Facial Reconstruction After Mohs Surgery

Facial Reconstruction after Mohs SurgeryThe 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 HighlightsGeneral techniques including wound care, skin and cartilage grafts; and local and pedicled flapsThe management of intraoperative, acute, and late healing stage complications; scar optimization and revision surgeriesAdditional procedural guidance provided in 20 high quality video clips posted in the Thieme MediaCenterNearly 500 full-color photos and precise drawings add a rich visual dimension and show stepwise operative sequencesThis 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

Klappentext

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.

Inhalt

Part 1: Introduction
1 Special Considerations for Mohs Patients
2 Anesthesia for Reconstruction of Facial Mohs Defects
3 Mohs Micrographic Surgery
4 Cellular and Tissue-Based Wound Care
5 Full-Thickness Skin Grafts
6 Split-Thickness Skin Grafting
7 Cartilage Grafts
8 Pedicled Flaps
9 Local Flaps
Part 2: Techniques for Specific Anatomic Location
10 Scalp Reconstruction
11 Forehead Reconstruction
12 Introduction to Nose and Simple Nasal Defects
13 Complex Nasal Defects
14 Nasal Reconstruction Based on Subunits
15 Eyelid Reconstruction
16 Cheek Reconstruction
17 Chin Reconstruction
18 Lip Reconstruction
19 Ear Reconstruction
Part 3: Management of Complications and Revisions
20 Intraoperative Complications and Initial Management
21 Management of Complications in the Acute Healing Stage
22 Management of Complications in the Late Healing Stage
23 Skin Graft Revisions
24 Local Flap Revisions
25 Pedicled Flap Revisions