FRCS (Plast) Exam :- List of ListsThe following is a list of lists which has been handed around for a few years being updated by successive candidates. The list is organised around the headings used in the syllabus. It would be foolish not to know something about each section. Selected readings in Plastic Surgery are excellent to supplement Grabb and Smith and MacGregor. McCarthy is needed for some things but does not have to be read from cover to cover.

a) Wound Healing, Wound Care and Tissue TransplantationFRCS List of papers.doc - WoundhealingWound HealingFactors affecting wound healingGeneral 3 Phases

InflammationCell ProliferationRemodelling.

Specific Growth FactorsCollagen

Scars Hypertrophic v KeloidFoetal Scarring (Differences-Collagen, Inflammation, TGF)Scar Revision

Specific Tissues Skin and Skin GraftsComposite graftsTendon (Intrinsic and Extrinsic (Chow))Bone (Calvarial, Cortical & Cancellous Bone Grafts, Creeping Substitution)Nerves.

Transplantation HLA, Allografts, Implantation Materials.Dressings Interactive, Hydrocolloid, Calcium Alginate, Desloughing etc.Suture MaterialsImplantsRadiation Injury Features, Histology, Affects.

b) Trauma and/or Infection which Involves Soft Tissues as Part of the InjuryFRCS List of papers.doc - Lowerlimb

Necrotizing Fasciitis JD Watson/T Burge BMJ EditorialLower Limb Trauma BAPS/BOA HandbookClassification of Compound Injuries Gustillo and Anderson

Byrd and Spicer (includes # configuration)Prognosis Mangled Extremity Score (J Trauma 1990 30:5 568-573)Compartment Syndrome Chp in Quaba/McQueen/Court-Brown (ABatchelor /DSS-arm)

Degloving Injuries Assessment Chp Quaba/McQueen/Court-BrownResurfacing Sole McGrouther & Sommerlad paperFlap Cover for Different SitesLower Limb Ulceration. Causes etcNerve Injuries Seddon Classification, Sunderland Classification Brachial Plexus ((S Kay) Upper & Lower Injury, Horner’s etc, Patterns)

c) Maxillofacial Trauma FRCS List of papers.doc - MaxfaxPriorities Airway, Glasgow Coma Scale etc.Facial Fractures

ZygomaMaxilla Orbital Floor (Blow out Fractures, Signs, Symptoms, Investigation)Mandible (Fav/Unfavourable Fractures)Nasal

NasoEthmoid.Treatment Gillies lift, 3 point Fixation, Incisions Classic Treatment/ Modem PlatingMacGregors Fundamentals ChapterFrontal Sinus.Soft Tissue Enophthalmos

Stensons DuctCalvarial Bone grafting

d) Burns-Thermal, Electrical, Chemical and Radiation, Including Their SequelaeFRCS List of papers.doc - BurnsPathophysiology Settle 1st 5 Days, Arturson BURNS Editorial,Resuscitation Fluids UK v USAInhalational Injury Indications for Intubation, Kinsella BURNS EditorialChemical Burns Acid v Alkali, HF AcidElectrical Burns High v Low Voltage, Compartment SyndromeCold InjuryRadiation InjurySurgery Types of ExcisionNutritionImmunosuppression Immunology - Basic PrinciplesInfection and Antibiotics Toxic shockDressingsScarring Pressure Garments, Silicone, Masks etcRehabilitationReconstruction. Achauer, McCarthy - picturesHand Burns Janzekovic 1970, Sykes Review

e) Cleft & Craniofacial Deformities

FRCS List of papers.doc - Clefts

Congenital:

Clefts Historical, ClassificationsEmbryologyPierre RobinThe Defect/Deformity Surgery and issues - Timing /Speech /GrowthPrimary and secondary cleft surgeryNasal correctionDraw a Cleft Lip RepairDraw a Cleft Palate RepairBone Grafting: timingSpeech Assessment and InvestigationNasendoscopy Recent Advances: -Watson, Pigott, Sommerlad. PharyngoplastyOsteotomies

Craniofacial Embryology AetiologyClassification Tessier Clefts Principles of SurgeryCraniosynostosis: Simple and Syndromal - Apert’s, Crouzon’s, Pffeifer’s etc.

