BOOK
Facial Reconstruction Post-Mohs Surgery, An Issue of Facial Plastic Surgery Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Facial Plastic Surgery CLinics, guest edited by Dr. James B. Lucas, is devoted to Facial Reconstruction Post-Mohs Surgery. Articles in this issue include Anatomy of the Skin and the Pathogenesis of Non-Melanoma Skin Cancer; Mohs Micrographic Surgery: the Essentials; Physiology and Biomechanics of Skin Flaps; Flap Basics I: Rotation and Transposition Flaps; Flap Basics II: Advancement Flaps; Flap Basics III: Interpolated Flaps; Skin and Composite Grafting Techniques; Scalp and Forehead Defects; Defects of the Eyelids; Auricular Defects; Cutaneous Nasal Defects; Defects of the Lips and Chin; Cheek Defects; and Scar Revision and Recontouring Post-Mohs Surgery.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Facial ReconstructionPost-Mohs Surgery\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: In Pursuit of Perfection: The Art of Facial Restoration | vii | ||
| Anatomy of the Skin and the Pathogenesis of Nonmelanoma Skin Cancer | vii | ||
| Mohs Micrographic Surgery for the Management of Cutaneous Malignancies | vii | ||
| The Physiology and Biomechanics of Skin Flaps | vii | ||
| Flap Basics I: Rotation and Transposition Flaps | vii | ||
| Flap Basics II: Advancement Flaps\r | viii | ||
| Flap Basics III: Interpolated Flaps | viii | ||
| Skin and Composite Grafting Techniques in Facial Reconstruction for Skin Cancer | viii | ||
| Scalp and Forehead Defects in the Post-Mohs Surgery Patient | viii | ||
| Defect of the Eyelids | viii | ||
| Repair of Auricular Defects | ix | ||
| Reconstruction of Cutaneous Nasal Defects | ix | ||
| Reconstruction of Mohs Defects of the Lips and Chin | ix | ||
| Reconstruction of Cheek Defects Secondary to Mohs Microsurgery or Wide Local Excision | ix | ||
| Scar Revision and Recontouring Post-Mohs Surgery | x | ||
| FACIAL PLASTIC SURGERY CLINICS\rOF NORTH AMERICA\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| November 2017 | xi | ||
| February 2018 | xi | ||
| May 2018 | xi | ||
| RECENT ISSUES | xi | ||
| May 2017 | xi | ||
| February 2017 | xi | ||
| November 2016 | xi | ||
| Preface\r | xiii | ||
| In Pursuit of Perfection: The Art of Facial Restoration | xiii | ||
| Anatomy of the Skin and the Pathogenesis of Nonmelanoma Skin Cancer | 283 | ||
| Key points | 283 | ||
| EPIDERMIS | 283 | ||
| Cells | 284 | ||
| Dermal-Epidermal Junction | 284 | ||
| DERMIS | 284 | ||
| Collagen | 284 | ||
| Elastin | 285 | ||
| Neurovascular Anatomy | 285 | ||
| Subcutaneous Tissue | 285 | ||
| SKIN APPENDAGES | 285 | ||
| NONMELANOMA SKIN CANCER | 285 | ||
| Basal Cell Carcinoma | 285 | ||
| Squamous Cell Carcinoma | 288 | ||
| SUMMARY | 288 | ||
| REFERENCES | 288 | ||
| Mohs Micrographic Surgery for the Management of Cutaneous Malignancies | 291 | ||
| Key points | 291 | ||
| INTRODUCTION | 291 | ||
| HISTORY | 291 | ||
| MOHS MICROGRAPHIC SURGERY: PREOPERATIVE CONSIDERATIONS | 292 | ||
| Antibiotic Prophylaxis | 292 | ||
| Anticoagulants | 292 | ||
| Implantable Devices | 292 | ||
| MOHS MICROGRAPHIC SURGERY: SURGICAL TECHNIQUE | 293 | ||
| Procedure Preparation | 293 | ||
| Excision of the First Layer | 293 | ||
| Processing of the Surgical Specimen | 295 | ||
| INDICATIONS FOR MOHS MICROGRAPHIC SURGERY | 295 | ||
| Tumor Characteristics | 296 | ||
| Patient Characteristics | 296 | ||
| Areas of the Body | 296 | ||
| EFFECTIVENESS OF MOHS MICROGRAPHIC SURGERY FOR CUTANEOUS TUMORS | 296 | ||
| Basal Cell Carcinoma | 296 | ||
| Squamous Cell Carcinoma | 298 | ||
| Melanoma in Situ and Malignant Melanoma | 298 | ||
| RECONSTRUCTION | 298 | ||
| COST OF MOHS MICROGRAPHIC SURGERY | 299 | ||
| SUMMARY | 299 | ||
| REFERENCES | 299 | ||
| The Physiology and Biomechanics of Skin Flaps | 303 | ||
| Key points | 303 | ||
| INTRODUCTION | 303 | ||
| VASCULAR ANATOMY AND PHYSIOLOGY OF THE SKIN | 303 | ||
| Vascular Anatomy | 304 | ||
| Physiology of the Skin | 304 | ||
| LOCAL CUTANEOUS FLAPS | 305 | ||
| Random Flaps | 305 | ||
| Axial Flaps | 306 | ||
| Fasciocutaneous Flaps | 306 | ||
| BASIC CUTANEOUS FLAP PHYSIOLOGY | 307 | ||
| Vascular Compromise | 307 | ||
| Vascular Delay | 307 | ||
| Sympathetic Denervation | 308 | ||
| Inflammatory Changes | 308 | ||
| Neovascularization | 308 | ||
| SKIN FLAP BIOMECHANICS | 308 | ||
| Nonlinearity | 308 | ||
| Anistropy | 309 | ||
| Viscoelasticity | 310 | ||
| SUMMARY | 310 | ||
| REFERENCES | 310 | ||
| Flap Basics I | 313 | ||
| Key points | 313 | ||
| BACKGROUND | 313 | ||
| ROTATION FLAPS | 313 | ||
| BILOBE FLAP | 314 | ||
| O-T/O-Z FLAP | 316 | ||
| NOTE FLAP | 317 | ||
| RHOMBIC FLAP | 317 | ||
| WOUND CARE | 319 | ||
| COMPLICATIONS | 319 | ||
| SUMMARY | 320 | ||
| ACKNOWLEDGMENTS | 320 | ||
| REFERENCES | 320 | ||
| Flap Basics II | 323 | ||
| Key points | 323 | ||
| DEFINITIONS AND CORE CONCEPTS | 323 | ||
| ANATOMY AND PHYSIOLOGY: VASCULAR SUPPLY | 324 | ||
| UNIPEDICLE ADVANCEMENT FLAP | 325 | ||
| BILATERAL UNIPEDICLE ADVANCEMENT FLAPS | 326 | ||
| T-PLASTY ADVANCEMENT FLAPS | 327 | ||
| V-TO-Y AND Y-TO-V ADVANCEMENT FLAPS | 329 | ||
| CERVICOFACIAL FLAP | 331 | ||
| SUMMARY | 335 | ||
| REFERENCES | 335 | ||
| Flap Basics III | 337 | ||
| Key points | 337 | ||
| INTRODUCTION: INTERPOLATED FLAPS | 337 | ||
| Paramedian Forehead Flap | 337 | ||
| History | 338 | ||
| Anatomy and Blood Supply | 338 | ||
| Design and Technique | 338 | ||
