Ear Reconstruction with Postauricular Flap

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The post-auricular flap is utilized for larger ear reconstructions.  More commonly, it is reserved for defects that are not amenable to primary closure or helical rim advancement flaps. DOi#: http://dx.doi.org/10.17797/4k9jzjrexh

Surgical Management of Axillary Tissue Hypertrophy

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Prior to surgical incision, antibiotic prophylaxis is administered with appropriate intravenous antibiotics. The skin is incised and the posterior incision dissection is done perpendicular, straight down, through the subcutaneous fat. After the skin is incised, the dissection is beveled outward anteriorly. This creates a subcutaneous flap anteriorly. At all locations, the dissection is done down to, but not violating, the clavipectoral fascia. Anteriorly, any axillary creases or folds are obliterated by scoring of the subcutaneous tissue. The axillary breast tissue is then excised, marked for appropriate laterality, and submitted for permanent pathology. The resulting void is copiously irrigated and hemostasis is ensured. Long acting anesthetic is used to infiltrate the regional sites for postoperative analgesia. A 15-French Blake drain is placed posteriorly through a separate stab incision. The skin edges are meticulously aligned at the anterior and posterior edges with redundancy kept in the middle (Figure 6). The incisions are closed in two layers. An absorbable suture is used in interrupted buried fashion followed by an absorbable subcuticular stitch. 2-octyl cyanoacrylate liquid adhesive and self-adhering mesh (Dermabond Prineo) is placed superficially. Video 1 summarizes the technique.

Eric Gantwerker MD MS MMSc (MedEd)

management

• Pediatric Otolaryngologist at Cohen Children’s Hospital at Northwell Health/Hofstra

Eric Gantwerker, MD, MS, MMSc(MedEd), FACS is a Pediatric Otolaryngologist at Cohen Children’s Hospital at Northwell Health/Hofstra, Associate Professor of Otolaryngology at Zucker School of Medicine at Hofstra/Northwell, and Vice President, MedicalDirector at Level Ex. He holds a Master of Medical Science (MMSc) in Medical Education with a special focus on educational technology, educational research, cognitive science of learning,and curriculum development from Harvard Medical School and a Master of Science in Physiology and Biophysics from Georgetown University. Previous Clinical Instructor at Harvard Medical School, Assistant Professor at UT Southwestern, and Associate Professor ofOtolaryngology and Medical Education at Loyola University Chicago Stritch School of Medicine. Dr. Gantwerker’s clinical focus includes complex aerodigestive disorders, airway reconstruction, children with tracheostomies, persistent obstructive sleep apnea, and quality improvement. His academic interests include professional development, educational technology and gaming, motivational theory, and the cognitive psychology of learning. He speaks nationally and internationally through invited lectureships and workshops on implementation of educational technologies and gaming, motivational theory, the cognitive psychology of learning, and putting theory into practice for health professions’ education.

Neil Tanna, MD, MBA, FACS

leadership

Hofstra Northwell School of Medicine

• Associate Program Director of Plastic Surgery
• Northwell Health
• Associate Professor of Plastic Surgery
• Hofstra Northwell School of Medicine

Dr. Neil Tanna is a Double Board Certified Plastic Surgeon with clinical interest in cosmetic and reconstructive surgery. He is among a very small group of Plastic Surgeons in the world to have completed formal training in Otolaryngology, Plastic & Reconstructive Surgery, and Microvascular Surgery.

After receiving his medical degree from Albany Medical College, Dr. Tanna completed a full Otolaryngology – Head & Neck Surgery residency at The George Washington University. He pursued further training and completed a second full residency in Plastic & Reconstructive Surgery at the University of California, Los Angeles (UCLA). He then completed a fellowship in advanced reconstructive and microvascular surgery at the Institute of Reconstructive Plastic Surgery at New York University (NYU).

Beyond his plastic surgery clinical practice, Dr. Neil Tanna is a mentor, respected educator, and prolific author. Currently, he serves in many leadership roles. He is Chief of Plastic Surgery at one of the one of the Northwell Health hospitals. He is an Associate Professor with the Hofstra University School of Medicine, where he is engaged in the education of students. He also serves as Associate Program Director for the Plastic Surgery Residency with Northwell Health System. He trains resident physicians in becoming Plastic Surgeons.

The medical work and clinical research of Dr. Neil Tanna have been widely published in national and international medical journals. He has authored over 75 publications in major peer-reviewed medical journals and written over 10 textbook chapters. Given his interest in aesthetic and reconstructive surgery of the head and neck, breast, and body, Dr. Tanna has been invited to present at over 75 national and international meetings. He presents the latest advances in plastic surgery to his colleagues and other surgeons from all around the world.

Dr. Neil Tanna has been recognized in the 2015 and 2016 New York Times Super Doctors List for his noteworthy and outstanding achievements.

Dr. Eric Gantwerker

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