Mohs Micrographic Surgery


Book Description

Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement




Aesthetic Facial Reconstruction After Mohs Surgery


Book Description

Mohs surgery is now regarded as the most effective treatment choice for patients with skin cancer, the microscopic nature of the procedure allowing for extremely targeted removal of cancerous tissue. However it demands precise reconstructive skills of the surgeon to ensure optimum aesthetic and functional results. Aesthetic Facial Reconstruction After Mohs Surgery provides comprehensive guidance on the repair of soft tissue defects of the face after Mohs surgery. After a brief review of the Mohs technique and of the histologic variations in different skin cancers, the book systematically covers all facial regions explaining how to optimize the aesthetic outcome of tissue reconstruction. Each chapter includes examples of the most commonly seen Mohs defects with detailed pre-operative, intra-operative, and post-operative photographs as well as illustrations and text which will guide the surgeon through each step of the reconstruction. An accompanying DVD highlights key operative details. Must-have resource for all clinicians who treat skin cancer patients using Mohs surgery: depending on market this includes dermatologic, facial plastic and plastic surgeons with a secondary market that includes histotechnicians and assisting nurses Lavishly illustrated with over 400 colour clinical photos, many of which feature anatomic overlays to help the surgeon visualize and navigate three dimensional anatomic structures




Facial Reconstruction After Mohs Surgery


Book Description

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.




Practical Facial Reconstruction


Book Description

Preserve function and restore appearance by understanding the whys and the hows of the best surgical repairs for facial reconstruction! Written by Dr. Andrew J. Kaufman, Practical Facial Reconstruction: Theory and Practice teaches a systematic approach for successful surgical management of facial defects. Comprehensive and invaluable, this practical reference expertly helps you develop an approach to facial reconstruction that is applicable to not only the cases presented in this book but also most defects that one might encounter in their surgical practice. The goal is to choose the best repair for a particular situation, dependent upon the patient, the location and the surgical defect. In addition to repair selection and design, the book teaches the practical technique of facial reconstruction, in particular helping to demystify some of the more complex or intimidating facial repair procedures.







Nasal Reconstruction


Book Description

A nasal reconstruction authority shows you how to obtain the best outcomes and repair unsatisfactory results from former surgeries. In addition to presenting the latest principles and techniques, this new resource also examines evolving concepts and methods, keeping you at the forefront of today's practice. The book emphasizes the restoration of nasal defects-from simple to complex-and achieving normal appearance and function. Comprehensive coverage of all nasal injuries and available surgical methods-both cutting edge as well as older, established approaches-help you choose the best approach for each patient and situation. Full-color clinical photos offer real-life clinical views of conditions and step-by-step surgical results, and a bonus DVD-featuring operative clips-shows techniques in action as well as providing hints and tips for obtaining optimal surgical outcomes. Offers detailed coverage of the principles of nasal reconstruction and application of the aesthetic principles as they apply to the whole face. Discusses design, planning, technique, and pitfalls to avoid for the full range of nasal reconstruction for complete surgical management guidance. Covers the latest topics in reconstruction including three-stage forehead flap . repair of the cocaine nose . advances in the use of free flaps for lining . forehead skin graft . microvascular reconstruction of the nose and face . and revision surgery to equip you to meet a wide range of surgical needs. Features guidance on reconstruction of nasal defects due to cancer, trauma, infection, congential deformity, drug abuse, and collagen vascular disease. Provides expert advice on revision surgery-as well as refinement/touch-up procedures-to effectively handle a previously repaired nose. Includes a DVD with 90 minutes of surgical footage-including cases with a complete 2 stage and a 3 stage folded forehead flap-as well as hints and tips for obtaining optimal surgical outcomes.




