Reconstructive facial plastic surgery : a problem-solving manual / Hilko Weerda.

Format:

Book

Author/Creator:

Weerda, Hilko.

Standardized Title:

Plastisch-rekonstruktive Chirurgie im Gesichtsbereich. English

Language:

English

German

Subjects (All):

Face--Surgery.

Face.

Surgery, Plastic.

Face--surgery.

Plastic Surgery Procedures--methods.

Medical Subjects:

Face--surgery.

Plastic Surgery Procedures--methods.

Physical Description:

xi, 148 pages : illustrations ; 28 cm

Place of Publication:

Stuttgart ; New York : Thieme, [2001]

Contents:

1 Anatomy of the Skin and Skin Flaps 1

The Skin 1

Types of Skin Flaps 1

Random Pattern Flaps 1

Axial Pattern Flaps 2

Island Flaps 2

Myocutaneous Island Flaps 2

Neurovascular Island Flaps 2

2 Basic Principles of Facial Surgery 3

Suture Materials and Techniques 3

Instruments and Accessories 5

Wound Management, Repair of Small Defects, and Scar Revision 5

Relaxed Skin Tension Lines, Vascular Supply, and "Esthetic Units" 5

Wound Management and Scar Revision 5

Management of Wounds with Traumatic Tattooing 7

Scar Revision by W-Plasty and the Broken-Line Technique of Webster (1969) 7

Small Excisions 7

Z-Plasty 8

Postoperative Treatment of Scars 9

Esthetic Units 9

Tumor Resection with Histologic Control 10

Free Skin Grafts 10

Composite Grafts 11

Graft Nomenclature 11

3 Coverage of Defects 12

Local Flaps 12

Advancement Flaps 12

Advancement Flap of Burow (1855) 12

Burow's U-Advancement 12

V-Y and V-Y-S Advancement of Argamaso (1974) 13

Flaps without Continuous Epithelial Coverage (Rettinger 1996) 13

Sliding Flap 13

Pedicled Flaps 14

Transposition Flap 14

Rotation Flap 15

Bilobed Flap 16

Rhomboid Flap 17

Turnover Flap 18

Tubed Pedicle Flap (Bipedicle Flap) 18

Distant Flaps 19

Distant Tubed Pedicle Flap 19

Special Part 21

Coverage of Defects in Specific Facial Regions 22

4 Forehead Region 23

Median Forehead Region 23

Wedge-Shaped Defects 23

H-Flap 24

Double Rotation Flap 24

Lateral Forehead Defects 25

Forehead Rotation 25

5 Nasal Region 26

Glabella and Nasal Root 26

U-Advancement Flap of Burow 26

V-Y Advancement 26

Sliding Flap 27

Nasal Dorsum 28

Bilobed Flap 28

Island Flap 28

Rieger Flap 29

Nasolabial Flap 29

Cheek Flap 29

Nasal Tip 31

Bilobed Flap 31

V-Y Advancement Flap of Rieger (1957) 32

Median Forehead Flap 33

Larger Defects of the Nasal Tip and Ala 34

Frontotemporal Flap of Schmid and Meyer 34

Nasal Flank 36

Flap Advancement of Burow (1855) 36

Median Cheek Rotation of Sercer (1962) 36

Burow's Laterally Based Cheek Advancement Flap 37

Imre's Cheek Rotation (1928) 37

Cheek U-Flap 38

Island Flap 40

Sliding Flap 41

Nasal Ala 41

Full-Thickness Reconstructions 41

Z-Plasty of Denonvilliers and Joseph (1931) 41

Anteriorly Based Alar Rotation (Weerda 1984) 41

Modification of the Anteriorly Based Alar Rotation 42

Coverage with a Transposition Flap 42

Lowering the Alar Rim as a Full-Thickness Bipedicle Flap and with a Composite Graft 42

Turnover Flap and Composite Graft 42

Converting a peripheral to a Central Defect (Haas 1991) and Reconstructing the Alar Rim with a Transposition Flap 43

