Mohs surgery is now regarded as the most effective treatment choice for patients with skin cancer, the microscopic nature of the procedure allowing for extremely targeted removal of cancerous tissue. However it demands precise reconstructive skills of the surgeon to ensure optimum aesthetic and functional results. Aesthetic Facial Reconstruction After Mohs Surgery provides comprehensive guidance on the repair of soft tissue defects of the face after Mohs surgery. After a brief review of the Mohs technique and of the histologic variations in different skin cancers, the book systematically covers all facial regions explaining how to optimize the aesthetic outcome of tissue reconstruction. Each chapter includes examples of the most commonly seen Mohs defects with detailed pre-operative, intra-operative, and post-operative photographs as well as illustrations and text which will guide the surgeon through each step of the reconstruction. An accompanying DVD highlights key operative details.Must-have resource for all clinicians who treat skin cancer patients using Mohs surgery: depending on market this includes dermatologic, facial plastic and plastic surgeons with a secondary market that includes histotechnicians and assisting nursesLavishly illustrated with over 400 colour clinical photos, many of which feature anatomic overlays to help the surgeon visualize and navigate three dimensional anatomic structures
Salvatore Pacella MD MBA FACS Division Head of Plastic and Reconstructive Surgery, Scripps Clinic & Research Institute, San Diego, California, USA Mark A Codner MD FACSClinical Assistant Professor of Plastic Surgery, Emory University, Atlanta, Georgia, USA
1 A Primer on Mohs Micrographic Surgery Technique2 Histologic Review of Common Skin Cancers3 Aesthetic Concepts in Facial Soft Tissue Reconstruction4 Wound Healing and Flap Physiology5 Approach to Defects of the Forehead6 Reconstruction of the Ear7 Reconstruction of the Eyebrow8 Reconstruction of the Upper Eyelid9 Reconstruction of the Lower Eyelid10 Reconstruction of the Cheek11 Reconstruction of the Nose12 Reconstruction in the Lips and Mouth13 Reconstruction of the Lateral Face14 Scar Physiology and Non-surgical Treatment of Scars DVD-ROM contents Video 1Instruments and suture techniques (Chapter 4) Video 2Design of transpositional flap for nasal tip defect (Chapter 4) Video 3Design of rotational advancement flap for nasal tip defect (Chapter 4) Video 4Design of bilateral advancement flaps for forehead defect (Chapter 4) Video 5Reconstruction of central forehead defect with bilateral O-to-H advancementflaps (Chapter 5) Video 6Closure of large forehead and scalp defect with bilobed flap and scalpadvancement (Chapter 5) Video 7Reconstruction of Mohs helical rim defect with Antia-Buch flap (Chapter 6) Video 8Upper eyelid reconstruction with direct closure and canthotomy (Chapter 7) Video 9Repair of upper eyelid Mohs defect with two-stage Cutler-Beard bridge flap(Chapter 7) Video 10Anterior lamellar reconstruction with acellular dermal matrix and paramedianforehead flap (Chapter 7) Video 11Direct closure of lower eyelid defect (Chapter 8) Video 12Reconstruction of lower eyelid defect with periosteal flap and Tenzel flap(Chapter 8) Video 13Reconstruction of lower eyelid defect with Hughes flap and Tripier flap(Chapter 8) Video 14Reconstruction of lower eyelid defect with ear cartilage and myocutaneousflap (Chapter 8) Video 15Reconstruction of nasal alar defect with full thickness skin graft (Chapter 9) Video 16External nasal valve reconstruction with ear cartilage graft and nasolabialflap (Chapter 9) Video 17Aesthetic reconstruction of Mohs alar defect with multiple, staged flapsand ear cartilage graft (Chapter 9) Video 18Reconstruction of lower eyelid and midcheek defect with cervicofacialrotational flap (Chapter 10) Video 19Reconstruction of lateral cheek defect with rhombic transposition flap(Chapter 11) Video 20Reconstruction of total lip defect with Karapandzic flaps (Chapter 12) Video 21Aesthetic scar revision nasal alar contraction (Chapter 14)