Flaps and Grafts in Dermatologic Surgery

Text with DVD


  • Thomas Rohrer, MD, Associate Clinical Professor of Dermatology, Brown University School of Medicine, Providence, RI, USA; Private Practice, SkinCare Physicians, Chestnut Hill, MA, USA
  • Jonathan Cook, MD, Duke University Medical Center
  • Tri Nguyen, MD, Professor, Dermatology and Otolaryngology, MD Anderson Cancer Center, Houston TX, USA

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.
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Dermatologists, Otolaryngologists, Facial Plastic Surgeons, Plastic Surgeons


Book information

  • Published: December 2008
  • Imprint: SAUNDERS
  • ISBN: 978-1-4160-0316-8

Table of Contents

Chapter 1: 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

Chapter 2: Basic Principles in Flap Reconstruction

Basic Terminology • Flaps Defined by Blood Supply • Flap Physiology • Flap Biomechanics • Flaps Defined by Movement • Practical Points • Final Thoughts

Chapter 3: Primary Closure

Primary Closure Design and Considerations •
Modifications or Variations • Applications and Disadvantages

Chapter 4: Advancement Flaps

Flap Design and Considerations • Flap Mobilization and Key Sutures • Flap Modifications and Applications • Disadvantages

Chapter 5: Rotation flaps

Rotation Flap Design: Basic Principles • Bilateral Rotation Flaps • Special Rotation Flaps • Plane of Flap Elevation and Surgical Undermining • Conclusion

Chapter 6: Island Pedicle Flaps

Closure • Complications

Chapter 7: Transposition Flaps

Flap Design and Considerations • Rhombic Flaps • Other Transposition Flaps • Complications • Conclusion

Chapter 8: 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

Chapter 9: Skin Grafts

Full-Thickness Skin Grafts • Split-Thickness Skin Grafts • Conclusion • Graft Complication

Chapter 10: 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

Chapter 11: Forehead and Temple

Reconstructive Principles • Complications • Conclusions

Chapter 12: Periocular Reconstruction

Introduction • Periocular Anatomy • Preparation • Complications • General Principles of Periocular Reconstruction • Methods of Closure • Algorithmic Approach to Reconstruction by Periocular

Chapter 13: Cheek Reconstruction

Maximum Skin Tension Lines • Surface Anatomy • Skin Texture • Subcutaneous Anatomy • Which Reconstructive Procedure • Flaps by Cheek Region • Complications • Conclusion

Chapter 14: Ear Reconstruction

Introduction • Ear Aesthetics • Embryology • Topography • General Principles • Skin Grafts • Adjacent Tissue Transfer • Cartilage • Regional Reconstruction • Prosthetics and When to Refer

Chapter 15: Reconstruction of the Nose

Introduction • Reconstructive Options • Complications • Conclusion

Chapter 16: Perioral Reconstruction

Introduction • General Principals of Lip Reconstruction • Reconstruction

Chapter 17: The Neck

Preoperative Considerations • Relevant Anatomy • Reconstructive Options • Regional Pearls • Summary