Facial Reconstruction After Skin Cancer

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.

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.

Aesthetic Facial Reconstruction After Mohs Surgery provides comprehensive guidance on the repair of soft tissue defects of the face after Mohs surgery. 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.

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.

This issue of Facial Plastic Surgery Clinics, Guest Edited by Jeffrey S. Moyer, is devoted to Skin Cancer Surgery. Articles in this issue include: Nonmelanoma Skin Cancer; Mohs Micrographic Surgery; Management of Early Stage Melanoma; Sentinel Lymph Node Biopsy in Skin Cancer Malignancies; Adjuvant and Neoadjuvant Treatment of Skin Cancer; Radiotherapy for Skin Cancers of the Face, Head, and Neck; Reconstruction of the Nose; Reconstruction of the Cheek; Reconstruction of the Lip and Chin; Reconstruction of the Forehead and Scalp; Reconstruction of the Ear; Periocular Reconstruction; Tissue Engineering and 3D Modeling for Facial Reconstruction; and Health Outcome Studies in Skin Cancer Surgery.

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

This atlas offers comprehensive coverage of surgical reconstruction after skin cancer surgery. There are many ways to repair surgical wounds caused by the removal of skin cancer. Different considerations are often taken into account and frequently one of the most fruitful discussions when doctors gather is seeing how other surgeons repair the same wound. These differences are intriguing, often demonstrating the artistic skill involved in the technique. This atlas will offer surgical cases with each page demonstrating a logical and reproducible method of repairing a wound at a given anatomic location. Using unique 6 paneled grids for each anatomical location covered, chapters show the variety of possibilities for closure of similar wounds. Chapters will also show the work of many invited experts within dermatology and plastic surgery and include their distinct commentary and expertise. The Atlas of Anatomic Reconstruction After Skin Cancer Surgery is written for dermatologists, facial plastic surgeons, plastic surgeons and those in training programs, residencies, and fellowships. This atlas will allow ready access for surgeons to a menu for successful wound closures and would be enjoyable and educational to new and experienced surgeons alike.