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. - 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. - Includes an all-new chapter on Surgical Complications and Scar Revisions.
- Includes access to high-quality videos showing exactly how the flap/graft is incised, moved, and sutured. New videos include the Rhomboid Transposition Flap for Defect on the Lower Lid, the Island Pedicle Flap with Canthal Suspension, and the Primary Lid Repair with Diagonal Tarsal Suture Sine Marginal Sutures.
- Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
- Includes access to high-quality videos showing exactly how the flap/graft is incised, moved, and sutured. New videos include the Rhomboid Transposition Flap for Defect on the Lower Lid, the Island Pedicle Flap with Canthal Suspension, and the Primary Lid Repair with Diagonal Tarsal Suture Sine Marginal Sutures.
- Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Table of Contents
Chapter 1: AnatomyIntroduction . 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, EarChapter 2: Basic Principles in Flap Reconstruction
Basic Terminology . Flaps Defined by Blood Supply . Flap Physiology . Flap Biomechanics . Flaps Defined by Movement . Practical Points . Final ThoughtsChapter 3: Primary Closure
Primary Closure Design and Considerations .
Modifications or Variations . Applications and DisadvantagesChapter 4: Advancement Flaps
Flap Design and Considerations . Flap Mobilization and Key Sutures . Flap Modifications and Applications . DisadvantagesChapter 5: Rotation flaps
Rotation Flap Design: Basic Principles . Bilateral Rotation Flaps . Special Rotation Flaps . Plane of Flap Elevation and Surgical Undermining . ConclusionChapter 6: Island Pedicle Flaps
Closure . ComplicationsChapter 7: Transposition Flaps
Flap Design and Considerations . Rhombic Flaps . Other Transposition Flaps . Complications . ConclusionChapter 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 . ConclusionChapter 9: Skin Grafts
Full-Thickness Skin Grafts . Split-Thickness Skin Grafts . Conclusion . Graft ComplicationChapter 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 . ConclusionChapter 11: Forehead and Temple
Reconstructive Principles . Complications . ConclusionsChapter 12: Periocular Reconstruction
Introduction . Periocular Anatomy . Preparation . Complications . General Principles of Periocular Reconstruction . Methods of Closure . Algorithmic Approach to Reconstruction by Periocular
SubunitsChapter 13: Cheek Reconstruction
Maximum Skin Tension Lines . Surface Anatomy . Skin Texture . Subcutaneous Anatomy . Which Reconstructive Procedure . Flaps by Cheek Region . Complications . ConclusionChapter 14: Ear Reconstruction
Introduction . Ear Aesthetics . Embryology . Topography . General Principles . Skin Grafts . Adjacent Tissue Transfer . Cartilage . Regional Reconstruction . Prosthetics and When to ReferChapter 15: Reconstruction of the Nose
Introduction . Reconstructive Options . Complications . ConclusionChapter 16: Perioral Reconstruction
Introduction . General Principals of Lip Reconstruction . ReconstructionChapter 17: The Neck
Preoperative Considerations . Relevant Anatomy . Reconstructive Options . Regional Pearls . Summary
