Local Flap Reconstruction

Foreward

Preface

Achknowledgments

Part A Priniciples

Chapter 1

1.0 Introduction

1.1Aims of reconstruction

1.2 Defining Aims of flap surgery

1.3Excision and direct closure

1.4Blood supply of the skin

1.5 Flaps in continuity

1.6 Island flaps

1.7Designing a flap for reconstruction

1.8Surgical technique

1.9 A simple skin flap reconstruction: the rhomboid flap

Part B Case Studies

Chapter 2Flaps in continuity

Case 2.1Transposition flap: forearm

Case 2.2Transposition flap: neck

Case 2.3Transposition flap: groin

Case 2.4Transposition flap: forehead

Case 2.5Transposition flap (Dufourmentel type): back

Case 2.6Double rhomboid flap: forehead

Case 2.7Bilobed flap: postauricular

Case 2.8Rotation flap: scalp (small)

Case 2.9Rotation flap: scalp (large)

Case 2.10Rotation flap: cheek

Case 2.11 Rotation flap: cheek

Case 2.12 Rotation flap: forehead

Case 2.13Rotation flap: sole

Case 2.14 Rotation flap: dorsum of hand

Case 2.15 Simple advancement flap: forearm

Case 2.16 Crescentic advancement flap: alar base

Case 2.17 Advancement flap: cheek

Base 2.18 Two stage flap: cross finger flap

Chapter 3Island flaps

Case 3.1Simple island flap: cheek

Case 3.2Simple island flap: cheek-nose junction

Case 3.3 Larger island flap: cheek

Case 3.4Island flap: forehead

Case 3.5Island flap: thumb

Case 3.6Lateral pedicle island flap: leg

Case 3.7Fasciocutaneous island flap (Behan keystone flap): leg

Case 3.8Island flap: forehead to lower eyelid

Chapter 4 Nose reconstruction

Case 4.1Simple transposition flap: nose

Case 4.2Transposition flap: ala

Case 4.3Glabellar flap: upper nose

Case 4.4Shorter Rieger flap: dorsal nose

Case 4.5Bilobed flap: upper nose

Case 4.6Bilobed flap: nasal tip

Case 4.7V to Y island flap: cheek to nasal dorsum

Case 4.8Nasolabial V to Y flap

Case 4.9 V to Y horn flap: nasal dorsum

Case 4.10Horn flap: nasal tip

Case 4.11V to Y island flap: ala nasi

Case 4.12Lateral pedicle V to Y island flap: alar rim

Case 4.13Full thickness skin graft: nose tip

Case 4.14Full thickness skin graft: columella

Case 4.15Two stage flap: forehead to nose

Chapter 5 Lip reconstruction

Case 5.1Wedge excision lip

Case 5.1Wedge excision: lip

Case 5.2Wedge advancement: lower lip

Case 5.3Single limb advancement flap: upper lip

Case 5.4Double limb advancement flap: upper lip

Case 5.5Bilateral advancement flaps: upper lip

Case 5.6Small island flap: upper lip

Case 5.7Large V to Y island flap: upper lip

Case 5.8V to Y island flap reconstruction: lower lip

Case 5.9Abbe (lip switch) lip

Case 5.10Nasolabial

Chapter 6Aims of eyelid reconstruction

Case 6.1Transposition flap: inner canthus

Case 6.2Wedge advancement: lower lid

Case 6.3Rotation flap repair: lower eyelid

Case 6.4V to Y island flap reconstruction: lower eyelid

Case 6.5Whole lower eyelid reconstruction: bipedicled Tripier flap

Case 6.6Whole lower eyelid reconstruction: V to Y island

Case 6.7Switch flap: upper eyelid

Chapter 7Ear reconstruction

Case 7.1Postauricular transposition flap: helical rim

Case 7.2Postauricular transposition flap: helical root

Case 7.3Pre-auricular transposition flap: helical rim

Case 7.4Pre-auricular transposition flap: helical root

Case 7.5Advancement flap: helical rim

Case 7.6Postauricular pull through flap

Case 7.7Pull through flap (foldover type): ear

Case 7.8Pull through flap (revolving door type): ear

Part C Common problems and solutions

Chapter 8

8.0Introduction

8.1Incomplete excision

8.2Haematoma and bleeding

8.3Flap ischaemia

8.4Flap inadequate for defect

8.5Hypertrophic scar and keloid

8.6Excess flap thickness and pincushioning

8.7Bridging scar – Zplasty

8.8Ectropion

Suggested reading

Index