Hemifacial/Craniofacial MicrosomiaAuriculooculofacialSecond Arch Syndrome Treacher CollinsRhomberg’s

. Hypertelorism, Telecanthus, EpicanthusDermoids: Midline, External angular, Nasal bridge

Ear Embryology Tanzer Classification Surgery for Prominent Ears, Microtia etc - Brent Preauricular sinuses

Coloboma

f) Other Congenital and Acquired Deformities of the Head and Neck (Including Vascular Abnormalities)

FRCS List of papers.doc - OtherHN

Mulliken ClassificationHaemangiomasVascular MalformationsAetiologyManagementPrognosisEyelid Ptosis Collin's Book Facial Palsy Causes

VII nerve anatomy & landmark descriptionsAssessmentManagement

g) Benign & Malignant Skin Tumours, Including Management of Regional Lymph NodesFRCS List of papers.doc - SkinCaSkin Anatomy and Function, Skin Types, RetinoidsTumoursBenign Clinics in Plastic Surgery

Different Naevii, Congenital Naevii, Spitz naeviiMalignant MacGregor: - Cancer of the Face and Mouth

Rona Mackie: - Skin Cancer 1989 BCC Types of (Approx 9) Emmitt & O’Rourke Mohs Chemosurgery Excision Margins Incomplete ExcisionsSCCMelanoma Milton or Emmetts Books

Risk Factors, Prognostic Indicators, Excision Margins Studies, Arguments

Staging TNM MD Anderson Elective Lymph node dissection, Sentinel Nodes arguments American Joint Committee on Cancer Survival Data

SarcomaBlock Dissections Elective v Therapeutic, Sentinel Node, Other Therapies

h) Head and Neck TumoursFRCS List of papers.doc - HNCaAetiology, Assessment, Imaging, Salivary Gland WHO Classification

PathologyInvestigation and Diagnosis, StagingSialadenitis Frey's SyndromeSurgery esp Parotid ( Submandibular)

TNM/ Staging for all types including Sinuses Oral Lip, Tongue, Floor of Mouth etcMaxillaryLarynxMandibleTreatment Options and ReconstructionsAccess to Oral CavityNeck Dissections and Arguments for and Against, Types, ComplicationsNo NeckMandible in irradiation (Allan Macgregors Work)Place of RadiotherapyMcGregor’s Big Book PhilosophyDutch ThesisReconstruction MacGregor's book

EyelidNoseEarLip.

i) Congenital and Acquired Deformities of the Trunk, Limbs (Including- Lymphoedema) and other Sites Where the Provision of Skin Cover is a Component

FRCS List of papers.doc - LymphoedemaLymphoedema Causes(Essential) Classification

Non-Surgical TreatmentSurgical TreatmentEponyms

Poland’s SyndromePectus DeformitiesMyelomeningocelesSternumIncisional HerniaVascular Anomalies

Haemangiomas and AVMsMulliken ClassificationHaemangioma Syndromes Strawberry naevi Treatment options and Indications

j) Congenital and Acquired Deformities of the Urogenital System FRCS List of papers.doc - UrogenitalHypospadias

Embryology essential Classification and Associations

Surgical Procedures MAGPIFlip Flap }Duckett } Be prepared to describe in detailBracka }Historical }

Epispadias Treatment PrinciplesPeyronnies DiseaseVaginal AgenesisVulval/Vaginal Reconstruction

k) Paraplegic Skin and Soft Tissue ProblemsFRCS List of papers.doc - SoresPressure Sores

Aetiology PathophysiologyRisk factorsPatient Factors

Assessment Scoring SystemsSensationNutrition

Treatment Beds Surgery by Site

IndicationsFlaps Prognosis

l) All Aspects of Hand Surgery FRCS List of papers.doc - HandsAnatomy Tendon Zones

