Practical Facial Reconstruction. Theory and Practice

Description

Preserve function and restore appearance by understanding the whys and the hows of the best surgical repairs for facial reconstruction! Written by Dr. Andrew J. Kaufman,Practical Facial Reconstruction: Theory and Practice teaches a systematic approach for successful surgical management of facial defects.  Comprehensive and invaluable, thispractical reference expertly helps you develop an approach to facial reconstruction that is applicable to not only the cases presented in this book but also most defects that onemight encounter in their surgical practice. The goal is to choose the best repair for a particular situation, dependent upon the patient, the location and the surgical defect. Inaddition to repair selection and design, the book teaches the practical technique of facial reconstruction, in particular helping to demystify some of the more complex or intimidatingfacial repair procedures.

Key Features: 

• Helpsyouaccomplishbothfunctional and aestheticgoals, guidingyouthroughthethoughtprocess of how to determine thebestrepairfor a specificsurgicaldefect in a particularlocation and patient, and whyitispreferredoverotheroptions.
• Uses a concise, step-by-stepapproachthat leads youexpertlythroughseveraltechniquesforeach facial region. Bulletedkeypointshighlight indispensable teachingdetails ineachexample.
• Featuresclinicalimages, artistillustrations, and theauthor’spearlsforeachrepair.
• Includesexamples of secondintentionhealing, side-to-siderepair, grafts, and variousadvancement, rotation, transposition and islandflaps. For more complexrepairs, such asbilobedtranspositionflaps, helicalrimadvancementflaps and paramedianforeheadflaps, a step-by-stepapproachhelpsteachreaderstheintricasies of these more difficultrepairs.
• Enhancesyoursurgicalflexibility, creativity, and expertisebyproviding a simplified, uniqueapproach to facial reconstructionfrom a master surgeon in thefield.

Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:

• Complete content with enhanced navigation
• Powerful search tools and smart navigation cross-linksthat pull results from content in the book, your notes, and even the web
• Cross-linked pages, references, and morefor easy navigation
• Highlighting toolfor easier reference of key content throughout the text
• Ability to take and share noteswith friends and colleagues
• Quick reference tabbingto save your favorite content for future use

About the Author(s)

Andrew Kaufman, MD, Clinical Associate Professor of Medicine (Dermatology), David Geffen School of Medicine at UCLA; Clinical Associate Professor of Dermatology, KeckSchool of Medicine of USC; The Center for Dermatology Care, Thousand Oaks, CA 

Contents

Preface
PART A: THEORY
CHAPTER 1   PRINCIPLES, DESIGN, COMPLETION
PRINCIPLES OF RECONSTRUCTION
ANATOMICAL CONSIDERATIONS
PATIENT CONSIDERATIONS
DESIGN OF REPAIR
SURGICAL TECHNIQUE
EXECUTION OF RECONSTRUCTION
WOUND CARE
COMPLICATIONS
 
PART B: PRACTICE 
CHAPTER 2   PRACTICAL ASPECT OF FACIAL RECONSTRUCTION
INTRODUCTION
SECOND INTENTION HEALING
SIDE-TO-SIDE REPAIR
ADVANCEMENT FLAPS
ROTATION FLAPS
TRANSPOSITION FLAPS
ISLAND ADVANCEMENT FLAPS
SKIN GRAFTS
STAGED OR DELAYED TRANSPOSITION FLAPS
 
CHAPTER 3   CHEEK RECONSTRUCTION
3.1 MEDIAL CHEEK. (SIDE-TO-SIDE REPAIR).
3.2 MEDIAL CHEEK. (ADVANCEMENT FLAP).
3.3 MEDIAL CHEEK. (ISLAND ADVANCMENT FLAP).
3.4 NASOMELAL FOLD. (ISLAND ADVANCEMENT FLAP).
3.5 INFRAORBITAL CHEEK. (ADVANCEMENT FLAP).
3.6 PREAURICULAR CHEEK. (ISLAND ADVANCEMENT FLAP AND ADVANCEMENT FLAP). 
3.7 ZYGOMATIC CHEEK. (ROTATION FLAP).
3.8 INFERIOR CHEEK, (RHOMBIC TRANSPOSITION FLAP AND BILOBED TRANSPOSITION FLAP).
 
CHAPTER 4   FOREHEAD AND TEMPLE RECONSTRUCTION
4.1 MEDIAL, LATERAL AND SUPRAORBITAL  FOREHEAD. (SIDE-TO-SIDE REPAIR).
4.2 MEDIAL FOREHEAD (EYEBROW). (ADVANCEMENT FLAP).
4.3 LATERAL FOREHEAD. (ADVANCEMENT FLAP).
4.4 LATERAL FOREHEAD (EYEBROW). (FULL-THICKNESS SKIN GRAFT).
4.5 LATERAL FOREHEAD. (O-TO-Z ROATION FLAP).
4.6 MID FOREHEAD. (BILATERAL ADVANCEMENT FLAP).
4.7 MID SUPERIOR FOREHEAD. (BILATERAL ROTATION FLAP).
4.8 TEMPLE. (SECOND INTENTION HEALING).
4.9 TEMPLE. (ADVANCEMENT FLAP).
4.10 TEMPLE. (ROTATION FLAP).
4.11 TEMPLE. (RHOMBIC TRANSPOSITION FLAP).
 