Wedge-Shaped Defect in the Alar Rim 43

Nelaton Flap (Nasolabial Flap) 44

Sliding Flap of Barron et al. (1965) and Lejour (1972) from the Nasolabial Fold 45

In-and-Out Flap of Peers (1967) 45

Median Forehead Flap 45

Bilobed Flap from the Cheek (Weerda 1983) 45

The Columella 46

Nelaton Flap 46

Frontotemporal Flap of Schmid and Meyer (1964) 46

Composite Graft 46

Partial and Total Nasal Reconstruction 46

Converse Scalping Flap (Forehead-Scalp Flap) 49

Total Nasal Reconstruction with the Sickle Flap (Farrior 1974) 51

Median Forehead Flap with Soft-Tissue Expansion 51

Nasal Reconstruction with Distant Flaps 52

Perforations of the Septum 52

Small Perforations 52

Large Defects 53

Oral Mucosal Flap of Meyer (1988) 53

Nasolabial Flap of Tipton (1975) 53

Bipedicled Flap of Schultz-Coulon (1989) 53

6 The Lips 55

Mucosal Defects 55

Wedge-Shaped Defects 55

Large Superficial Defects 55

Upper Lip 56

Median Deficiency 56

Thin Upper Lip 56

Thin Upper Lip and Full Lower Lip 56

Median Scars and Upper Lip Defects 58

Scar Revisions 59

Small Contractures 59

Larger Contractures 60

Larger Scar Contractures Causing Lip Retraction 61

Defects in the Nasal Floor and Upper Lip 61

Transposition Flap from the Nasolabial Fold 61

Bilobed Flap 61

Central Defects of the Upper Lip 63

Celsus Method Combined with an Abbe Flap 63

Classic Reconstructive Techniques in the Upper Lip 63

Abbe Flap (1898) 63

Estlander Flap (1872) 65

Upper Lip Reconstruction with a Rotation Flap (Blasius 1840) 66

Upper Lip Reconstruction by the Method of Dean et al. (1975) as Modified by Weerda (1990) 66

Gillies Fan Flap (1976) 66

Neurovascular Skin-Muscle-Mucosal Flap of Weerda (1980, 1990) 67

Lower Lip 68

Scar Contractures and Small Defects 68

Small Contractures 68

Larger Contractures 68

Small Defects 69

Lip Reduction 69

Sliding Flaps in the Vermilion 70

Classic Lower Lip Reconstructions 70

Wedge Excision 70

Estlander Flap (1872) 72

Vermilion Reconstruction by the Method of von Langenbeck (1855) 72

Tongue Flap 73

Brown Modification of the Estlander Flap (1928) 73

Unilateral or Bilateral Gillies Fan Flap 74

Universal Method of Bernard (1852), Grimm (1966), and Fries (1971) 74

Reconstruction of the Lateral Lip and Commissure 77

Burow's Method of Reconstructing the Lateral Upper Lip (1855) 77

Reconstruction of the Commissure by the Method of Rehn (1933) as Modified by Fries (1971) and Brusati (1979) 78

Reconstruction of Large Commissural Defects 78

Large Full-Thickness Reconstruction of the Cheek and Commissure 79

Asymmetric Defects of the Commissure and Cheek 80

Vermilion Defects 80

Vermilion Advancement of Goldstein (1990) 80

Elongation of the Oral Fissure 81

Method of Converse (1959) (Weerda 1983) 81

Method of Converse (1977) 81

Method of Ganzer (1921) 81

Method of Gillies and Millard (1957) 81

7 The Chin 83

Coverage of Small Defects in the Chin Area 83

Advancement Flap 83

Bilobed Flap 83

8 The Cheek 84

Medial Cheek Defects 84

Upper Medial Cheek 84

Esser Cheek Rotation (1918) 84

Cheek Reconstruction Combining the Methods of Esser (1918) and Imre (1928) (Weerda 1980) 84

