Practical Facial Reconstruction

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).

Key Features:

• Helps you accomplish both functional and aesthetic goals, guiding you through the thought process of how to determine the best repair for a specific surgical defect in a particular location and patient, and why it is preferred over other options.
• Uses a concise, step-by-step approach that leads you expertly through several techniques for each facial region. Bulleted key points highlight indispensable teaching details in each example.
• Features clinical images, artist illustrations, and the author’s pearls for each repair.
• Includes examples of second intention healing, side-to-side repair, grafts, and various advancement, rotation, transposition and island flaps. For more complex repairs, such as bilobed transposition flaps, helical rim advancement flaps and paramedian forehead flaps, a step-by-step approach helps teach readers the intricasies of these more difficult repairs.
• Enhances your surgical flexibility, creativity, and expertise by providing a simplified, unique approach to facial reconstruction from a master surgeon in the field.

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