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, a DVD containing high-quality video clips 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.

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

By Thomas E. Rohrer, MD, SkinCare Physicians of Chestnut Hill; Jonathan L. Cook, MD, Duke University Medical Center; and Tri H. Nguyen, MD, Associate Professor, Dermatology and Otolaryngology; Director, Mohs and Dermatologic Surgery, University of Texas, Houston, TX; Ramsey Mellette JR, Director of Mohs Surgery, University of Colorado Health Center