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.
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 ContentsChapter 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
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
