CHAPTER 1 ANATOMY AND PHYSIOLOGY OF THE SKIN&Gregory H.Branham 1
Histology of the Skin 1
Vascular Anatomy 2
Neural Anatomy 2
Pilosebaceous Units 3
Random Pattern Flaps 3
Axial Pattern Flaps 5
Factors Affecting Flap Survival 6
Tissue Injury Response 6
Inflammatory Phase 6
Proliferative Phase 9
Comorbid Disease and Other Factors 9
Suggested References 11
CHAPTER 2 BASIC WOUND HEALING&Arash Moradzadeh and Jill L.Hessler 13
Introduction 13
Phases of Wound Healing 13
Wound Tensile Strength 17
Factors Affecting Wound Healing 17
Local Factors Affecting Wound Healing 17
Systemic Factors Affecting Wound Healing 18
Aberrant Wound Healing:Keloids and Hypertrophic Scars 18
Suggested References 19
CHAPTER 3 SOFT TISSUE TECHNIQUES&Gregory H.Branham 21
Instrumentation 21
Local Anesthesia 24
Topical Anesthetics 25
Tumescent Anesthesia 25
Incision Planning 26
Undermining 26
Wound Closure Techniques 27
Suture Selection 29
Cutaneous Tissue Adhesives 31
Suggested References 32
CHAPTER 4 PRINCIPLES OF FLAP DESIGN AND PREOPERATIVE ANALYSIS&Gregory H.Branharn 33
Introduction 33
Vascular Supply 33
Facial Esthetic Units 34
Relaxed Skin Tension Lines 35
Other Factors 36
Local Flaps 36
Types of Local Flaps 37
Advancement Flaps 38
Rotation Flap 43
Transposition Flaps 44
Suggested References 51
CHAPTER 5 SKIN GRAFTS&Gregory H.Branham 53
Introduction 53
Planning and Preoperative Analysis 53
Recipient Site 54
Donor Sites for Split Thickness Grafts 54
Harvesting Split Thickness Grafts 54
Placement of the Skin Graft 56
Donor Sites for Full Thickness Grafts 56
Healing of Skin Grafts 56
Postoperative Care 57
Suggested References 58
CHAPTER 6 NASAL RECONSTRUCTION&Gregory H.Branham and Arash Moradzadeh 59
Introduction 59
Nasal Anatomy 59
Nasal Defect Analysis 61
Nasal Defect Preparation 62
Choice of Reconstructive Technique 62
Alternatives to Local Flaps 62
Total Nasal Defects 63
Nasal Dorsum Reconstruction 66
Subtotal Dorsal Defects 66
Nasal Sidewall 67
Nasal Tip 70
Nasal Ala 71
Columella 71
Nasal Lining Restoration 72
Auricular Composite Grafts 72
Bipedicle Vestibular Skin Advancement Flap 73
Septal Mucoperichondrial Hinge Flaps:Ipsilateral and Contralateral 73
Inferior Turbinate Flap 76
Septal Composite Chondromucosal Pivotal Flap 76
Forehead Flap 76
Epithelial Turn-in Flap 77
Summary 77
Suggested References 78
CHAPTER 7 LIP AND PERIORAL RECONSTRUCTION&Christina Kenney Magill and Jill L.Hessler 79
Introduction 79
Facial Analysis 79
Special Preoperative Considerations 80
Oral/Perioral Defect Analysis 81
Choice of Reconstructive Technique 81
Defect considerations 81
Postoperative Care 87
Complications 87
Suggested Readings 87
CHAPTER 8 FOREHEAD AND BROW RECONSTRUCTION&Gregory H.Branham 89
Introduction 89
Anatomy 89
Vascular Supply 91
Neural Anatomy 91
Defect Analysis 93
Defect Preparation 93
Choice of Reconstructive Technique 94
Alternatives to Local Flaps 94
Glabella 94
Forehead 95
Brow 95
Temporal Region 96
Suggested References 96
CHAPTER 9 CHEEK RECONSTRUCTION&Gregory H.Branham 97
Introduction 97
Anatomy 98
Vascular Supply 98
Neural Anatomy 98
Defect Analysis 99
Defect Preparation 100
Choice of Reconstructive Technique 100
Alternatives to Local Flaps 101
Posterior Cheek 101
Anterior Cheek 101
Central/Inferior Cheek 102
Superior Cheek 103
CHAPTER 10 EYELID AND PERIOCULAR RECONSTRUCTION&Jasmine Mohadjer and John B.Holds 105
Introduction 105
Regional Anatomic Considerations 105
Eyelid Reconstruction 108
Postoperative Care 112
Eyelid Malpositions 113
Conclusion 115
Suggested References 115
CHAPTER 11 SCALP RECONSTRUCTION&Michael J.Brenner 117
Scalp Reconstruction 117
Introduction 117
Facial Analysis 117
Preoperative Considerations 122
Techniques 122
Postoperative Care 135
Complications 135
Suggested References 135
CHAPTER 12 POSTOPERATIVE CARE，COMPLICATIONS，AND ADJUNCTIVE SCAR CAMOUFLAGE&Gregory H.Branham 137
Postoperative Dressings 137
Tissue Adhesives 138
Technique for Application of Tissue Adhesive 138
Long-Term Scar Care 139
Scar Camouflage 139
Scar Revision Techniques 140
Suggested References 140
CHAPTER 13 COMPLICATIONS OF LOCAL FLAPS:PREVENTION AND MANAGEMENT&Michael J.Brenner and Chadd J.Sukut 141
Introduction 141
Patient Factors 141
Surgical Technique 142
Flap Design 145
Conclusion 149
Suggested References 149
INDEX 151