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Flaps and Grafts in Dermatologic Surgery

  • 2nd Edition - August 30, 2017
  • Latest edition
  • Authors: Thomas E. Rohrer, Jonathan L. Cook, Andrew Kaufman
  • Language: English

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,… Read more

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Description

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

  • 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.

Readership

Dermatologists, Otolaryngologists, Facial Plastic Surgeons, Plastic Surgeons

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

Review quotes

"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." --Leonard M Dzubow MD excerpt from foreword

Product details

  • Edition: 2
  • Latest edition
  • Published: October 20, 2017
  • Language: English

About the authors

TR

Thomas E. Rohrer

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).

Affiliations and expertise
Associate Clinical Professor of Dermatology, Brown University School of Medicine, Providence, RI, USA; Private Practice, SkinCare Physicians, Chestnut Hill, MA, USA

JC

Jonathan L. Cook

Affiliations and expertise
Professor of Dermatology, Assistant Professor of Surgery, Duke University School of Medicine, Durham, NC

AK

Andrew Kaufman

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
Affiliations and expertise
Private Practice, Thousand Oaks and Santa Barbara, California, USA; Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA