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Liposuction 394 Otolaryngology-Head and Neck Surgery Disadvantage: risk of ventral hernia (especially below arcuate line), poor color match to facial skin Vascular Transfer: deep inferior epigastric artery and vein Common Uses: massive soft tissue defects Latissimus Dorsi Type: myocutaneous Advantage: massive soft tissue with large surface area, bulky, may be split into 2 islands, reinnervation potential maintains bulk, closed primarily Disadvantage: poor color match, potential shoulder disability when included with radical neck dissection or pectoralis muscle flap, awkward positioning for two-team approach, may have delayed healing from mobility of donor site, requires 1 week immobilization, higher risk of seroma formation Neurovascular Transfer: thoracodorsal artery and 911 intercostals (lower 13), thoracodorsal nerve Common Uses: massive defects Lateral Thigh Type: fasciocutaneous Advantage: intermediate thickness, may close donor site primarily, potentially sensate Disadvantage: more difficult to harvest, occasional hair bearing, higher risk of seroma formation Neurovascular Transfer: third perforator of profunda femoris artery, lateral femoral cutaneous nerve Common Uses: large sensory skin requirements Jejunum Advantage: similar diameter to the esophagus, tolerates radiation, operation is extrathoracic Disadvantage: laparotomy required, total flap necrosis dangerous (risk of carotid blowout), limited tolerance for warm ischemia (2 hours), inferior speech rehabilitation quality following puncture (compared to radial forearm), requires 3 visceral anastomoses Neurovascular Transfer: superior mesenteric arcade Common Uses: esophageal and long circumferential pharyngeal defects Contraindicated: ascites, carcinoma below thoracic inlet, inflammatory bowel disease, significant abdominal adhesions Figure 21-44 Oblique incision.
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(a) (b) 75 50 25 125 100 75 50 25 Transfected Wild type 100 00 2 4 6 8 10 Time (m) Transfected 0 0 5 10 15 [Glu, much has been learned about the cellular and molecular mechanisms of the rejection processes. Other points on the ellipse can be found by substituting values for x and y.
10 Time-dependent perturbation theory 311 theory 310 Checklist of key ideas 312 Further reading 313 Further information 9. And Vane, J. Biol. (See The Astronomical Almanac ehop the Year 1995, K.
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© 2010, American Chemical Society) In addition, the use of these dye-doped nanoparticles improved the differentiation of single-nucleotide polymorphisms. 0 Reference solution (c). These chemical processes, first explained in a publication of 1912, are very important because they impart flavor to grilled meats, bread crust, roasted chocolate and coffee, and many other things.
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