Flaps And Grafts in Dermatologic Surgery

by Rohrer, Thomas E., M.D.; Cook, Jonathan L., M.D.; Nguyen, Tri H., M.D.; Mellette, J. Ramsey, Jr., M.D.

• ISBN13: 9781416003168
• ISBN10: 1416003169
• Edition: DVD
• Format: Hardcover
• Copyright: 2008-12-02
• Publisher: W B Saunders Co

Summary

Authored by experts in the field, this brand-new reference presents a systematic approach to which flap or graft to use in which clinical situation and how to cut and move the skin. More than 350 full-color photographs and line drawings offer you step-by-step guidance. And, a DVD containing high-quality video clips demonstrates reconstructive procedures, including cutting, positioning, and suturing of flaps and grafts. Includes numerous reconstructive options for each specific region of the face, and explains why one may be better than another in a given situation. Features several chapters on the use of flaps and grafts in facial reconstruction and describes the finer points of their design, execution, and application. Discusses complications and pitfalls and how to avoid them. Devotes an entire chapter to facial anatomy with an emphasis on practical landmarks and danger areas. Uses a consistent format throughout for ease of reference.

Table of Contents

Anatomy

Introduction

Surface Landmarks and Surface Anatomy

The Aging Face

The Musculoaponeurotic System

Motor Nerves

Sensory Nerves of the Head and Neck

Vascular System

Special Structures: Lip, Eyelids, Nose, Ear

Basic Principles in Flap Reconstruction

Basic Terminology

Flaps Defined by Blood Supply

Flap Physiology

Flap Biomechanics

Flaps Defined by Movement

Practical Points

Final Thoughts

Primary Closure

Primary Closure Design and Considerations

Modifications or Variations

Applications and Disadvantages

Advancement Flaps

Flap Design and Considerations

Flap Mobilization and Key Sutures

Flap Modifications and Applications

Disadvantages

Rotation flaps

Rotation Flap Design: Basic Principles

Bilateral Rotation Flaps

Special Rotation Flaps

Plane of Flap Elevation and Surgical Undermining

Conclusion

Island Pedicle Flaps

Closure

Complications

Transposition Flaps

Flap Design and Considerations

Rhombic Flaps

Other Transposition Flaps

Complications

Conclusion

Staged Interpolation Flaps

Paramedian Forehead Flap (PFF), Stage I

Paramedian Forehead Flap, Stage II

Cheek-to-Nose Interpolation Flap (CNIF)

Cheek-to-Nose Interpolation Flap, Stage II

Abbé (Lip-Switch) Flap

Abbé Flap, Stage II

Conclusion

Skin Grafts

Full-Thickness Skin Grafts

Split-Thickness Skin Grafts

Conclusion

Graft Complication

Scalp Reconstruction

Scalp Surgical Anatomy

Evaluation of the Scalp Defect

Basic Reconstruction Concepts

Second Intention Healing

Primary Closure

Split-Thickness Skin Grafts

Full-Thickness Skin Grafts

Random Pattern Cutaneous Flaps

Conclusion

Forehead and Temple

Reconstructive Principles

Complications

Conclusions

Periocular Reconstruction

Introduction

Periocular Anatomy

Preparation

Complications

General Principles of Periocular Reconstruction

Methods of Closure

Algorithmic Approach to Reconstruction by Periocular

Subunits

Cheek Reconstruction

Maximum Skin Tension Lines

Surface Anatomy

Skin Texture

Subcutaneous Anatomy

Which Reconstructive Procedure

Flaps by Cheek Region

Complications

Conclusion

Ear Reconstruction

Introduction

Ear Aesthetics

Embryology

Topography

General Principles

Skin Grafts

Adjacent Tissue Transfer

Cartilage

Regional Reconstruction

Prosthetics and When to Refer

Reconstruction of the Nose

Introduction

Reconstructive Options

Complications

Conclusion

Perioral Reconstruction

Introduction

General Principals of Lip Reconstruction

Reconstruction

The Neck

Preoperative Considerations

Relevant Anatomy

Reconstructive Options

Regional Pearls

Summary

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