contraindications, preoperative evaluation, clinical decision making, outcomes, and case examples; illustrated step-by-step surgical technique is also included. Tips for avoiding pitfalls and complications and bailout techniques have been highlighted throughout. The book concludes with Part IV on complications and outcomes. Two DVDs contain operative video that complements the text. This Is a Reference You Simply Must Own! This landmark work is essential reading and a must for any professional treating spinal cord tumors. Its clear organization and surgical guidance will improve your outcomes with your very next case.
Covers sinle muscle fiber electrophysiology, skinned muscle fibers, magnetic resonance imaging in muscular dystrophy, ultrasound of nerve and muscle, microgenomics of the motor neuron system, and electrodiagnostic studies in animal models.
An advanced look at smart technology to promote the independence of the elderly and disabled Ongoing research and advancements in technology are essential for the continuing independence of elderly and disabled persons. The Engineering Handbook of Smart Technology for Aging, Disability, and Independence provides a thorough analysis of these technologies and the needs of the elderly and disabled, including a breakdown of demographics, government spending, growth rate, and much more. Each chapter is written by an expert in his or her respective field, and gives readers unparalleled insight into the research and developments in a multitude of important areas, including: * User-need analyses, classifications, and policies * Assistive devices and systems for people with motor disabilities * Assistive devices and systems for people with visual and hearing impairments * Human-machine interaction and virtual reality * Assistive robotics * Technology for user mobility and object manipulation * Smart homes as assistant environments * A discussion of emerging standards and guidelines to build accessible devices, tools, and environments This book is an indispensable resource for researchers and professionals in computer science, rehabilitation science, and clinical engineering. It also serves as a valuable textbook for graduate students in the aforementioned fields.