Flaps and Grafts in Dermatologic Surgery - 2nd Edition - ISBN: 9780323476621, 9780323497565

Flaps and Grafts in Dermatologic Surgery

2nd Edition

Authors: Thomas Rohrer Jonathan Cook Andrew Kaufman
eBook ISBN: 9780323497565
eBook ISBN: 9780323497572
Hardcover ISBN: 9780323476621
Imprint: Elsevier
Published Date: 20th October 2017
Page Count: 328

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Achieve optimal results in reconstructive surgery involving flaps and grafts with this up-to-date reference written by leading dermatologic surgeons. Using a systematic approach, Flaps and Grafts in Dermatologic Surgery, Second Edition, by Drs. Thomas E. Rohrer, Jonathan L. Cook, and Andrew J. Kaufman, offers practical, easily accessible guidance in this challenging area, including anatomical considerations, the delicate nature of tissue movement, principles of aesthetic surgical closures, relevant tissue biomechanics, and much more. Covering everything from the basic linear and arciform closures, to the more challenging V-Y advancement flaps, and complex staged interpolation flaps, this text clearly presents not just the "how to do it" but more importantly the thought processes behind the selection and execution of each reconstructive procedure.

Key Features

  • Describes which flap or graft to choose in specific clinical situations, how to execute each repair (with a multitude of images and diagrams), and how to minimize the risks as well as manage potential complications.
  • Provides algorithms to assist with flap and graft choices, as well as hundreds of superb full-color illustrations throughout.

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


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© Elsevier 2018
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About the Author

Thomas Rohrer

Affiliations and Expertise

Associate Clinical Professor of Dermatology, Brown University School of Medicine, Providence, RI, USA; Private Practice, SkinCare Physicians, Chestnut Hill, MA, USA

Jonathan Cook

Affiliations and Expertise

Duke University Medical Center

Andrew Kaufman