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Flaps and Grafts in Dermatologic Surgery

  • 2 Edición - 1 de noviembre de 2017
  • Última edición
  • Autores: Thomas E. Rohrer, Jonathan L. Cook, Andrew Kaufman
  • Idioma: Inglés

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,… Leer más

Descripción

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.

Puntos claves

  • 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

De interès para

Dermatologists, Otolaryngologists, Facial Plastic Surgeons, Plastic Surgeons

Índice

1. Anatomy

1.1. Introduction

1.2. Surface Landmarks and Surface Anatomy

1.3. The Aging Face

1.4. The Musculoaponeurotic System

1.5. Motor Nerves

1.6. Sensory Nerves of the Head and Neck

1.7. Vascular System

1.8. Special Structures: Lip, Eyelids, Nose, Ear


2. Basic Principles in Flap Reconstruction

2.1. Basic Terminology

2.2. Flaps Defined by Blood Supply

2.3. Flap Physiology

2.4. Flap Biomechanics

2.5. Flaps Defined by Movement

2.6. Practical Points

2.7. Final Thoughts


3. Primary Closure

3.1. Primary Closure Design and Considerations

3.2. Modifications or Variations

3.3. Applications and Disadvantages


4. Advancement Flaps

4.1. Flap Design and Considerations

4.2. Flap Mobilization and Key Sutures

4.3. Flap Modifications and Applications

4.4. Disadvantages


5. Rotation flaps

5.1. Rotation Flap Design: Basic Principles

5.2. Bilateral Rotation Flaps

5.3. Special Rotation Flaps

5.4. Plane of Flap Elevation and Surgical Undermining

5.5. Conclusion


6. Island Pedicle Flaps

6.1. Closure

6.2. Complications


7. Transposition Flaps

7.1. Flap Design and Considerations

7.2. Rhombic Flaps

7.3. Other Transposition Flaps

7.4. Complications

7.5. Conclusion


8. Staged Interpolation Flaps

8.1. Paramedian Forehead Flap (PFF), Stage I

8.2. Paramedian Forehead Flap, Stage II

8.3. Cheek-to-Nose Interpolation Flap (CNIF)

8.4. Cheek-to-Nose Interpolation Flap, Stage II

8.5. Abbé (Lip-Switch) Flap

8.6. Abbé Flap, Stage II

8.7. Conclusion


9. Skin Grafts

9.1. Full-Thickness Skin Grafts

9.2. Split-Thickness Skin Grafts

9.3. Conclusion

9.4. Graft Complication


10. Scalp Reconstruction

10.1. Scalp Surgical Anatomy

10.2. Evaluation of the Scalp Defect

10.3. Basic Reconstruction Concepts

10.4. Second Intention Healing

10.5. Primary Closure

10.6. Split-Thickness Skin Grafts

10.7. Full-Thickness Skin Grafts

10.8. Random Pattern Cutaneous Flaps

10.9. Conclusion


11. Forehead and Temple

11.1. Reconstructive Principles

11.2. Complications

11.3. Conclusions


12. Periocular Reconstruction

12.1. Introduction

12.2. Periocular Anatomy

12.3. Preparation

12.4. Complications

12.5. General Principles of Periocular Reconstruction

12.6. Methods of Closure

12.7. Algorithmic Approach to Reconstruction by Periocular Subunits


13. Cheek Reconstruction

13.1. Maximum Skin Tension Lines

13.2. Surface Anatomy

13.3. Skin Texture

13.4. Subcutaneous Anatomy

13.5. Which Reconstructive Procedure

13.6. Flaps by Cheek Region

13.7. Complications

13.8. Conclusion


14. Ear Reconstruction

14.1. Introduction

14.2. Ear Aesthetics

14.3. Embryology

14.4. Topography

14.5. General Principles

14.6. Skin Grafts

14.7. Adjacent Tissue Transfer

14.8. Cartilage

14.9. Regional Reconstruction

14.10. Prosthetics and When to Refer


15. Reconstruction of the Nose

15.1. Introduction

15.2. Reconstructive Options

15.3. Complications

15.4. Conclusion


16. Perioral Reconstruction

16.1. Introduction

16.2. General Principals of Lip Reconstruction

16.3. Reconstruction


17. The Neck

17.1. Preoperative Considerations

17.2. Relevant Anatomy

17.3. Reconstructive Options

17.4. Regional Pearls

17.5. Summary

Reseñas

"What makes the editors' approach so very unique is the inclusion of extensive high resolution narrated video to illustrate in detail the techniques described in the body of the text. This is a three-dimensional process, nearly duplicating the experience of standing shoulder to shoulder with a personal master instructor. The student is able to read the principles and applications and then see in real time the execution of the techniques. There is no better way to learn." Reviewed by Leonard M Dzubow MD excerpt from foreword

Detalles del producto

  • Edición: 2
  • Última edición
  • Publicado: 13 de diciembre de 2017
  • Idioma: Inglés

Sobre los autores

Thomas E. Rohrer

Author

Dr. Thomas E. Rohrer, MD is a leading dermatologic surgeon specializing in cosmetic and surgical dermatology. He was ranked among the Top Twenty Dermatologists in the United States by Newsweek—the highest-ranked dermatologist in Massachusetts and the highest-ranked board-certified Mohs surgeon in the country.

Dr. Rohrer is a past President of both the American Society for Dermatologic Surgery and the American Society for Laser Medicine and Surgery. A magna cum laude graduate of Georgetown University and the Georgetown University School of Medicine, he received the Michael J. Caruso Award. He completed an internal medicine internship at Yale University Hospital, a dermatology residency through Boston University–Tufts, and a Mohs and Dermatologic Surgery fellowship at the University of Pennsylvania. Prior to SkinCare Physicians, he served for eight years as Chief of Dermatologic Surgery at Boston University Medical Center and the Boston Veterans Administration Hospital, and as Director of the Boston University Center for Cosmetic and Laser Surgery.

An active academic and educator, Dr. Rohrer has delivered 500+ lectures worldwide and published widely. He is the editor of six cosmetic and laser surgery textbooks, including a best-selling volume on surgical reconstruction. His honors include the 2013 Richard E. Fitzpatrick Clinical Research and Innovations Award (ASLMS) and an Excellence in Education Award (ASDS).

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

Jonathan L. Cook

Author
Afiliaciones y experiencia
Professor of Dermatology, Assistant Professor of Surgery, Duke University School of Medicine, Durham, NC

Andrew Kaufman

Author
Andrew J. Kaufman, Private Practice, Thousand Oaks and Santa Barbara, California, USA; Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA
Afiliaciones y experiencia
Private Practice, Thousand Oaks and Santa Barbara, California, USA; Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA