Facial Reconstruction after Mohs Surgery The growing worldwide incidence of melanoma and nonmelanoma skin cancers has driven the development of effective treatment methodologies. Mohs is the gold standard surgical treatment for excision of skin cancers on the head and neck. While Mohs surgery has a 99% effectiveness rate for new cancers and 95% for recurrences, more than 90% of reconstructed patients desire some improvement in their operative scars. Facial Reconstruction after Mohs Surgery by James Thornton and Jourdan Carboy summarizes 15 years and 12,000 cases in a surgical practice devoted to post-Mohs facial reconstruction. Step-by-step guidance is provided on efficacious, aesthetically pleasing, and functionally complete repairs, respective of a patient's age, anesthesia considerations, and available resources. In addition to succinct chapters on lip, ear, cheek, scalp, and nasal reconstruction, subspecialty chapters cover anesthesia, Mohs surgery, oculoplastic surgery, and microvascular reconstruction. Throughout the text, complete and concise clinical algorithms serve as a framework to help simplify difficult clinical concepts. Key Highlights General techniques including wound care, skin and cartilage grafts; and local and pedicled flaps The management of intraoperative, acute, and late healing stage complications; scar optimization and revision surgeries Additional procedural guidance provided in 20 high quality video clips posted in the Thieme MediaCenter Nearly 500 full-color photos and precise drawings add a rich visual dimension and show stepwise operative sequences This book is comprehensive resource on tried and true techniques for soft tissue reconstruction after Mohs cancer resection. It is essential reading for plastic surgery, facial plastic surgery and dermatology residents and clinicians with practices devoted to facial plastic surgery.

The treatment of skin cancer has become an increasingly multispecialty practice. Ongoing surgical and postsurgical advances and emergent factors that predispose patients to these tumors have changed the treatment paradigm. Having a keen understanding of diagnostic, surgical, and nonsurgical treatment options is key to identifying, treating, or referring patients with potential cutaneous malignancies. While Brian R. Gastman's Cutaneous Malignancies: A Surgical Perspective is the first of its kind to emphasize surgical management of skin cancer, several sections are devoted to systemic nonsurgical therapies affecting patient care and surgical intervention. Topics encompassed include prevention, diagnosis, medication management, appropriate margin size, reconstruction methods, and the importance of stellar dermatopathology. Key Highlights The role of Mohs micrographic surgery and radiation in skin cancer treatment Treatment approaches for the two most common forms of skin cancer respectively, basal cell carcinoma and squamous cell carcinoma Surgical treatment of cutaneous malignant melanoma and other high-risk malignancies Clinical insights on completion lymphadenectomy and sentinel node biopsy for melanoma, two topics rarely addressed in context with skin cancer Diagnosis and treatment of rare malignancies including Merkel cell carcinoma, dermatofibrosarcoma protuberans, cutaneous angiosarcoma, and cutaneous leiomyosarcoma More than 400 high-quality illustrations further delineate surgical modalities Edited by an esteemed dual board certified plastic surgeon and otolaryngologist, this definitive book is the most complete guide to surgical management of skin cancer. It is essential reading for plastic surgeons, dermatologists, otolaryngologists, and all clinicians who treat or refer patients with suspected skin cancer.

Your Helping Hand in Getting Started with the Surgical Treatment of Hand Trauma Surgical treatment of hand trauma is a highly complex form of surgery that requires mastery of several different disciplines, including microsurgery of blood vessels less than 1 mm in diameter, osteosynthesis, and flap coverage of traumatic defects. Combining these disciplines into an effective surgical repertoire requires no little creativity. This work intends to provide clear, practical guidance to the less experienced so that they gain confidence in carrying out the core procedures involved in the surgical management of hand trauma. Key Features: Stepwise, concise descriptions of all core procedures, highly and helpfully illustrated Procedures and topics covered include: nailbed repair, infections of the hand, flexor and extensor tendon repair, EIP to EPL tendon transfer, digital nerve repair, replantation and revascularization, fracture fixation techniques, limb threatening emergencies, and more A wealth of useful tips and tricks, for trainees by trainees Nikkhah's Hand Trauma: Illustrated Surgical Guide of Core Procedures is certain to be treasured as an indispensable resource for trainees in plastic, orthopaedic, and hand surgery.

