Veidlapa Nr. M-3 (8)
Study Course Description
Microsurgery and Reconstructive Surgery
Course Code
RMS_048
Branch of Science
Anatomy; Clinical medicine
ECTS
13.00
Target Audience
Dentistry; Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ģirts Šalms
Residency Speciality
Speciality
Maxillofacial Surgeon
Supervisor of Medical Speciality
Ģirts Šalms
Contacts
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About Study Course
Objective
To train a specialist on the anatomy of microsurgical flaps, surgical techniques, types of flaps, application, indications, complications for oncological patients who need head and neck reconstruction operations, and to cooperate with the microsurgeon in complex cases.
Learning Outcomes
Knowledge
1.Knows: anatomy of microsurgical flaps, collection techniques, types of flaps, application, indications, complications for head and neck tumor reconstruction operations.
Skills
1.Will be able to apply the microsurgical technique in mouth, face and jaw reconstruction operations. You will know how to choose the right microsurgical lever for replacing a defect in the face and jaws.
Competences
1.Will be able to choose and apply the most appropriate type of microsurgical lever for replacing a tumor defect when performing operations on patients with head and neck tumors; cooperate with a microsurgeon, in difficult cases.
Assessment
Individual work
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Title
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% from total grade
|
Grade
|
|---|---|---|
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1.
Individual work |
-
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-
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|
Clinical work in RECUH Microsurgery Centre.
Acquaintance with mandatory and topical literature.
Attending seminars.
Presentation on clinical cases.
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Examination
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Clinical work in RECUH Microsurgery Centre (70%).
Acquaintance with mandatory and topical literature (10%).
Attendance at seminars (10%).
Presentation on clinical cases (10%).
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||
Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|
|---|---|---|
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On site
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Auditorium
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Topics
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Soft tissue reconstruction flaps and surgical techniques. Local, divided skin flaps, and flaps based on the feeding vascular pedicle. Cheek fat body flap. Nasolabial flap. Tongue flap. Lip flap. Flaps on the feeding vascular pedicle: submental islets, temporoparietal, temporal, deltopectoral, pectoralis-major, latissimus dorsi, sternocleidomastoid, trapezius. Surgical techniques. Types of application, limitations, possible complications and their treatment.
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Seminar
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Modality
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Location
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|
|---|---|---|
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On site
|
Auditorium
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Topics
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Basic principles of microsurgery. Free skin flaps: radial forearm, suprafascial, subfascial, osteocutaneous, composite. Lateral flap of the thigh. Muscle rectus abdominis flap. Lateral flap of the upper arm.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
|
Topics
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Free grafts replacing bone defects. Composite tibial flap. Flap of crista illiaca (DCIA). Blade flap. The flap of the small intestine. Flap of the large abdominal membrane. Muscle gracilis flap.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Surgical treatment of facial nerve palsy. Reasons. Clinical diagnostics. Classical methods: the use of fascia tensor lata in facial rehabilitation operations. Microsurgical reconstruction techniques for facial nerve palsy. Cross innervation operations. Physiotherapy.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Facial skin and scalp reconstruction methods. Rotations of local flaps. Skin expanders. Eyelid reconstruction methods. Cheek reconstruction methods. Methods of reconstruction of the nose and its parts. Methods of lip reconstruction. Methods of ear reconstruction.
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-
Seminar
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Modality
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Location
|
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|---|---|---|
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On site
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Auditorium
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Topics
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Reconstruction of neck defects. Use of full and partial thickness flaps for reconstruction. Reconstruction of forehead defects. Types of larynx reconstruction. Types of maxillary and mandibular reconstructions. Reconstructive surgeries for children with congenital syndromes.
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Total ECTS (Creditpoints):
13.00
Number of Residency Seminars:
6
Length (weeks):
10
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Shan R. Baker. Local Flaps in Facial Reconstruction. 4th Edition. Date of Publication: 06/2021
2.
Reconstructive Plastic Surgery of the Head and Neck: Current Techniques and Flap Atlas. 1st Edition. by Matthew M. Hanasono, Geoffrey L. Robb, Roman J. Skoracki, Peirong Yu. Thieme. May 18, 2016
3.
Textbook of Plastic and Reconstructive Surgery. Publisher: Thieme. 1st Edition. May 18, 2016. 03 January, 2022. Editors: Michele Maruccia, Giuseppe Giudice
4.
Atlas of Regional and Free Flaps for Head and Neck Reconstruction. Flap Harvest and Insetting by Mark L. Urken, Mack L. Cheney, Keith E. Blackwell, et al. 2nd Edition. Lippincott Williams and Wilkins (Verlag), published on 2011
Additional Reading
1.
Fu-Chan Wei & Samir Mardini. Flaps and Reconstructive Surgery. 2nd Edition. Date of Publication: 10/2016