| Detachment | 340 | ||
| Variations | 340 | ||
| Single-stage | 340 | ||
| Three-stage | 340 | ||
| Vascular delay | 340 | ||
| Other uses | 341 | ||
| MELOLABIAL FLAP | 341 | ||
| History | 342 | ||
| Anatomy and Blood Supply | 342 | ||
| Design | 342 | ||
| Variations | 343 | ||
| COMPLICATIONS | 344 | ||
| SUMMARY | 344 | ||
| DISCLOSURE | 345 | ||
| REFERENCES | 345 | ||
| Skin and Composite Grafting Techniques in Facial Reconstruction for Skin Cancer | 347 | ||
| Key points | 347 | ||
| OVERVIEW OF SKIN ANATOMY IN RELATION TO GRAFTING | 347 | ||
| RECIPIENT BED PREPARATION | 348 | ||
| FULL-THICKNESS SKIN GRAFTS TECHNIQUE | 352 | ||
| SPLIT-THICKNESS SKIN GRAFT TECHNIQUE | 354 | ||
| COMPOSITE CHONDROCUTANEOUS GRAFTS | 355 | ||
| COMPOSITE GRAFTING TECHNIQUE | 357 | ||
| ADDITIONAL USEFUL COMPOSITE GRAFTS | 358 | ||
| COMBINING GRAFTS WITH OTHER RECONSTRUCTIONS | 359 | ||
| SUMMARY | 361 | ||
| ACKNOWLEDGMENTS | 362 | ||
| REFERENCES | 362 | ||
| Scalp and Forehead Defects in the Post-Mohs Surgery Patient | 365 | ||
| Key points | 365 | ||
| INTRODUCTION | 365 | ||
| ANATOMY | 366 | ||
| RECONSTRUCTION GOALS | 367 | ||
| SECONDARY INTENTION HEALING | 367 | ||
| SKIN GRAFTING | 368 | ||
| PRIMARY WOUND CLOSURE | 369 | ||
| DERMAL ALTERNATIVES AND TISSUE EXPANSION | 370 | ||
| LOCAL FLAPS | 370 | ||
| MICROSURGICAL RECONSTRUCTION | 374 | ||
| SUMMARY | 375 | ||
| REFERENCES | 375 | ||
| Defect of the Eyelids | 377 | ||
| Key points | 377 | ||
| INTRODUCTION | 377 | ||
| CONTENT | 377 | ||
| Physiology of the Eyelid and Lacrimal System | 377 | ||
| Surgical Anatomy of the Eyelids | 378 | ||
| Reconstructive Principles | 379 | ||
| Grafts for Partial-Thickness Reconstruction | 380 | ||
| Local Cutaneous Flaps for Partial-Thickness Reconstruction | 380 | ||
| Full-Thickness Defect Classification | 382 | ||
| PRIMARY CLOSURE | 382 | ||
| LOCAL FLAP RECONSTRUCTION | 382 | ||
| CROSS LID FLAPS: LOWER EYELID DEFECTS | 385 | ||
| CROSS LID FLAPS: UPPER EYELID DEFECTS | 388 | ||
| COMPLEX DEFECT CLOSURE | 388 | ||
| CANTHAL RECONSTRUCTION | 388 | ||
| CANALICULAR AND LACRIMAL RECONSTRUCTION | 390 | ||
| SUMMARY | 391 | ||
| REFERENCES | 391 | ||
| Repair of Auricular Defects | 393 | ||
| Key points | 393 | ||
| TOTAL OR NEAR TOTAL AURICULAR DEFECTS | 395 | ||
| PERIPHERAL AURICULAR DEFECTS | 397 | ||
| Helix | 397 | ||
| Lobule | 399 | ||
| CENTRAL DEFECTS | 399 | ||
| Anterior | 399 | ||
| Posterior | 405 | ||
| SUMMARY | 405 | ||
| REFERENCES | 407 | ||
| Reconstruction of Cutaneous Nasal Defects | 409 | ||
| Key points | 409 | ||
| INTRODUCTION | 409 | ||
| SECONDARY INTENT AND PRIMARY CLOSURE | 410 | ||
| SKIN GRAFTING | 410 | ||
| LOCAL FLAPS | 411 | ||
| Bilobed Flap | 411 | ||