This issue of Foot and Ankle Clinics will include articles on the following: Ankle replacement vs, arthrodesis; Osteolysis; coronal plane malalignment in total ankle arthroplasty; salvage of failed total ankle arthroplasty with anterior translation of the talus; malalignment of the foot or leg; use of tendon transfers; management of the failed long-stemmed custom agility total ankle arthroplasty; and many more articles surrounding foot and ankle arthroplasty.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Jin Bo Tang and Michel Saint-Cyr, is devoted to Microsurgery: Global Perspectives. Articles in this issue include: Digital Replantation: Current Status in the World; Exploring New Frontiers of Microsurgery: From Anatomy to Clinical Methods; Free Flaps, Toe Transfers and Microsurgery for Crush Injury in the Hand; Vascularised Bone Grafting for Scaphoid and Lunate Diseases; Vascularised Small Bone Grafting to Treat Scaphoid Non-Union: Outcomes; Compound or Specially Designed Flaps and Other Tissue Transfers in Upper and Lower Extremities; Special Considerations in Upper and Lower Extremity Pediatric Microsurgical Reconstruction; Microsurgical Tissue Transfer in Breast Reconstruction; Non-abdominal Based Free and Pedicle Flaps in Autologous Breast Reconstruction; Complex Microsurgical Reconstruction after Tumor Resection in the Trunk and Extremities; Keystone and Pedicle Perforator flaps in Sarcoma Reconstruction: New Modifications and Applications; Innovations and Future Directions in Head and Neck Microsurgical Reconstruction; New Frontiers in Robotic Assisted Microsurgical Reconstruction; and Current Methods to Deal with Vascular Crisis After Microsurgery: A Global View.

This issue of Clinics in Plastic Surgery, edited by Drs. Fu-Chan Wei and Nidal Farhan Al Deek, is devoted to Free Tissue Transfer to Head and Neck: Lessons Learned from Unfavorable Results. Articles in this issue include: The Triangle of Failure: Failure in Planning, Selection, and Execution; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Chang Gung Experience; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: M.D Anderson Cancer Center Perspective; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Point of View; Insights from Mexico on the Unfavorable Results after Free Tissue Transfer to Head and Neck; "A Word" from University of Toronto on the Unfavorable Results after Free Tissue Transfer to Head and Neck; Mount Sinai Medical Center and their Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Mayo Clinic Experience with Unfavorable Results after Free Tissue Transfer to Head and Neck; University of Washington at Seattle and the Unfavorable Results after Free Tissue Transfer to Head and Neck; Henri Mondor Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Liverpool Opinion on Unfavorable Microsurgical Head and Neck Reconstruction: Lessons Learned; The Osteoradionecrosis as Untoward Outcomes Following Successful Free Tissue Transfer to Head and Neck; Trismus as Untoward Outcomes after Successful Free Tissue Transfer to Head and Neck; and Oro- and -Naso- Cutaneous Fistulae as Untoward Outcomes after Successful Free Tissue Transfer to Head Neck.

Nasoseptal Perforations: Endoscopic Repair Techniques This atlas offers a complete review of all endoscopic approaches available for the repair of nasoseptal perforations, following damage that may occur through trauma, infection, drug abuse, or as a result of endoscopic skull base surgery. Approaches are explained step by step using brilliant photographs from fresh cadaver dissections. Key Features: Internationally renowned specialists from Europe and the United States as editors and contributors Full-color photos of fresh cadaver dissections illustrate all steps for each approach Specific anatomic landmarks as revealed during each step are detailed, providing confidence in spatial orientation Includes risks and potential complications as well as methods to reduce them Videos of cadaver dissections and live surgery Nasoseptal Perforations: Endoscopic Repair Techniques will be an important resource for residents, fellows, and surgeons in otolaryngology, plastic and reconstructive surgery, and cranio-maxillofacial surgery.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Lee L.Q. Pu and Chunmei Wang, is devoted to Pre-Expanded Perforator Flaps. Articles in this outstanding issue include: Contemporary Concepts of Perforator Flaps; Pre-Expanded Perforator Flaps: An Overview (Concept, Anatomic Study, Development, Clinical Application); Imaging Studies for Perforator Flaps (Pre-Operative Planning and Flap Design); Pre-Expanded Super-Thin Skin Perforator Flaps; Pre-Expanded Transverse Cervical Perforator Flap; Pre-Expanded Internal Mammary Perforator Flap; Pre-Expanded Deep Inferior Epigastric Perforator Flap; Pre-Expanded Intercostal Perforator Flap; Pre-Expanded Thoracodorsal Perforator Flap; Pre-Expanded Paraumbilical Perforator Flap; Pre-Expanded Supraclavicular Perforator Flap; Pre-Expanded Free Perforator Flaps (IMAP, ICAP, LCFAP, TDAP, LAP); Pre-Expanded Perforator Flap for Total Nasal Resurfacing; Pre-Expanded, Pre-Fabricated Perforator Flap for Total Facial Resurfacing; Pre-Expanded, Pre-Fabricated Perforator Flap for Total Hand Resurfacing; and Future Perspective of Pre-Expanded Perforator Flaps (Theory, Clinical Application).

Hand and Wrist Anatomy and Biomechanics A Comprehensive Guide There is a saying that "hand surgery without a tourniquet is like repairing a clock in a barrel full of dark ink." Operating without a sound fundamental knowledge of anatomy can be compared to "stirring around in the soup." Classic anatomy instruction covers only a fraction of the area of hand surgery: bones, muscles/ligaments, vessels, and nerves. The many different connective-tissue structures are often only briefly highlighted. The complex interaction of the various structures remains a mystery to most. This book presents the specialty of applied anatomy and is intended for medical professionals involved with the hand and its functionality: hand surgeons, trauma specialists, orthopaedists, plastic surgeons, occupational therapists, and physio-therapists. Key Features: Almost 150 illustrations, anatomical drawings, and photos of anatomy in vivo. Up-to-date information on clinical aspects such as diseases, their causes, and their treatment. Part 1 deals with the anatomy and functional anatomy of the hand Part 2 is dedicated to the surface anatomy of the structures of the forearm, wrist, and hand

This issue of Clinics in Plastic Surgery, devoted to Complications in Breast Reduction, is guest edited by Dr. Dennis C. Hammond. Articles in this issue include: Assessing Risk and Avoiding Complications in Breast Reduction; Management of Shape Distortion After Vertical Breast Reduction; Management of Shape Distortion After Wise Pattern Breast Reduction; Management of Shape Distortion After SPAIR Mammaplasty; Management of the Ischemic NAC After Breast Reduction; Nipple Reconstruction After NAC Necrosis Following Breast Reduction; Management of Recurrent Macromastia; Management of Occult Cancer After Breast Reduction; Mammographic Management of the Post-reduction Breast; Management of Asymmetry After Breast Reduction; Management of the High Riding Nipple After Breast Reduction; Breast Reduction in the Burned Breast; Avoiding Complications in Gigantomastia; and Avoiding Medicolegal Risk in Breast Reduction.

Anatomy for Plastic Surgery of the Face, Head, and Neck details the complex regional anatomy of the face, head and neck, providing plastic surgery and otolaryngology residents with a solid anatomical knowledge base. There are many danger zones involved in operating on the head and neck, and the detailed knowledge of anatomy that readers gain from this reference will help them avoid the surgical mishaps that often result in patient disfigurement. Key Features: Complex regional anatomy of the head and neck detailed with drawings, intraoperative photos and radiologic images Online access to videos in which authors walk readers through the anatomy of the face, head and neck Covers the latest anatomical topics, including arterial supply of the facial skin and sensory nerves of the head and neck This excellent anatomical reference will be read cover to cover by young plastic surgeons and otolaryngologists, as well as residents in these specialties. More experienced surgeons will refer to it whenever they need to learn about an unfamiliar area of the head and neck.

Patient demand for perforator flap procedures is quickly growing due to positive results: they leave women with natural, normal-feeling breasts without destroying any muscle. Perforator Flaps for Breast Reconstruction gives plastic surgeons the detailed instructions they need to perform these sophisticated breast reconstruction procedures. Key Features: Written by expert surgeons who have perfected the use of perforator flaps in breast reconstruction procedures Detailed instructions on how to perform DIEP, SIEA, SHaEP, PAP, GAP, LAP, and TDAP flap procedures Radiographic images, intraoperative photos, and carefully prepared illustrations walk the reader through each procedure Many of the contributors to Perforator Flaps for Breast Reconstruction have pioneered the procedures presented in their respective chapters. This book is an essential authoritative guide for plastic surgeons interested in making perforator flap reconstruction part of their practice.

A beautifully illustrated, step-by-step surgical guide to the key procedures in reconstructive facial plastic surgery Drawing on decades of operating room and teaching experience, Dr. Weerda and his team offer a complete guide to reconstructive options for facial, head, and neck defects in this eagerly awaited second edition. Their systematic, step-by-step approach, with an emphasis on meticulous preoperative planning, evaluation of alternatives, and selection of the best procedure, ensures optimal results for all patients. Special features of the second edition: Includes more than 1,500 sequential illustrations of each procedure, along with full-color intraoperative photographs and before and after surgical results Reviews the full range of local, regional, and free flaps used in the reconstruction of facial structures, with chapters on myocutaneous island flaps, delto-pectoral flaps, and free microvascular transplants written by well-known practitioners Offers new and expanded sections on dermabrasion, free flaps, removal of skull bone for modern defect reconstruction, instrument sets/trays, and more Covers the entire scope of the field, from basic principles, anatomy, wound healing, and scar revision to defect closings in each facial region, bone grafts, and the groundbreaking auricular reconstructive techniques developed by Dr. Weerda Focusing on the questions, problems, and technical solutions most commonly encountered in everyday practice, this compact book will be valuable to both the novice and more experienced surgeon. It is filled with the insights, wisdom, and experience of a leading worldwide expert, and will be kept close at hand as a refresher, teaching guide, encyclopedia of facial plastic techniques, and standard operating room reference.

View Larger Image Author Affiliation Minimally Invasive and Office-Based Procedures in Facial Plastic Surgery Minimally Invasive and Office-Based Procedures $249.99 Fedok / Carniol Publication Date: July 2013 1st Edition 368 pp, 693 illustrations Mixed media product ISBN (Americas): 9781604065671 Innovative cosmetic facial plastic surgery techniques from expert surgeons Minimally Invasive and Office-Based Procedures in Facial Plastic Surgery is a practical how-to guide that focuses on the latest techniques used to perform cosmetic plastic surgery procedures in an office or outpatient setting. The procedures covered range from chemical peels to short-incision face and neck lift, and much more Key Features: Online access to over three hours of video in which experts demonstrate the surgical techniques presented in the book Chapters are written so that both novice and more experienced practitioners can become proficient at performing new techniques More than 500 detailed color illustrations, presented in a step-by-step format, clarify the procedures Written by experts in the fields of facial plastic surgery, dermatology and plastic surgery Facial plastic surgeons, otolaryngologists, dermatologists, and plastic surgeons will repeatedly consult this book to review specific techniques in detail before performing a procedure in cosmetic facial surgery.

Microsurgical Reconstruction of the Head and Neck is a master work representing a unique collaboration among the world's leading microsurgeons who share their expertise and insights on the latest advances and techniques in head and neck reconstruction. Comprehensive Coverage Inspect this work today, and you will be delighted with its comprehensive coverage, logical organization, appealing layout, and beautiful four-color illustrations detailing anatomic structures and step-by-step operative technique. The book is divided into seven sections with 44 chapters covering the full spectrum of problems encountered in head and neck surgery. Part I provides an overview of management of head and neck tumors. Part II discusses fundamentals of reconstruction with chapters on microsurgical technique, choosing recipient vessels, preoperative workup, and postoperative management. Part III describes commonly used flaps with detailed illustrative step-by-step descriptions of operative technique. Part IV focuses on reconstruction for each head and neck region with helpful dialogue boxes summarizing key points. Part V, Rehabilitation, contains chapters on osseointegration and facial prosthetics, whereas Part VI deals with refinements and complications, and Part VII, The Future, has chapters on flap prefabrication and composite tissue allotransplantation. Unique Features Although this book contains all the detailed information one would expect, what is really appealing is its formatting. This book is designed to be both a comprehensive reference and a quick reference guide. It is packed with clinical pearls and must-know information. Each chapter includes helpful boxes containing chapter summaries, critical points, tips and tricks, pitfalls to avoid, and much more. Even though the emphasis of the book is on microsurgical reconstruction, it also includes information on basic reconstructive principles as well as some of the newer local and regional flaps used in the head and neck. To enhance the learning experience, two accompanying DVDs present operative videos on a number of the most commonly used flaps. Hot Topics Laryngeal reconstruction Free-style free flaps Facial prosthetics Supramicrosurgery Voice rehabilitation Perforator flaps Composite tissue allotransplantation

