Practical Facial Reconstruction

Andrew J. Kaufman, Private Practice, Thousand Oaks and Santa Barbara, California, USA; Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA

• Part I Theory 1Chapter 1 Principles, Design, Completion1.1 Principles of Reconstruction1.2 Anatomical Considerations1.3 Patient Considerations1.4 Design Repair1.5 Surgical Technique1.6 Execution of Repair1.7 Wound CarePart II Practice 15Chapter 2 Practical Aspects of Facial Reconstruction2.1 Second Intention Healing2.2 Side-to-Side Repair2.3 Advancement Flaps2.4 Rotation Flaps2.5 Transposition Flaps2.6 Island Advancement Flaps2.7 Skin Grafts and Cartilage Grafts2.8 Delayed or Staged Interpolation FlapsChapter 3 Cheek and Chin Reconstruction3.1 Medial Cheek: Side-to-Side Repair3.2 Medial Cheek: Advancement Flap3.3 Medial Cheek: Island Advancement Flap3.4 Nasomelal Fold: Island Advancement Flap3.5 Infraorbital Cheek: Advancement Flap3.6 Preauricular Cheek: Island Advancement Flap and Advancement Flap3.7 Zygomatic Cheek: Rotation Flap3.8 Inferior Cheek: Rhombic Transposition Flap and Bilobed Transposition Flap3.9 Mid Chin: Unilateral and Bilateral Rotation FlapChapter 4 Forehead and Temple Reconstruction4.1 Medial, Lateral, and Supraorbital Forehead: Side-to-Side Repair4.2 Forehead (Eyebrow): Advancement Flap4.3 Lateral Forehead: Advancement Flap4.4 Lateral Forehead (Eyebrow): Full-Thickness Skin Graft4.5 Lateral Forehead: O- to- Z Rotation Flap4.6 Midforehead: Bilateral Advancement Flap4.7 Midsuperior Forehead: Bilateral Rotation Flap4.8 Temple: Second-Intention Healing4.9 Temple: Advancement Flap4.10 Temple: Rotation Flap4.11 Temple: Rhombic Transposition FlapChapter 5 Nose Reconstruction5.1 Right Nasal Supratip, Rhombic Transposition Flap (and Nasal Dorsum/Sidewall Defect Repaired With Rhombic Transposition Flap)5.2 Nasal Dorsum, Mid: Bilateral Advancement Flap5.3 Nasal Sidewall and Nasomelal Fold: Island Advancement Flap5.4 Nasal Sidewall and Supratip: Bilobed Transposition Flap, Lateral Pedicle5.5 Nasal Tip, Mid: Bilateral Rotation Flap5.6 Alar Crease, Anterior: Full-Thickness Skin Graft, and Scarabrasion5.7 Alar Crease, Anterior: Island Advancement Flap5.8 Alar Crease and Posterior Nasal Ala: Rhombic Transposition Flap5.9 Anterior Nasal Ala: Bilobed Transposition Flap, Medial Pedicle5.10 Nasal Ala: Free Cartilage Grafting and Second-Intention Healing5.11 Right Nasal Sidewall and Alar Crease: Melolabial Transposition Flap5.12 Full-Thickness Defect of the Lateral Tip and Soft Triangle: Repair With Cheek-to-Nose Interpolation Flap (and Nasal Alar Defect Repaired With Island Variant of Cheek-to-Nose Interpolation Flap)5.13 Larger Defects on the Nasal Tip or Distal Nose: Paramedian Forehead Flap5.14 Nasal Tip, Supratip, and Dorsum: Dorsal Nasal Rotation FlapChapter 6 Lip Reconstruction6.1 Left Upper Cutaneous Lip: Side-to-Side Repair6.2 Right Upper Lip: Advancement Flap6.3 Upper Lip: Rotation Flap6.4 Alar Sill: Island Advancement Flap6.5 Midupper Lip Vermilion and Midlower Lip Vermilion: Vermilionectomy and Mucosal Advancement Flap6.6 Midlower Lip Vermilion: Bilateral Vermilion Rotation Flap6.7 Midupper Lip Vermilion and Philtrum: Island Advancement Flap and Bilateral Vermilion Rotation Flap6.8 Midupper Lip Vermilion and Philtrum: Island Advancement Pincer Flap and Mucosal Advancement Flap6.9 Midupper Lip: Bilateral Advancement Flap6.10 Lower Lip: Melolabial Transposition Flap (Inferior-Based Pedicle)6.11 Lower Lip: Wedge Excision6.12 Upper Lip: Abbe-Estlander (Lip-Switch) FlapChapter 7 Ear Reconstruction7.1 Helical Rim: Side-to-Side Repair7.2 Medial Pinna: Transposition Flaps (Rhombic and Bilobed)7.3 Tragus (and Conchal Bowl): Preauricular Transposition Flap7.4 Conchal Bowl (and Triangular Fossa): Second-Intention Healing7.5 Conchal Bowl (and Triangular Fossa): Postauricular Pull-Through Flap7.6 Antihelix: Full-Thickness Skin Graft7.7 Helical Rim: Helical Rim Advancement Flap7.8 Helical Rim: Wedge Excision Repair7.9 Helical Rim: Staged Postauricular Transposition FlapChapter 8 Eyelid Reconstruction8.1 Lower Eyelid: Side-to-Side Repair8.2 Lower Eyelid: Wedge Excision Repair8.3 Lower Eyelid: Advancement Flap (and Full-Thickness Skin Graft)8.4 Medial Canthus (and Nasal Root): Rotation Flap8.5 Lateral Canthus: Rhombic Transposition Flap (and Medial Canthus Repaired by Rhombic Transposition Flap)8.6 Lower Eyelid and cheek (and Lateral Canthus in Second Patient): Complex Linear Repair and Adjacent-Tissue Full-Thickness Skin Graft