Reconstructive Conundrums in Dermatologic Surgery: The Nose

ISBN-13: 9781118272329 / Angielski / Twarda / 2014 / 200 str.

Desiree S. Ratner; Joel L. Cohen; David Brodland

Opis

Facial wound reconstruction following dermatologic surgery for cancer excision, or other cause of disfigurement, is one of the more tricky procedures a dermatologist can carry out. Not only does the wound need to be clinically sound, the aesthetic requirements from patients are high, and the nose and surrounding areas are especially challenging. This book, based on step-by-step case studies published in Dermatologic Surgery (the journal of the American Society of Dermatologic Surgery), will introduce the principles of reconstruction and a range of 'how to' approaches for nasal reconstructive surgery covering the choice of graft for the situation and then the surgical approach necessary to achieve optimal success. Each case will provide a discussion of the particular reconstruction needed, the possible challenges, the solution chosen and an illustrated 'how to' description of the procedure.

Spis treści

Introduction

Part I Nasal Dorsum

1 Combined Linear Closure and Burow s Graft for a Dorsal Nasal Defect

2 Reconstruction of Two Nasal Defects Following Mohs Surgery

3 Repair of Adjacent Nasal Defects with One Double–Rotation Flap Closure

4 Contralateral Nasolabial Flap for a Large Nasal Defect

Part II Nasal Sidewall

5 Dual Nasal Sidewall and Lip Defects Combined into a Single Arcuate Advancement Flap

6 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect

7 Repair of the Left Nasal Sidewall, Nasofacial Sulcus, and Medial Cheek

Part III Nasal Tip

8 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects

9 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects

10 Repair of a Large, Exposed–Cartilage Nasal Tip Defect Using Nasalis–Based Subcutaneous Pedicle Flaps and Full–Thickness Skin Grafting

11 Nasal Tip Wound Repair Using a Rhombic Transposition Flap with a Double Z–Plasty at Its Base

Part IV Nasal Ala

12 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects

13 Combined Hinge Flap Full–Thickness Skin Graft for a Through–and–Through Nasal Defect

14 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full–Thickness Nasal Alar Defect

Part V Alar Groove/Perialar Defects

15 Shark Island Pedicle Flap for Repair of Combined Nasal Ala–Perialar Defects

16 Jigsaw Puzzle Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala

17 Dog–Ear Island Pedicle Flap for Repair of Ala and Nasal Wall Defects

Part VI Alar Rim

18 Repair of an Alar Defect

19 Reconstruction of a Full Thickness Soft Triangle Defect

20 A Tunneled and Turned–Over Nasolabial Flap for Reconstruction of Full–Thickness Nasal Ala Defects

21 Reconstruction of an Alar Rim Defect

22 Island Pedicle Flaps for Repair of a Nose, Cheek, and Lip Defect

23 Revisionary Technique for Alar Rim Notching: The Stair–Step Flap

24 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease

25 One–Stage Reconstruction of a Full–Thickness Nasal Defect Involving the Alar Rim

26 Repair of a Defect on the Ala

27 Single–Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect

28 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect

29 Bilobed Flap for Full–Thickness Nasal Defect: A Common Flap for an Uncommon Indication

30 One–Stage Reconstruction Following Complete Alar Loss

Index

O autorze

Desiree S Ratner, MD, Director of Dermatologic Surgery at the Columbia University Medical Center, Co–director of the Multidisciplinary Melanoma Center at the Columbia University Medical Center, Clinical Professor of Dermatology at the College of Physicians and Surgeons of Columbia University.

Joel L. Cohen, MD Director of AboutSkin Dermatology and DermSurgery in Englewood and Lone Tree, Colorado and Assistant Clinical Professor, University of Colorado.

David Brodland, MD, Assistant Clinical Professor, Department of Dermatology, University of Pittsburgh and Department of Dermatology UPMC Shadyside Hospital, Pittsburgh, PA.

Blurb

Best of the Best solutions to challenging reconstructive surgery of the nose

The nose, with its unique and individual topography, presents particular challenges for reconstructive and skin cancer surgeons. A number of approaches can be adopted, but how does the dermatologic surgeon choose the best for any particular defect? 

Reconstructive Conundrums in Dermatology: The Nose provides an atlas compendium of novel approaches to these challenges. Based on the Reconstructive Conundrum series published in the journal Dermatologic Surgery, a range of cases provide photographs of the defect before and immediately after reconstruction, and two long–term, follow–up images. The authors provide a detailed explanation for their choice of reconstruction. The Editors commentaries allow residents and experienced surgeons alike to compare different reconstructive alternatives and to explore the thought processes behind them.

The 30 conundrums each provide a full background to the problem and the strategies underpinning successful surgical solution. They have been grouped into nasal subunits covering: 

• Nasal dorsum
• Nasal sidewall
• Nasal tip
• Nasal ala
• Alar groove
• Alar rim

Jam packed with clinical wisdom and surgical pearls, Reconstructive Conundrums in Dermatologic Surgery: The Nose provides a guiding hand to anyone faced with daunting surgical reconstructions.