About the Book
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.
Table of Contents:
Introduction, vii
Part I Nasal Dorsum, 1
1 Combined Linear Closure and Burow’s Graft for a Dorsal Nasal Defect, 3
2 Reconstruction of Two Nasal Defects Following Mohs Surgery, 9
3 Repair of Adjacent Nasal Defects with One Double-Rotation Flap Closure, 13
4 Contralateral Nasolabial Flap for a Large Nasal Defect, 19a
Part II Nasal Sidewall, 23
5 Dual Nasal Sidewall and LipDefects Combined into a Single Arcuate Advancement Flap, 25
6 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect, 31
7 Repair of the Left Nasal Sidewall, Nasofacial Sulcus,and Medial Cheek, 35
Part III Nasal Tip, 41
8 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects, 43
9 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects, 49
10 Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting, 55
11 Nasal TipWound Repair Using a Rhombic Transposition Flap with a Double Z-Plasty at Its Base, 63
Part IV Nasal Ala, 69
12 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects, 71
13 Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect, 75
14 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full-Thickness NasalAlarDefect, 79
Part V Alar Groove/Perialar Defects, 85
15 Shark Island Pedicle Flap for Repair of Combined Nasal Ala-Perialar Defects, 87
16 “Jigsaw Puzzle” Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala, 93
17 Dog-Ear Island Pedicle Flap for Repair of Ala and NasalWall Defects, 99
Part VI Alar Rim, 105
18 Repair of an Alar Defect, 107
19 Reconstruction of a FullThickness Soft Triangle Defect, 113
20 A Tunneled and Turned-Over Nasolabial Flap for Reconstruction of Full-Thickness Nasal Ala Defects, 119
21 Reconstruction of an Alar Rim Defect, 127
22 Island Pedicle Flaps for Repair of a Nose, Cheek,and Lip Defect, 131
23 Revisionary Technique for Alar Rim Notching:The Stair-Step Flap, 137
24 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease, 145
25 One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim, 151
26 Repair of a Defect on the Ala, 157
27 Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect, 163
28 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect, 169
29 Bilobed Flap for Full-Thickness Nasal Defect:A Common Flap for an Uncommon Indication, 175
30 One-Stage Reconstruction Following Complete Alar Loss, 181
Index, 187
About the Author :
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.
