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