Facial Plastic & Reconstructive Surgery


Book Description

This book is a comprehensive guide to facial plastic and reconstructive surgery for surgeons and trainees. Divided into five sections, the text begins with an overview of basic techniques, analgesia and conscious sedation, and legal and psychosocial issues. The next section covers rhinoplasty, both aesthetic and medical, and section three discusses various aesthetic facial surgery procedures including browplasty, liposuction and scar revision. The following section examines non-surgical procedures such as chemical peels, Botox and fillers, and the book concludes with a section on reconstructive surgery including Mohs surgery, local flaps and grafts, cleft lip and palate, and craniomaxillofacial trauma. A question bank of more than 1000 questions and answers is included to assist revision and exam preparation. Authored by recognised experts from Canada and the USA, chapters feature multiple images and diagrams, as well as key points boxes for quick reference. Key points Comprehensive guide to facial plastic and reconstructive surgery Covers basic techniques, rhinoplasty, aesthetic facial surgery, non-surgical procedures, and reconstructive surgery Features a question bank of more than 1000 questions and answers Recognised author team from Canada and USA




Mohs Micrographic Surgery: From Layers to Reconstruction


Book Description

A systematic approach to Mohs surgery and reconstruction from renowned skin cancer surgeons More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate of any treatment for nonmelanoma skin cancer, is used increasingly for melanoma, and the lowest recurrence rate. Mohs Micrographic Surgery: From Layers to Reconstruction by renowned dermatologic and Mohs surgeons Christopher Harmon and Stanislav Tolkachjov provides a detailed yet succinct road map to learning and mastering Mohs and reconstruction. The algorithmic organization coupled with instructive photographs and illustrations provide a reader-friendly format conducive to learning. The two opening chapters describe the principles of Mohs surgery including: progressive layer excision to determine if wound margins are cancer free, associated pitfalls, recurrences, special sites, reconstructive principles, and general considerations. The subsequent eight chapters are organized by facial site, from the nose to the eyelid/eyebrow. The final two chapters discuss combination reconstructions stretching over multiple subunits and perioperative management and wound care. Key Highlights An impressive group of global Mohs and reconstruction experts provide firsthand pearls that guide optimal treatment Relevant anatomical aspects that impact excision and reconstruction are detailed, including structures, skin tension lines, tissue planes, and dangers zones More than 20 procedural videos provide hands-on guidance on how to perform specific steps in Mohs and reconstruction This unique resource will help residents, fellows, and surgeons in dermatology, plastic surgery, and facial plastic surgery master nuances of Mohs reconstructive techniques to achieve the most functional and aesthetically pleasing outcomes for patients.




Combination Facial Reconstruction after Mohs Surgery


Book Description

This book offers a concise guide to combined reconstruction operations for facial defects after Mohs surgery. Repairs from different facial subunits are shown to demonstrate the full range of these difficult repairs; a range of intraoperative photographs illustrates each repair. * 61 cases of combined reconstructions divided by subunits: nose (13), forehead/temple (8), scalp (6), cheek (6), ear (10), lip/perioral (9), and eyelid/periorbital (9) • Almost 600 pre-, post-, and mainly intraoperative photographs to demonstrate the main steps of each repair • Detailed legends to ensure adequate understanding by the reader • "Pros and Cons" table for each repair to facilitate decision making • "Complications and How to Avoid Them" table to reduce the likelihood of adverse outcomes • "Learning Points" after each case to improve the learning experience by the readeres of combined reconstructions divided by subunits: nose (13), forehead/temple (8), scalp (6), cheek (6), ear (10), lip/perioral (9), and eyelid/periorbital (9) • Almost 600 pre-, post-, and mainly intraoperative photographs to demonstrate the main steps of each repair • Detailed legends to ensure adequate understanding by the reader • “Pros and cons” table for each repair to facilitate decision making • “Complications and how to avoid them” table to reduce the likelihood of adverse outcomes • “Learning points” after each case to improve the learning experience by the reader




Facial Reconstruction Post-Mohs Surgery, An Issue of Facial Plastic Surgery Clinics of North America


Book Description

This issue of Facial Plastic Surgery CLinics, guest edited by Dr. James B. Lucas, is devoted to Facial Reconstruction Post-Mohs Surgery. Articles in this issue include Anatomy of the Skin and the Pathogenesis of Non-Melanoma Skin Cancer; Mohs Micrographic Surgery: the Essentials; Physiology and Biomechanics of Skin Flaps; Flap Basics I: Rotation and Transposition Flaps; Flap Basics II: Advancement Flaps; Flap Basics III: Interpolated Flaps; Skin and Composite Grafting Techniques; Scalp and Forehead Defects; Defects of the Eyelids; Auricular Defects; Cutaneous Nasal Defects; Defects of the Lips and Chin; Cheek Defects; and Scar Revision and Recontouring Post-Mohs Surgery.