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This book offers a concise guide to combined reconstruction operations for facial defects after Mohs surgery. Repairs from different facial subunits are shown to demonstrate the full range of these difficult repairs; a range of intraoperative photographs illustrates each repair. * 61 cases of combined reconstructions divided by subunits: nose (13), forehead/temple (8), scalp (6), cheek (6), ear (10), lip/perioral (9), and eyelid/periorbital (9) • Almost 600 pre-, post-, and mainly intraoperative photographs to demonstrate the main steps of each repair • Detailed legends to ensure adequate understanding by the reader • "Pros and Cons" table for each repair to facilitate decision making • "Complications and How to Avoid Them" table to reduce the likelihood of adverse outcomes • "Learning Points" after each case to improve the learning experience by the readeres of combined reconstructions divided by subunits: nose (13), forehead/temple (8), scalp (6), cheek (6), ear (10), lip/perioral (9), and eyelid/periorbital (9) • Almost 600 pre-, post-, and mainly intraoperative photographs to demonstrate the main steps of each repair • Detailed legends to ensure adequate understanding by the reader • “Pros and cons” table for each repair to facilitate decision making • “Complications and how to avoid them” table to reduce the likelihood of adverse outcomes • “Learning points” after each case to improve the learning experience by the reader
Facial Reconstruction after Mohs Surgery The growing worldwide incidence of melanoma and nonmelanoma skin cancers has driven the development of effective treatment methodologies. Mohs is the gold standard surgical treatment for excision of skin cancers on the head and neck. While Mohs surgery has a 99% effectiveness rate for new cancers and 95% for recurrences, more than 90% of reconstructed patients desire some improvement in their operative scars. Facial Reconstruction after Mohs Surgery by James Thornton and Jourdan Carboy summarizes 15 years and 12,000 cases in a surgical practice devoted to post-Mohs facial reconstruction. Step-by-step guidance is provided on efficacious, aesthetically pleasing, and functionally complete repairs, respective of a patient's age, anesthesia considerations, and available resources. In addition to succinct chapters on lip, ear, cheek, scalp, and nasal reconstruction, subspecialty chapters cover anesthesia, Mohs surgery, oculoplastic surgery, and microvascular reconstruction. Throughout the text, complete and concise clinical algorithms serve as a framework to help simplify difficult clinical concepts. Key Highlights General techniques including wound care, skin and cartilage grafts; and local and pedicled flaps The management of intraoperative, acute, and late healing stage complications; scar optimization and revision surgeries Additional procedural guidance provided in 20 high quality video clips posted in the Thieme MediaCenter Nearly 500 full-color photos and precise drawings add a rich visual dimension and show stepwise operative sequences This book is comprehensive resource on tried and true techniques for soft tissue reconstruction after Mohs cancer resection. It is essential reading for plastic surgery, facial plastic surgery and dermatology residents and clinicians with practices devoted to facial plastic surgery.
A systematic approach to Mohs surgery and reconstruction from renowned skin cancer surgeons More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate of any treatment for nonmelanoma skin cancer, is used increasingly for melanoma, and the lowest recurrence rate. Mohs Micrographic Surgery: From Layers to Reconstruction by renowned dermatologic and Mohs surgeons Christopher Harmon and Stanislav Tolkachjov provides a detailed yet succinct road map to learning and mastering Mohs and reconstruction. The algorithmic organization coupled with instructive photographs and illustrations provide a reader-friendly format conducive to learning. The two opening chapters describe the principles of Mohs surgery including: progressive layer excision to determine if wound margins are cancer free, associated pitfalls, recurrences, special sites, reconstructive principles, and general considerations. The subsequent eight chapters are organized by facial site, from the nose to the eyelid/eyebrow. The final two chapters discuss combination reconstructions stretching over multiple subunits and perioperative management and wound care. Key Highlights An impressive group of global Mohs and reconstruction experts provide firsthand pearls that guide optimal treatment Relevant anatomical aspects that impact excision and reconstruction are detailed, including structures, skin tension lines, tissue planes, and dangers zones More than 20 procedural videos provide hands-on guidance on how to perform specific steps in Mohs and reconstruction This unique resource will help residents, fellows, and surgeons in dermatology, plastic surgery, and facial plastic surgery master nuances of Mohs reconstructive techniques to achieve the most functional and aesthetically pleasing outcomes for patients.
Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement
Mohs surgery is now regarded as the most effective treatment choice for patients with skin cancer, the microscopic nature of the procedure allowing for extremely targeted removal of cancerous tissue. However it demands precise reconstructive skills of the surgeon to ensure optimum aesthetic and functional results. Aesthetic Facial Reconstruction After Mohs Surgery provides comprehensive guidance on the repair of soft tissue defects of the face after Mohs surgery. After a brief review of the Mohs technique and of the histologic variations in different skin cancers, the book systematically covers all facial regions explaining how to optimize the aesthetic outcome of tissue reconstruction. Each chapter includes examples of the most commonly seen Mohs defects with detailed pre-operative, intra-operative, and post-operative photographs as well as illustrations and text which will guide the surgeon through each step of the reconstruction. An accompanying DVD highlights key operative details. Must-have resource for all clinicians who treat skin cancer patients using Mohs surgery: depending on market this includes dermatologic, facial plastic and plastic surgeons with a secondary market that includes histotechnicians and assisting nurses Lavishly illustrated with over 400 colour clinical photos, many of which feature anatomic overlays to help the surgeon visualize and navigate three dimensional anatomic structures
A unique combination text and atlas gives you expert guidance on facial reconstruction DVD with video of 35 procedures Facial Flap Surgery delivers ready-to-use insights making surgical protocols more accessible than ever. Combining a text and atlas, this two-in-one resource also features an all-inclusive, yet streamlined presentation that is packed with hundreds of photographs and drawings that take you step by step through every procedure. Facial Flap Surgery begins with an incisive review of the bioanatomy and mechanics of tissue movement, highlighting how to mobilize soft tissue to reconstruct cutaneous operative wounds. Next is an unsurpassed overview of all flap types, including some never published before: from advancement flaps to rotation and banner flaps. Another section examines the repair of specific facial features, including the nose, ear, lip, and temple. Last, complications such as hematomas and flap failure are covered, helping you achieve the best possible outcomes. FEATURES Illuminates the biomechanical properties and need-to-know subtypes of each flap category An atlas of real-life cases that aids you in determining which type of flap will provide optimal surgical outcomes for any patient In-depth chapters explain how to effectively utilize each of the flaps in surgeries for specific facial regions Companion DVD filled with 35 video clips offers an unmatched tutorial that takes you through the preparation and successful use of facial flaps in multiple facial regions
A beautifully illustrated, multimedia guide to facial soft-tissue reconstruction from leading clinicians Principles of Facial Reconstruction: A Subunit Approach to Cutaneous Repair, Third Edition by distinguished clinicians Wayne F. Larrabee Jr., David A. Sherris, Jeffrey C. Teixeira, and esteemed contributors presents evidence-based facial reconstruction techniques that simplify flap design based on location and defect. The book's primary focus is soft-tissue defects of moderate size rather than larger flap reconstructions. Building on the acclaimed prior editions, the third edition features new content and images. Key surgical principles are detailed graphically in an easy-to-navigate, concise layout. The two opening chapters cover a review of soft-tissue biomechanics and physiology, followed by fundamentals of wound closure, wound healing, grafts, and flaps. The seven consistently organized anatomic chapters present a brief overview of the anatomy of the region, followed by succinct descriptions of surgical approaches for relevant subunits in that region. The final two chapters provide details on free flaps and graft harvesting techniques. The reader-friendly format enables quick determination of the most reliable reconstruction options for repair of the scalp, forehead, eyes, nose, cheek, ears, and lips and chin. Key Features Firsthand experience from renowned experts on the most reliable defect reconstructions Full-color clinical photographs, around 500 high-quality illustrations, and diagrams provide precise insights on key surgical concepts Following a facial unit principle, decision-making algorithms guide readers on selection of the most effective flap or graft for each case This is a must-have resource for plastic surgeons, otolaryngologists, and oral-maxillofacial surgeons, and dermatology residents and fellows, as well as surgeons specializing in the field of facial plastic surgery.
Authored by experts in the field, this brand-new reference presents a systematic approach to which flap or graft to use in which clinical situation and how to cut and move the skin. More than 350 full-color photographs and line drawings offer you step-by-step guidance and demonstrates reconstructive procedures, including cutting, positioning, and suturing of flaps and grafts. 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.
Local Flaps in Facial Reconstruction brings you the detailed visual guidance and unmatched expertise you need to achieve the best results for the full range of facial flap procedures. Full-color clinical photographs and line drawings—along with high-quality surgical video clips—capture the latest facial reconstruction practices and effective methods like reconstruction of skin defects on the head and neck following tumor removal or trauma. Perspectives from facial plastic surgeons, dermatologists, ophthalmologists, and otolaryngologists help you take all of these considerations into account in treatment planning. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Make the most effective clinical decisions with a better understanding of the anatomy, physiology, and biomechanics of the skin Understand skin flap anatomy and physiology—vital to the performance of successful local flap reconstruction for facial defects. Implement the latest techniques with updated coverage of new wound closure techniques and materials (including glues and adhesives), scar revision, complications, and vascular abnormalities. Watch clips of key surgical procedures, including reconstructive surgery of the nose and lip. Avoid pitfalls and achieve the best outcomes thanks to a step-by-step approach to each procedure, complete with tips and tricks of the trade from leading experts. Minimize flap ischemia and other complications with proper preoperative planning and surgical techniques. Visualize what to look for and how to proceed with high-quality illustrations of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, and rhombic flaps. Access the full text, image collection, and video clips online at Expert Consult.
This issue of Facial Plastic Surgery CLinics, guest edited by Dr. James B. Lucas, is devoted to Facial Reconstruction Post-Mohs Surgery. Articles in this issue include Anatomy of the Skin and the Pathogenesis of Non-Melanoma Skin Cancer; Mohs Micrographic Surgery: the Essentials; Physiology and Biomechanics of Skin Flaps; Flap Basics I: Rotation and Transposition Flaps; Flap Basics II: Advancement Flaps; Flap Basics III: Interpolated Flaps; Skin and Composite Grafting Techniques; Scalp and Forehead Defects; Defects of the Eyelids; Auricular Defects; Cutaneous Nasal Defects; Defects of the Lips and Chin; Cheek Defects; and Scar Revision and Recontouring Post-Mohs Surgery.