| Dorsal Nasal Flap | 412 | ||
| Interpolated Flaps | 414 | ||
| Interpolated melolabial flaps | 414 | ||
| Interpolated paramedian forehead flaps | 417 | ||
| CUTANEOUS RECONSTRUCTION BY SUBUNIT | 418 | ||
| Dorsum and Sidewalls | 418 | ||
| Nasal Tip | 418 | ||
| Columella and Soft Tissue Facets | 418 | ||
| Ala | 419 | ||
| Internal Lining and Nasal Framework | 423 | ||
| POSTOPERATIVE CARE | 423 | ||
| SUMMARY | 425 | ||
| REFERENCES | 425 | ||
| Reconstruction of Mohs Defects of the Lips and Chin | 427 | ||
| Key points | 427 | ||
| INTRODUCTION | 427 | ||
| ANATOMIC CONSIDERATIONS | 427 | ||
| PRIMARY REPAIR | 428 | ||
| Mucosal Lip | 429 | ||
| Labial mucosal advancement flap | 429 | ||
| Central Cutaneous Lip | 429 | ||
| Advancement flap | 429 | ||
| H-plasty (bilateral unipedicled advancement flaps) | 431 | ||
| Lateral Cutaneous Lip | 431 | ||
| V-Y flap | 431 | ||
| O-T flap | 431 | ||
| Rotation flap | 432 | ||
| Note flap | 435 | ||
| Full-Thickness Defects | 436 | ||
| Small-sized full-thickness lip defects | 436 | ||
| Medium-sized full-thickness lip defects | 437 | ||
| Large-sized full-thickness lip defects | 438 | ||
| Commissuroplasty and other revision surgery | 438 | ||
| CHIN DEFECTS | 440 | ||
| Anatomy | 440 | ||
| H-Plasty | 440 | ||
| O-T | 440 | ||
| V-Y | 442 | ||
| SUMMARY | 442 | ||
| REFERENCES | 442 | ||
| Reconstruction of Cheek Defects Secondary to Mohs Microsurgery or Wide Local Excision | 443 | ||
| Key points | 443 | ||
| INTRODUCTION | 443 | ||
| WOUND PREPARATION | 445 | ||
| TISSUE HANDLING, FLAP SURVIVAL, DISSECTION DEPTH | 445 | ||
| HEALING OF CHEEK DEFECTS BY SECONDARY INTENTION, PRIMARY CLOSURE, AND SCAR PLACEMENT ALONG AESTHETIC BOUNDARIES | 446 | ||
| PERIORBITAL CHEEK DEFECTS AND CONSIDERATIONS FOR LOCAL FLAPS BORDERING THE ORBIT AND LOWER LID | 446 | ||
| DEFECTS OF THE MEDIAL CHEEK, INCLUDING PERINASAL CONSIDERATIONS | 447 | ||
| DEFECTS OF THE PERILABIAL (BUCCAL) CHEEK | 452 | ||
| DEFECTS OF THE LATERAL/PREAURICULAR CHEEK | 456 | ||
| DEFECTS OF THE ZYGOMATIC CHEEK | 458 | ||
| SUMMARY | 460 | ||
| REFERENCES | 460 | ||
| Scar Revision and Recontouring Post-Mohs Surgery | 463 | ||
| Key points | 463 | ||
| INTRODUCTION | 463 | ||
| INTRALESIONAL STEROID INJECTIONS | 464 | ||
| DERMABRASION | 464 | ||
| Preoperative Consideration | 464 | ||
| Equipment | 464 | ||
| Procedure | 465 | ||
| Postoperative Care | 465 | ||
| Complications | 465 | ||
| LASER RESURFACING | 465 | ||
| SCAR REVISION SURGERY | 466 | ||
| Excisional Techniques | 467 | ||
| Irregularization Techniques in Flaps | 467 | ||
| Z-plasty | 467 | ||
| W-plasty | 469 | ||
| Geometric broken line closure | 469 | ||
| SUMMARY | 471 | ||
| REFERENCES | 471 | ||
| Index | 473 |