The main sections/chapters of the book focus on the composition of nine types of bioceramics, other simple oxides and more and the medical applications of these materials in orthopaedics, dentistry and the treatment of cancerous tumors.

Handbook of Animal Models in Transplantation Research is a new surgical handbook that provides detailed information concerning the transplantation of a variety of tissues in experimental animals. The text provides a practical guide for experienced investigators to develop new surgical transplantation models for application in a laboratory setting. Each chapter gives consistent descriptions of the anatomical considerations, the surgical model, and potential applications of the procedure. The organ systems covered include the heart and/or lung, liver, small bowel, kidneys, and bone marrow. The species selected for representation of each experimental model is based upon the usefulness and frequency of the model for studies in transplantation research. This book is important for all experimental surgeons, transplantation biologists, and students of surgical research.

Comprehensive Cleft Care is a complete clinical reference that addresses every aspect of the life-long care required by patients with orofacial clefting. Supported by a handsome full-color presentation, Comprehensive Cleft Care features heavily-illustrated chapters that provide unmatched coverage of everything from prenatal diagnosis to final orthognathic surgery. The inclusion of topics such as basic science research, mission work, and outcome measures make this an all-in-one clinical companion with coverage that cannot be found anywhere else. With its distinct holistic approach and perspectives from skilled specialists in a variety of disciplines, Comprehensive Cleft Care presents an unmatched overview of cleft repair and management. Volume One of the book covers non-surgical issues including: Embryology, Anatomy, Classification, Epidemiology, and Genetics; Nursing topics, Neuropsychosocial and Educational Aspects, Otologic, Audilogic, and Airway Assessment and Management, Outcomes and Research.

A step-by-step manual for the most versatile flaps in reconstructive surgery This handbook is an introductory guide to harvesting essential workhorse flaps of the torso and upper and lower extremities. Chapters are grouped into separate sections based on the anatomic region of the flaps. Each chapter details the critical clinical information the surgeon needs to know to effectively harvest flaps, providing concise descriptions of the preparation, incision, and dissection techniques. Precise illustrations supplementing the descriptions enable surgeons to fully understand the technical maneuvers of each procedure. Features: Step-by-step descriptions of flap harvesting techniques Thorough discussion of the relevant vascular or neurovascular anatomy for each dissection More than 200 illustrations and schematics demonstrating key concepts Consistent presentation in each chapter to facilitate reference and review Practical discussion of common pitfalls to prepare the surgeon for managing the full range of scenarios in the clinical setting Overview of fundamental concepts, including microvascular anatomy and patterns of vasculature of soft tissue flaps, instrumentation, and microvascular and microneural suturing techniques Providing a solid foundation upon which to further develop surgical skills, this book is an indispensable resource for residents in plastic and reconstructive surgery, trauma surgery, orthopedics, and neurosurgery.