PulleysCongenital Hands Classifications Lister

EmbryologySwanson J Hand Surgery 8(5) 693-702 1983Subclassifications Wassel Thumb Duplication

Blauth Thumb HypoplasiaSyndactyly

Pollicisation Buck-GramckoCampto/Clinodactyly

Radial Club HandCleft Hand

Symbrachydactyly

Tendon Transfers Nerve PalsiesOpponensplasties

Nerves and Compression SyndromesMRC Classification of Sensory and Motor RecoveryInjury to Tendons, Nerves, Brachial Plexus, Fractures (Classification) Salter Harris

Rehabilitation Regimens for Tendons Revise BelfastFinger Tip Injuries Replantation Indications, Contraindications, PlansLigament Injuries Gamekeepers and Stener lesionReconstruction FlapsInflammationRheumatoid – Lister’s book:-

PathologySwan neckBoutoniereThumb NalebuffJoint ReplacementSilicone Synovitis

Dupuytren's Normal Palmar Fascia AnatomyAnatomy in DiseaseSurgical Options - timingPIPJ Contracture

Tumours of the Upper Extremity.

m) Microsurgery in all its Applications to Reparative and Reconstructive SurgeryFRCS List of papers.doc - MicrosurgeryPrinciples of MicrosurgeryVessel Damage Red Streak, Ribbon SignsTechniquesMonitoring FlapsNo Reflow Free radicalsSpecific Flaps Webster and Soutar or Soutar's Books

Learn the Workhorse Flaps, Indications and problemsQuantatative FlouresencePharmacologyOne Vessel LegsE-E v E-s

n) Reconstructive Surgery of the Breast FRCS List of papers.doc - BreastsTubular BreastPoland’sBreast Cancer Incidence,

Risk Factors

Genes BRCA 1&2Management of Breast CaManagement of Axillary NodesAdjuvant TherapyProphylaxisBreast Surgeon

Methods of reconstruction Implants, Expanders, nb RTxFlaps Thoracodorsal, LD, TRAM, DIEP etcAnatomyIndicationsContraindications

Nipple Reconstruction Flaps / GraftsSkate, Mod. Skate, Maltese Cross,TattooingNipple Sharing

Gynaecomastia ClassificationOperations

o) All Aspects of Aesthetic Surgery FRCS List of papers.doc - Aesthetics

Silicone Story, IRG ReportTextured v Smooth Implants

Assessment of Patients for all types of Aesthetic SurgeryEyelid History, Eye Problems, Thyroid Disease etc

Visual AcuitySchimer TestSnap Test etcTypes of Lid Surgery Including Ectropion / Entropion; Ptosis; Epi/Telecanthus

Facelift* Anatomy of SMASAnatomy of Nerves esp Frontal and marginal Branches of

(Clinical esp) VI 1, Great AuricularComplicationsDescription

Rhinoplasty* Approaches and Criticisms of Each, Tip Surgery, 2ndary deformities etc.Mammaplasty and MastopexyAbdominoplastyLiposuction Types, Cannula, Wet/Dry techniquesChemical peel/DermabrasionLaser.(p) Knowledge of medical ethics, aspects of informed consent and medico-legal implications of clinical practiceFRCS List of papers.doc - Ethics

C Ward Essays in BJPS available from BAPS

Favourites: Patient with no GPCapsulation around implants in private sector

Additional EssentialsFRCS List of papers.doc - OthersAnaesthesia Local/ Regional

Dosages Skin Grafts and How They TakeClassification of Skin Flaps

TranspositionAdvancementRotationPedicledIntercalated

LocalRegional

Distant

Crane principle Fasciocutaneous Flaps - Cormack and Lamberty Muscle Flaps - Mathes and Nahai.Z plasty - MacGregors Book ESSENTIALScar Revision

W plasty - Borges PRS 44(1) 58-62 1969Rhomboid Flaps (Limberg Flap) - Graham Listers Paper BJPS 25 300-314 1972LasersTissue ExpansionOncogenes