Cover image for Reconstructive Conundrums in Dermatologic Surgery : The Nose.
Reconstructive Conundrums in Dermatologic Surgery : The Nose.
Title:
Reconstructive Conundrums in Dermatologic Surgery : The Nose.
Author:
Ratner, Desiree S.
ISBN:
9781118294987
Personal Author:
Edition:
1st ed.
Physical Description:
1 online resource (201 pages)
Contents:
Cover -- Title Page -- Copyright -- Contents -- Introduction -- Part I Nasal Dorsum -- Conundrum 1 Combined Linear Closure and Burow's Graft for a Dorsal Nasal Defect -- Resolution -- Conundrum keys -- Additional readings -- Commentary on conundrum 1 -- Conundrum 2 Reconstruction of Two Nasal Defects Following Mohs Surgery -- Resolution -- Conundrum keys -- Reference -- Commentary -- Commentary on conundrum 2 -- Conundrum 3 Repair of Adjacent Nasal Defects with One Double-Rotation Flap Closure -- Resolution -- Conundrum keys -- Commentary on conundrum 3 -- Reference -- Conundrum 4 Contralateral Nasolabial Flap for a Large Nasal Defect -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 4 -- References -- Part II Nasal Sidewall -- Conundrum 5 Dual Nasal Sidewall and Lip Defects Combined into a Single Arcuate Advancement Flap -- Nature of the conundrum -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 5 -- Conundrum 6 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect -- Resolution -- Conundrum keys -- Additional readings -- Commentary on conundrum 6 -- Conundrum 7 Repair of the Left Nasal Sidewall, Nasofacial Sulcus, and Medial Cheek -- Resolution -- Conundrum keys -- Commentary -- Reference -- Commentary on conundrum 7 -- Part III Nasal Tip -- Conundrum 8 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 8 -- References -- Conundrum 9 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects -- Notes regarding candidate selection and technical considerations -- Commentary on conundrum 9 -- Conundrum 10 Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting.

Resolution -- Discussion -- References -- Commentary -- Reference -- Commentary on conundrum 10 -- Reference -- Conundrum 11 Nasal Tip Wound Repair Using a Rhombic Transposition Flap with a Double Z-Plasty at Its Base -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 11 -- References -- Part IV Nasal Ala -- Conundrum 12 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects -- Resolution -- Conundrum keys -- Commentary on conundrum 12 -- References -- Conundrum 13 Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 13 -- References -- Conundrum 14 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full-Thickness Nasal Alar Defect -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 14 -- Reference -- Part V Alar Groove/Perialar Defects -- Conundrum 15 Shark Island Pedicle Flap for Repair of Combined Nasal Ala-Perialar Defects -- Discussion -- Conclusion -- References -- Commentary on conundrum 15 -- Conundrum 16 "Jigsaw Puzzle'' Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala -- Resolution -- Conundrum keys -- Commentary on conundrum 16 -- References -- Conundrum 17 Dog-Ear Island Pedicle Flap for Repair of Ala and Nasal Wall Defects -- Resolution -- Discussion -- References -- Commentary on conundrum 17 -- Part VI Alar Rim -- Conundrum 18 Repair of an Alar Defect -- Resolution -- Conundrum keys -- Commentary on conundrum 18 -- Conundrum 19 Reconstruction of a Full Thickness Soft Triangle Defect -- Technique -- Conundrum keys -- References -- Commentary on conundrum 19 -- References -- Conundrum 20 A Tunneled and Turned-Over Nasolabial Flap for Reconstruction of Full-Thickness Nasal Ala Defects -- Resolution -- Discussion.

Conundrum keys -- References -- Commentary on conundrum 20 -- Conundrum 21 Reconstruction of an Alar Rim Defect -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 21 -- Conundrum 22 Island Pedicle Flaps for Repair of a Nose, Cheek, and Lip Defect -- Resolution -- Conundrum keys -- Commentary on conundrum 22 -- Conundrum 23 Revisionary Technique for Alar Rim Notching: The Stair-Step Flap -- Methods -- Discussion -- Conclusion -- References -- Commentary on conundrum 23 -- Reference -- Conundrum 24 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease -- Resolution -- Conundrum teaching points -- Reference -- Commentary on conundrum 24 -- References -- Conundrum 25 One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim -- Resolution -- Conundrum keys -- Reference -- Commentary on conundrum 25 -- References -- Conundrum 26 Repair of a Defect on the Ala -- Resolution -- Surgical technique -- First stage: cartilage graft and melolabial flap -- Cartilage grafting -- Melolabial flap -- Second stage: division of the pedicle -- Conundrum keys -- References -- Commentary on conundrum 26 -- Conundrum 27 Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect -- Resolution -- Conundrum keys -- References -- Commentary on conundrum 27 -- Conundrum 28 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect -- Resolution -- The Procedure -- Conundrum keys -- References -- Commentary on conundrum 28 -- References -- Conundrum 29 Bilobed Flap for Full-Thickness Nasal Defect: A Common Flap for an Uncommon Indication -- Resolution -- Discussion -- Conclusion -- References -- Commentary -- Commentary on conundrum 29 -- Conundrum 30 One-Stage Reconstruction Following Complete Alar Loss -- Resolution -- Discussion -- Additional readings -- Commentary on conundrum 30 -- Index.
Abstract:
'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.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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