Principles of nasal reconstruction / [edited by] Shan R. Baker, Sam Naficy, with contributions by Brian Jewet ; Shayne Davidson, Jaye Schlessinger, medical illustrator[s].

Format:

Book

Contributor:

Baker, Shan R.

Naficy, Sam.

Jewet, Brian.

Language:

English

Subjects (All):

Nose--Surgery.

Nose.

Rhinoplasty.

Flaps (Surgery).

Nose--surgery.

Plastic Surgery Procedures--methods.

Skin Transplantation--methods.

Surgical Flaps.

Medical Subjects:

Nose--surgery.

Plastic Surgery Procedures--methods.

Skin Transplantation--methods.

Surgical Flaps.

Physical Description:

xii, 301 pages : illustrations (chiefly color) ; 29 cm

Place of Publication:

Philadelphia : Mosby, [2002]

Summary:

Here is today's most practical, in-depth, and up-to-the-minute source on nasal reconstruction following trauma or cancer surgery. This new text describes today's complete range of basic and advanced surgical techniques step by step, with hundreds of detailed photographs and exquisite medical illustrations demonstrating every nuance. What's more, case histories illustrate important principles, techniques, and limitations of nasal reconstruction. From surgical anatomy through patient evaluation, choice of procedure, operative technique, and prevention and management of complications, Dr. Baker's expert guidance equips readers to achieve optimal outcomes, time after time.

Contents:

Part I Fundamentals 1

Chapter 1 History of Nasal Reconstruction 2

Early Nasal Reconstruction 2

The Italian Method 3

The Indian Method 3

Internal Lining 5

Nasal Framework 9

Skin Coverage 9

Recent Developments 10

Chapter 2 Anatomic Considerations 13

Topographic Analysis 13

Aesthetic Units 14

External Nasal Anatomy 16

Nasal Skeletal Anatomy 18

Internal Nasal Anatomy 21

Chapter 3 Preparation of the Patient 25

Preoperative Consultation 25

Anesthesia 28

Local Anesthesia 29

Postoperative Care and Supplies 29

Hospitalization 30

Chapter 4 Internal Lining 31

Primary Closure 32

Full-Thickness Skin Grafts 32

Bipedicle Vestibular Skin Advancement Flap 33

Septal Mucoperichondrial Hinge Flap 34

Composite Septal Chondromucosal Pivotal Flap 36

Turbinate Flaps 41

Forehead Flap 45

Microsurgical Flaps 46

Chapter 5 Structural Support 47

Restorative Grafts 47

Structural Grafts 49

Contour Grafts 54

Chapter 6 External Covering 58

Preparation of the Defect 58

Primary Closure 62

Healing by Secondary Intention 62

Delayed Skin Grafting 62

Skin Graft 65

Perichondrocutaneous Graft 65

Composite Graft 66

Nasal Cutaneous Flaps 66

Interpolated Melolabial Flap 66

Interpolated Paramedian Forehead Flap 66

Radial Forearm Microsurgical Flap 70

Part II Technique 71

Chapter 7 Cartilage Grafts 72

Auricular Cartilage Graft 72

Septal Cartilage Graft 76

Rib Cartilage Graft 77

Alar Cartilage Graft 79

Contouring Grafts 79

Chapter 8 Bone Grafts 83

Cranial Bone Graft 83

Rib Bone Graft 85

Septal Bone Graft 86

Sculpting and Fixation of Bone Grafts 87

Chapter 9 Skin and Composite Grafts 89

Skin Grafts 89

Split-Thickness Skin Graft 90

Full-Thickness Skin Graft 90

Composite Chondrocutaneous Grafts 95

Other Composite Grafts 98

Chapter 10 Nasal Cutaneous Flaps 103

Technique 104

Single Lobe Transposition Flap 106

Rotation Flap 106

V to Y Island Pedicle Advancement Flap 106

Dorsal Nasal Flap 107

Bilobe Flap 112

Complications 119

Chapter 11 Intranasal Flaps 121

Skin Grafts 121

Bipedicle Vestibular Skin Advancement Flap 122

Ipsilateral Septal Mucoperichondrial Hinge Flap 124

Contralateral Caudally Based Septal Mucoperichondrial Hinge Flap 130

Bilateral Caudally Based Septal Mucoperichondrial Hinge Flaps 132

Contralateral Dorsal Septal Mucoperichondrial Hinge Flap 132

Septal Composite Chondromucosal Pivotal Flap for the Tip and Columella 133

Septal Composite Chondromucosal Pivotal Flap for the Dorsum 137

Septal Composite Chondromucosal Pivotal Flap for the Tip, Columella, and Dorsum 140

Tubinate Mucoperiosteal Flap 140

Postoperative Nasal Care 141

Chapter 12 Subcutaneous Hinge Cheek Flaps 144

Lateral Alar Defect 147

Nasal Sidewall Defect 151

Combined Ala and Sidewall Defect 152

Complications 152

Chapter 13 Interpolated Cheek Flaps: Reconstruction of the Alar and Columellar Units 153

Reconstruction of the Ala 153

Technique: Interpolated Subcutaneous Pedicled Cheek Flap 154

Technique: Interpolated Cutaneous Pedicled Cheek Flap 164

Cheek Versus Forehead Flap 165

Complications 166

Reconstruction of the Columella 167

Technique: Interpolated Subcutaneous Pedicled Cheek Flap 169

Chapter 14 Interpolated Paramedian Forehead Flaps 171

Paramedian Forehead Flap 174

Surgical Technique 177

Special Case 190

Forehead Expansion 191

Complications 192

Advantages 192

Chapter 15 Refinement Techniques 196

Contouring of Flaps 196

Interpolated Paramedian Forehead Flaps 196

Interpolated Cheek Flaps 197

Nasal Cutaneous Flaps 198

Secondary Contouring 198

Alar Base Reduction 199

Correction of Alar Notching 201

Contour Grafting 202

Hair Removal 202

Concurrent Rhinoplasty 202

Scar Revision 207

Dermabrasion 207

Eyebrow Repositioning 209

Correcting Facial Asymmetry 209

Correcting Contour Deformity 209

Chapter 16 Complications 212

Hemorrhage 212

Infection 213

Partial-Thickness Flap Necrosis 213

Full-Thickness Flap Necrosis 213

Skin Graft Necrosis 214

Alar Retraction 214

Excessive Scarring 217

Cutaneous Changes 217

Part III Representative Cases 223

Section A Partial Thickness Defects 224

Chapter 17 Reconstruction of Lateral Tip: Two Methods of Repair 224

Chapter 18 Reconstruction of Central Tip: Three Methods of Repair 231

Chapter 19 Reconstruction of Tip, Dorsum, Sidewalls, and Ala 237

Chapter 20 Sequential Paramedian Forehead Flaps 244

Section B Full-Thickness Defects 250

Chapter 21 Reconstruction of Nasal Facet 250

Chapter 22 Reconstruction of Ala and Lateral Tip 257

Chapter 23 Bilateral Paramedian Forehead Flaps 263

Chapter 24 Reconstruction of Nasal Sidewall and Dorsum 269

Chapter 25 Near-Total Nasal Reconstruction 275

Chapter 26 Reconstruction of Ala, Cheek, and Upper Lip 284

Chapter 27 Reconstruction of Nasal Dorsum, Sidewall, Cheek and Medial Orbit 289.

Notes:

Includes bibliographical references and index.

ISBN:

0323011470

OCLC:

48004918