The Classic Text-Expanded, Updated...More Authoritative than Ever! Cutaneous Melanoma is the definitive and most authoritative textbook on melanoma used worldwide. This 5th edition provides the most up-to-date and comprehensive information needed for the clinical management and scientific study of melanoma. Written by the leading melanoma experts from the United States, Australia, and Europe, this new edition collectively incorporates the clinical outcomes of more than 60,000 patients treated at major melanoma centers throughout the world. Comprehensive Coverage-from Prevention to Advanced Treatment This new edition provides in-depth coverage, ranging from precursors of melanoma to advanced stages of metastatic disease; from melanoma genes to population-based epidemiology; and from prevention of melanoma to all forms of multidisciplinary treatments. Basic principles of diagnosis and pathologic examination are combined with treatment approaches for the many clinical presentations. Clinical management is supported by statistical data about natural history, prognosis, and treatment results. The latest information on staging and prognosis, as well as randomized prospective clinical trials involving surgical treatment and systemic treatments, is included. This volume presents a balanced perspective of the risks and benefits involved in each treatment modality. The book also contains: 1) a comprehensive color atlas of melanoma and its precursors, 2) illustrated surgical and perfusion techniques for every stage and anatomic location of melanoma, and 3) complex genetic and molecular pathways involving melanoma biology. Every drug and biologic agent in use today is described with indications and efficacy. Entirely Revised and Updated Seven new chapters discuss the emerging clinical data on the use of biomarkers, adjuvant therapies, targeted therapies, and immune modulation as well as significant clinical research advances in the clinical management of melanoma. The remaining 37 chapters have been extensively updated and revised to include the latest clinical, radiological, and pathological data and clinical trial advances. Cutaneous Melanoma, 5th Edition, retains the logical organization and clarity of expression responsible for its enduring popularity over the last 23 years. This volume will become an invaluable part of your library and a trusted resource that you will refer to again and again. The most comprehensive reference on melanoma available today! New Chapters Include: Clinical Genetics and Risk Assessment Sentinel Lymph Node and Regional Micrometastases Multidisciplinary Management of CNS Metastases Adjuvant Therapy for Cutaneous Melanoma Immune Modulation Therapy Using Anti-CTLA-4 Monoclonal Antibodies Melanoma-Specific Targeted Therapies Biomarkers for Cutaneous Melanoma

An illustrated guide to surgical procedures that can facilitate rehabilitation of selected patients with deformities due to poliomyelitis. Addressed to doctors providing surgical services in district hospitals the book concentrates on simple procedures that can significantly facilitate rehabilitation and improve the physical independence of polio victims. The importance of including physical therapy in the management of patients is repeatedly emphasized. The manual can be used for training purposes or as an aide mTmoire. The book covers both simple essential procedures that can be carried out by a general duty doctor with some experience in an average district hospital and those more difficult procedures that require more experience and better than average facilities. Most of the procedures covered are corrective and stabilizing procedures on the lower limbs which aim to enable patients to stand and move. The book features nine chapters presented in two parts. Chapters in the first part describe the disease and its sequelae provide detailed advice on the tests to be used when evaluating patients and selecting the appropriate procedures and explain a number of basic surgical techniques. Chapters in the second and most extensive part describe specific surgical procedures for the hip knee foot and ankle and elbow. Although some procedures involving bone are described the handbook stresses that these techniques require more training and experience.

This book details the surgical techniques of Dr. Francoise Firmin, a recognized thought leader in auricular surgery. It contains her "trade secrets" that have been distilled over many years of practice and is abundantly illustrated with over 1000 colour photographs and drawings. The book includes operative and lecture video plus an eBook. This practical, authoritative book will be an essential purchase to all surgeons who operate on the ear.

Liposuction is the most commonly performed aesthetic surgery procedure in the world. Despite its popularity, the effectiveness of this procedure has been limited in fibrous areas of the body such as the back, flank, and breasts (in cases of gynecomastia). Ultrasound-assisted lipoplasty (UAL) permits the selective removal of adipose tissue using ultrasonic energy as an airbrush to sculpt fat with less trauma and enhanced artistry. It is the ideal complement to standard liposuction and is a means of optimizing results for a broad spectrum of patients. This technique has captured the imagination of aesthetic surgeons and their patients around the world. Some of the benefits of UAL include: Higher effectiveness in areas where fat is fibrous and difficult to remove by traditional liposuction and for large-volume liposuction Less surgeon fatigue, allowing the surgeon to focus on true sculpting in body contouring Less tissue trauma because less force is needed to push the cannula through tissue The authors have taken an anatomic approach to UAL, covering the special needs of each target area. This comprehensive book/DVD combination takes you through UAL step-by-step, including the basics of getting started and the setup of instrumentation and equipment. The large number of illustrations in the book and the high-quality surgical video demonstrations make it easy to follow the procedures closely. Special focus is given to safety and unusual situations. UAL is a great way to gain incremental income from your practice and to stay competitive. No aesthetic surgeon should be without this valuable book and DVD.