Small Cheek Defects 84

Imre Cheek Advancement Flap (After Haas 1973, Modified) 85

Modified Esser Cheek Rotation For Nasal Flank Defects 85

Defect in the Medial Canthus 85

Mid-Anterior Cheek 86

Pedicled Bilobed Flaps 86

V-Y Advancement 87

Upper and Posterior Cheek 87

Trilobed Flap of Weerda (1979) 87

Bilobed Flap 88

Lateral Cheek Defects 88

Small Lateral Cheek Defects 88

Small Preauricular Defects 90

Simple Skin Advancement and Rotation (Burow's Method) 90

Opposing Transposition Flaps 90

Large Defects involving the Auricle 91

Lateral Cheek Rotation of Weerda (1980c) 91

Pedicled Transposition Flaps 92

Preauricular Hair Loss 93

Inferiorly Based Retroauricular Transposition Flap (Weerda 1978a) 93

Large Bilobed Flap from the Neck (Weerda 1980b) 93

9 The Eyelids 95

Upper Eyelid 95

Direct Closure 95

Semicircular Flap Closure of Beyer-Machule et al.

(1993) 95

Switch Flap 96

Upper Eyelid Reconstruction of Fricke and Kreibig 96

Bilobed Flap 97

Total Upper Lid Reconstruction by the Two-Stage Mustarde Technique (Beyer-Machule and Riedel 1993) 97

Reconstruction of the Lower Eyelid 98

Reconstruction of Small Defects in the Lower Eyelid 98

Large Defects 98

Reconstruction of the Lower Lid with Ectropion 98

Transposition Flap 98

Total Lower Lid Reconstruction 98

Reconstruction of the Medial Canthus 100

10 The Auricular Region 101

Central Defects 101

Concha 101

Postauricular Island Flap 101

Superiorly or Inferiorly Based Transposition Flap 101

Temporary Separation of the Helix (Weerda 1984) 101

Peripheral Defects 102

Helix 102

Tumor Resection and Helical Defect Closure with a Decrease in Auricular Size 102

Reconstruction of Helical Defects with Preservation of Auricular Size 103

Partial Auricular Defects 104

Upper Third Defects 104

Middle Third Defects 105

Burow's Retroauricular U-Advancement Flap 105

Transposition-Rotation Flap of Weerda (1980b) 106

Larger Middle Third Defects 106

Lower Third Defects 108

Earlobe Reconstruction by the Gavello Technique 108

Weerda's Modification of the Gavello Flap 108

Earlobe Reconstruction by the Alanis Technique 108

Earlobe Reconstruction in Two Stages 108

Acquired Earlobe Cleft 109

Earlobe Reduction 109

Postauricular Surface 110

Subtotal Defects of the Auricle 110

Loss of the Auricle 110

Fresh Avulsion Injuries 110

Microvascular Replantation 110

Replantation of the Auricular Cartilage 110

Replantation by the Technique of Mladick (1971) 111

Auricular Replantation by the Technique of Baudet (1972) and Arfai (1974) (Weerda 1980) 111

Auricular Reconstruction Following Total Amputation 112

Reconstruction of the Ear or Auricular Region in Patients with Skin Loss or Burns 114

Fan Flap of Parietotemporal Fascia 114

Closure of Defects in the Auricular Region 115

11 Rib Cartilage 117

Obtaining Rib Cartilage 117

Preparation of Cartilage Grafts 118

Carving an Auricular Framework 118

12 Myocutaneous Island Flaps 120

Pectoralis Major Island Flap 120

Latissimus Dorsi Island Flap 121

Neurovascular Infrahyoid Myofascial Flap of Remmert (1994) 122

13 Deltopectoral Flap 124

14 Free Flaps 125

Radial Forearm Flap 125

Allen Test 126

Groin Flap 126

Microvascular Surgery 128

Instrumentation 128

Practicing for Microvascular Surgery 129

Knot-Tying Practice Under a Microscope or Binocular Loupe 129

Microvascular Anastomosis in an Experimental Animal: Vascular Dissection in the Rat 131

Problems and Complications 134

Test for Patency 136

15 Harvesting a Bone Graft from the Iliac Crest 137

16 Dermabrasion 140.

Notes:

Includes bibliographical references (pages 141-144) and index.

ISBN:

3131296410

1588900762

OCLC:

47659425