1st Edition

Making Decisions and Avoiding Complications in Skin Flaps

Edited By David H. Friedman, Payam Saadat Copyright 2012

    With a large number of clinical photographs, Making Decisions and Avoiding Complications in Skin Flaps is an atlas intended for the surgeon who already has a grasp of the fundamentals and mechanics of flap repair, but may need additional ideas on selecting an appropriate flap for a given defect.

    Divided into three sections, the book begins with a section on repairs organized by location on the body. Rather than an exhaustive list of all flaps ever used, the book focuses on the ones the authors have successfully used on a routine basis.

    The second section contains repairs organized by flap type and the third section contains clinical photographs of suboptimal results with a discussion of what may have gone wrong and what could have been done differently to obtain a better result.

    The intent of this text is not to showcase results but to present flap options for different defects and anatomic sites. Each example includes a photograph showing the defect and a second showing the repair. When available and/or of educational value, illustrations of the flap or long-term follow-up photos are supplied. Throughout the text, surgical pearls are presented in bold text which can help optimize a particular flap’s success rate and/or aesthetic outcome. These pearls have also been compiled into an addendum at the end of the book.

    Repairs by Location

    Scalp

    Temple

    Forehead

    Eyelids

    Bridge of Nose

    Dorsum of Nose

    Nasal Sidewall

    Nasal Tip

    Nasal Ala

    Cheek

    Lip

    Chin

    Ear

    Non-facial

    Repairs by Flap

    Advancement

    Single

    Double Advancement

    Island Pedicle

    A-to-T

    Perialar Crescentic

    East west

    Jigsaw Puzzle

    Helical Rim Advancement

    Other

    Rotation

    Simple

    O-to-Z and Square-to-Z

    Helical Rim

    Dorsi-nasal Flap

    Other

    Transposition

    Rhombic

    Bilobed

    Meilolabial

    Peng

    Other

    Interpolation

    Meilolabial

    Paramedian Forehead

    Ear

    Wedge Excision

    Complex Closures

    Suboptimal results: Avoiding Complications

    Surgical Pearls

    References

    Index

    Biography

    David H. Friedman, Northridge, California; Payam Saadat Skin and Beauty Centre, Los Angeles, California.

    "An atlas like this would be useful for most dermatologic surgeons as a handy reference for various options for closing an unusual defect."
    —William P. Coleman, III, MD, Editor-in-Chief of Dermatologic Surgery