Flaps and Grafts in Dermatologic Surgery - 1st Edition - ISBN: 9781416003168, 9781437720723

Flaps and Grafts in Dermatologic Surgery

1st Edition

Text with DVD

Authors: Thomas Rohrer Jonathan Cook Tri Nguyen
eBook ISBN: 9781437720723
Imprint: Saunders
Published Date: 2nd December 2008
Page Count: 256
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Description

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.

Key Features

  • 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

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
Subunits


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

Details

No. of pages:
256
Language:
English
Copyright:
© Saunders 2009
Published:
Imprint:
Saunders
eBook ISBN:
9781437720723

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

Tri Nguyen

Affiliations and Expertise

Professor, Dermatology and Otolaryngology, MD Anderson Cancer Center, Houston TX, USA