CHAPTER 5   NOSE RECONSTRUCTION
5.1 RIGHT NASAL SUPRATIP OR DORSUM/SIDEWALL. (RHOMBIC TRANSPOSITION FLAP).
5.2 NASAL DORSUM, MID. (BILATERAL ADVANCEMENT FLAP).
5.3 NASAL SIDEWALL AND NASOMELAL FOLD. (ISLAND ADVANCEMENT FLAP).
5.4 NASAL SIDEWALL AND SUPRATIP. (BILOBED TRANSPOSITION FLAP, LATERAL PEDICLE).
5.5 NASAL TIP, MID. (BILATERAL ROTATION FLAP).
5.6 ALAR CREASE, ANTERIOR. (FULL-THICKNESS SKIN GRAFT AND SCARABRASION).
5.7 ALAR CREASE, ANTERIOR. (ISLAND ADVANCEMENT FLAP).
5.8 ALAR CREASE AND POSTERIOR NASAL ALA. (RHOMBIC TRANSPOSITION FLAP). 
5.9 ANTERIOR NASAL ALA. (BILOBED TRANSPOSITION FLAP, MEDIAL PEDICLE).
5.10 RIGHT NASAL SIDEWALL AND ALAR CREASE. (MELOLABIAL TRANSPOSITION FLAP).
5.11 FULL-THICKNESS DEFECT OF THE LATERAL TIP AND SOFT TRIANGLE. (CHEEK-TO-NOSE INTERPOLATION FLAP). (AND NASAL ALAR DEFECT REPAIRED WITH ISLAND VARIANT OF CHEEK-TO-NOSE INTERPOLATION FLAP).
5.12 LARGER DEFECTS ON THE NASAL TIP. (PARAMEDIAN FOREHEAD FLAP)
 
CHAPTER 6   LIP RECONSTRUCTION
6.1 LEFT UPPER CUTANEOUS LIP. (SIDE-TO-SIDE REPAIR).
6.2 RIGHT UPPER CUTANEOUS LIP. (ADVANCEMENT FLAP).
6.3 UPPER LIP. (ROTATION FLAP).
6.4 ALAR SILL. (ISLAND ADVANCEMENT FLAP).
6.5 MID UPPER LIP VERMILION AND MID LOWER LIP VERMILION. (VERMILIONECTOMY AND MUCOSAL ADVANCEMENT FLAP).
6.6 MID LOWER LIP VERMILION. (BILATERAL VERMILION ROTATION FLAP).
6.7 MID UPPER LIP VERMILION AND PHILTRUM. (ISLAND ADVANCEMENT FLAP AND BILATERAL VERMILIONG ROTATION FLAP).
6.8 MID UPPER LIP VERMILION AND PHILTRUM. (ISLAND ADVANCEMENT PINCER FLAP AND MUCOSAL ADVANCEMENT FLAP). 
6.9 MID UPPER LIP. (BILATERAL ADVANCEMENT FLAP).
6.10 LOWER LIP. (MELOLABIAL TRANSPOSITION FLAP).
6.11 LOWER LIP. (WEDGE EXCISION).
6.12 UPER LIP. (ABBE-ESTLANDER LIP-SWITCH FLAP)
 
CHAPTER 7   EAR RECONSTRUCTION
7.1 HELICAL RIM. (SIDE-TO-SIDE REPAIR).
7.2 MEDIAL PINNA. (TRANSPOSITION FLAPS: RHOMBIC AND BILOBED)
7.3 TRAGUS. (PREAURICULAR TRANSPOSITION FLAP).
7.4 CONCHAL BOWL AND TRIANGULAR FOSSA. (SECOND INTENTION HEALING).
7.5 CONCHAL BOWL AND TRIANGULAR FOSSA. (POST-AURICULAR PULL-THROUGH FLAP).
7.6 ANTIHELIX. (FULL-THICKNESS SKIN GRAFT).
7.7 HELICAL RIM. (HELICAL RIM ADVANCEMENT FLAP).
7.8 HELICAL RIM. (WEDGE EXCISION REPAIR).
7.9 HELICAL RIM. (STAGED POST-AURICULAR TRANSPOSITION FLAP).
 
CHAPTER 8   EYELID RECONSTRUCTION
8.1 LOWER EYELID. (SIDE-TO-SIDE REPAIR).
8.2 LOWER EYELID. (WEDGE EXCISION REPAIR).
8.3 LOWER EYELID. (ADVANCEMENT FLAP).
8.4 MEDIAL CANTHUS. (RHOMBIC TRANSPOSITION FLAP).
8.5 LATERAL CANTHUS. (RHOMBIC TRANSPOSITION FLAP).
8.6 LOWER EYELID AND CHEEK. (COMPLEX LINEAR REPAIR AND FULL-THICKNESS SKIN GRAFT). (COMPLEX LINEAR REPAIR AND ADJACENT-TISSUE FULL-THICKNESS SKIN GRAFT).