Reconstructive Conundrums in Dermatologic Surgery

Introduction, vii

Part I Nasal Dorsum, 1

1 Combined Linear Closure and Burow's Graft for a Dorsal Nasal Defect, 3

2 Reconstruction of Two Nasal Defects Following Mohs Surgery, 9

3 Repair of Adjacent Nasal Defects with One Double-Rotation Flap Closure, 13

4 Contralateral Nasolabial Flap for a Large Nasal Defect, 19a

Part II Nasal Sidewall, 23

5 Dual Nasal Sidewall and LipDefects Combined into a Single Arcuate Advancement Flap, 25

6 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect, 31

7 Repair of the Left Nasal Sidewall, Nasofacial Sulcus,and Medial Cheek, 35

Part III Nasal Tip, 41

8 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects, 43

9 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects, 49

10 Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting, 55

11 Nasal TipWound Repair Using a Rhombic Transposition Flap with a Double Z-Plasty at Its Base, 63

Part IV Nasal Ala, 69

12 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects, 71

13 Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect, 75

14 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full-Thickness NasalAlarDefect, 79

Part V Alar Groove/Perialar Defects, 85

15 Shark Island Pedicle Flap for Repair of Combined Nasal Ala-Perialar Defects, 87

16 "Jigsaw Puzzle" Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala, 93

17 Dog-Ear Island Pedicle Flap for Repair of Ala and NasalWall Defects, 99

Part VI Alar Rim, 105

18 Repair of an Alar Defect, 107

19 Reconstruction of a FullThickness Soft Triangle Defect, 113

20 A Tunneled and Turned-Over Nasolabial Flap for Reconstruction of Full-Thickness Nasal Ala Defects, 119

21 Reconstruction of an Alar Rim Defect, 127

22 Island Pedicle Flaps for Repair of a Nose, Cheek,and Lip Defect, 131

23 Revisionary Technique for Alar Rim Notching:The Stair-Step Flap, 137

24 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease, 145

25 One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim, 151

26 Repair of a Defect on the Ala, 157

27 Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect, 163

28 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect, 169

29 Bilobed Flap for Full-Thickness Nasal Defect:A Common Flap for an Uncommon Indication, 175

30 One-Stage Reconstruction Following Complete Alar Loss, 181

Index, 187

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• Dermatologia
• Cirurgia plástica e reconstructiva

best; solutions; reconstructive surgery; nose; reconstructive; particular challenges; approaches; number; particular defect; surgeon; dermatologic; compendium; atlas; novel; provides; challenges; conundrums; series