ThomasÃ沿ÃÀÈÝÕûÐÎ:Ó¢ÎÄÔ­°æ:Ã沿Èí×éÖ¯ÕûÐÎ:Facial soft tissue reconstruction

CHAPTER 1 ANATOMY AND PHYSIOLOGY OF THE SKIN Histology of the Skin Vascular Anatomy Neural Anatomy Pilosebaceous Units Random Pattern Flaps Axial Pattern Flaps Factors Affecting Flap Survival Tissue Injury Response Inflammatory Phase Proliferative Phase Comorbid Disease and Other Factors Suggested References CHAPTER 2 BASIC WOUND HEALING Introduction Phases of Wound Healing Wound Tensile Strength Factors Affecting Wound Healing Local Factors Affecting Wound Healing Systemic Factors Affecting Wound Healing Aberrant Wound Healing: Keloids and Hypertrophic Scars Suggested References CHAPTER 3 SOFT TISSUE TECHNIQUES Instrumentation Local Anesthesia Topical Anesthetics Tumescent Anesthesia Incision Planning Undermining Wound Closure Techniques Suture Selection Cutaneous Tissue Adhesives Suggested References CHAPTER 4 PRINCIPLES OF FLAP DESIGN AND PREOPERATIVE ANALYSIS Introduction Vascular Supply Facial Esthetic Units Relaxed Skin Tension Lines Other Factors Local Flaps Types of Local Flaps Advancement Flaps Rotation Flap Transposition Flaps Suggested References CHAPTER 5 SKIN GRAFTS Introduction Planning and Preoperative Analysis Recipient Site Donor Sites for Split Thickness Grafts Harvesting Split Thickness Grafts Placement of the Skin Graft Donor Sites for Full Thickness Grafts Healing of Skin Grafts Postoperative Care Suggested References CHAPTER 6 NASAL RECONSTRUCTION Introduction Nasal Anatomy Nasal Defect Analysis Nasal Defect Preparation Choice of Reconstructive Technique Alternatives to Local Flaps Total Nasal Defects Nasal Dorsum Reconstruction Subtotal Dorsal Defects Nasal Sidewall Nasal Tip Nasal Ala Columella Nasal Lining Restoration Auricular Composite Grafts Bipedicle Vestibular Skin Advancement Flap Septal Mucoperichondrial Hinge Flaps: Ipsilateral and Contralateral. Inferior Turbinate Flap Septal Composite Chondromucosal Pivotal Flap Forehead Flap Epithelial Turn-in Flap Summary Suggested References CHAPTER 7 LIP AND PERIORAL RECONSTRUCTION Introduction Facial Analysis Special Preoperative Considerations Oral/Perioral Defect Analysis Choice of Reconstructive Technique Defect considerations Postoperative Care Complications Suggested Readings CHAPTER 8 FOREHEAD AND BROW RECONSTRUCTION Introduction Anatomy Vascular Supply Neural Anatomy Defect Analysis Defect Preparation Choice of Reconstructive Technique Alternatives to Local Flaps Glabella Forehead Brow Temporal Region Suggested References CHAPTER 9 CHEEK RECONSTRUCTION Introduction Anatomy Vascular Supply Neural Anatomy Defecf Analysis Defect Preparation Choice of Reconstructive Technique Alternatives to Local Flaps Posterior Cheek Anterior Cheek Central/Inferior Cheek Superior Cheek CHAPTER 10 EYELID AND PERIOCULAR RECONSTRUCTION Introduction Regional Anatomic Considerations Eyelid Reconstruction Postoperative Care Eyelid Malpositions Conclusion Suggested References CHAPTER 11 SCALP RECONSTRUCTION Scalp Reconstruction Introduction Facial Analysis Preoperative Considerations Techniques Postoperative Care Complications Suggested References CHAPTER 12 POSTOPERATIVE CARE, COMPLICATIONS, AND ADJUNCTIVE SCAR CAMOUFLAGE Postoperative Dressings Tissue Adhesives Technique for Application of Tissue Adhesive Long-Term Scar Care Scar Camouflage Scar Revision Techniques Suggested References CHAPTER 13 COMPLICATIONS OF LOCAL FLAPS: PREVENTION AND MANAGEMENT Introduction Patient Factors Surgical Technique Flap Design Conclusion Suggested References INDEX