内容简介:

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.

Key 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 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

 

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