Aesthetic facial reconstruction:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Saunders
2009
|
| Schriftenreihe: | Clinics in plastic surgery
36,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. 319 - 526 zahlr. Ill. |
| ISBN: | 9781437712643 1437712649 |
Internformat
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| 245 | 1 | 0 | |a Aesthetic facial reconstruction |c guest ed. Stefan O. P. Hofer |
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| 300 | |a XI S., S. 319 - 526 |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
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| 490 | 1 | |a Clinics in plastic surgery |v 36,3 | |
| 650 | 4 | |a Face |x surgery | |
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Datensatz im Suchindex
| _version_ | 1804139324234530816 |
|---|---|
| adam_text | Titel: Aesthetic facial reconstruction
Autor: Hofer, Stefan O. P.
Jahr: 2009
Contents
Preface xi
Stefan O.P. Hofer
Neoplasms of the Facial Skin 319
E. Hajdarbegovic, R.J.T. van der Leest, K. Munte, H.B.Thio, and H.A.M. Neumann
Neoplasms of the skin are found most often on the face. Malignant tumors of the fa¬
cial skin pose a challenge in treatment, prohibiting compromises between oncolog-
ically responsible surgery and functional plus cosmetic outcome. The incidence of
melanoma and nonmelanoma skin cancers is rising. Not all malignancies of the
skin need to be treated by surgery. For in situ variants there are other options,
such as photodynamic therapy and medical treatment. Knowledge of the clinical
manifestation, behavior, and prognosis and histopathologic analysis lead to correct
diagnosis and choice of suitable treatment. This article presents a synopsis of non-
melanoma, melanoma, and other cancers of the skin.
Indications and Outcomes of Radiation Therapy for Skin Cancer of the Head
and Neck 335
YongjinWang, Woodrow Wells, andJohn Waldron
Radiation therapy is an important option for the treatment of skin cancer. Its advan¬
tages are preserving normal tissues, noninvasive outpatient treatment, and no need
for anesthesia. Radiation therapy is used for deeper and extensive tumor and ana¬
tomic sites where it is difficult to obtain clear surgical margins. Radiation therapy is
used as adjuvant treatment of patients who have positive surgical margins, perineu-
ral invasion, or regional node metastasis. It is useful for elderly patients who are un¬
willing or unable to undergo surgery. Radiation therapy is an effective treatment in
eradicating gross and microscopic skin cancer, with a 5-year cure rate of 90% to
95%.
Improving Outcomes in Aesthetic Facial Reconstruction 345
Stefan O.P. Hofer and Marc A.M. Mureau
Aesthetic facial reconstruction is a challenging art. Improving outcomes in aesthetic
facial reconstruction requires a thorough understanding of the basic principles of the
functional and aesthetic requirements for facial reconstruction. From there, further
refinement and attention to detail can be provided. This paper discusses basic prin¬
ciples of aesthetic facial reconstruction.
Reconstruction of Scalp and Forehead Defects 355
Iris A. Seitz and Lawrence J. Gottlieb
Reconstruction of scalp and forehead defects is a complex field with a broad variety
of reconstructive options. The thought process and techniques used for reconstruc¬
tion of scalp and forehead defects are the subject of this article.
Aesthetic Eyelid Reconstruction 379
John D. Stein and Oleh M. Antonyshyn
The eyelids are critical in the protection of the conjunctiva and sclera of the globe
and, in turn, the preservation of vision. Aesthetically, the position and shape of the
eyelids define a distinctive frame for the eyes, and disproportions in any given indi¬
vidual are immediately obvious. Reconstruction of the eyelids must address both
functional and aesthetic requirements. This article emphasizes eyelid morphology
and discusses the principles and key reconstructive methods used to achieve
optimal results for upper and lower eyelid defects, defects of the medial and lateral
canthi, and complex combined defects.
Endoscopic-Assisted Reconstructive Surgery of the Lacrimal Duct 399
Rene M.L Poublon and K. de Roon Hertoge
Reconstructive surgery of the nasolacrimal duct, or dacryocystorhinostomy, can be
performed via an external or endonasal approach. For almost a century external da¬
cryocystorhinostomy was the gold standard for correction of lacrimal duct obstruc¬
tion. The endonasal approach became a safe surgical procedure using endoscopes
and has the same anatomic and functional success rate as the external approach. It
can be performed in adults and in children with close collaboration between a rhinol-
ogist and an ophthalmologist. An overview is given of the literature and of the
authors experience in this field.
An Algorithm for Treatment of Nasal Defects 407
Brian M. Parrett and Julian J. Pribaz
Nasal defects are common after cancer resection, and the goal of treatment is to ap¬
propriately define the defect and then to select the best reconstructive options. The
plastic surgeon must reestablish all deficient layers of the nose (support, lining, and
external cover). The authors algorithm is based on defect location and orientation,
with the nose divided transversely into three zones, and then into subunits. In this
article, using the aforementioned algorithm, the authors simplify the complex topic
of nasal reconstruction, concentrating on local and regional flap reconstruction.
The appropriate treatment for full-thickness defects, including options for recon¬
struction of lining and support, is also discussed.
The Evolution of Lining in Nasal Reconstruction 421
FrederickJ. Menick
Historically, external skin is the most obvious tissue deficiency after nasal trauma or
skin cancer excision. The loss of underlying support and lining is less apparent and
practically speaking has been considered an afterthought in the repair of nasal de¬
fects. The importance of lining was initially recognized by Keegan and Gillies. Mod¬
ern surgeons can effectively employ both traditional techniques and more modern
methods to successfully combine thin, supple covering skin; a shaped, supportive
mid layer; and thin, conforming lining to re-create the form and function of a nose.
Nasal Reconstruction with a Forehead Flap 443
FrederickJ. Menick
The tint of forehead skin so exactly matches that of the face and nose that a forehead
flap must be the first choice for reconstruction of a nasal defect. The forehead flap
makes by far the best nose. With some plastic surgery juggling, the forehead defect
can be camouflaged effectively. This article describes the author s technique in two-
stage and three-stage forehead flap procedures.
Maximizing Results in Reconstruction of Cheek Defects 461
Marc A.M. Mureau and Stefan O.P. Hofer
The face is exceedingly important, as it is the medium through which individuals
interact with the rest of society. Reconstruction of cheek defects after trauma or
surgery is a continuing challenge for surgeons who wish to reliably restore facial
function and appearance. Important in aesthetic facial reconstruction are the aes¬
thetic unit principles, by which the face can be divided in central facial units
(nose, lips, eyelids) and peripheral facial units (cheeks, forehead, chin). This article
summarizes established options for reconstruction of cheek defects and provides
an overview of several modifications as well as tips and tricks to avoid complications
and maximize aesthetic results.
Strategies in Lip Reconstruction 477
Peter C. Neligan
Injury or surgical trauma can result in significant alterations of normal lip appear¬
ance and function that can profoundly impact the patient s self-image and quality
of life. Neuromuscular injury can lead to asymmetry at rest and during facial
animation, and distressing functional disabilities are common. Loss of labial com¬
petence may interfere with the ability to articulate, whistle, suck, kiss, and contain
salivary secretions. For smaller defects, reconstruction can be very effective. Re¬
constructing an aesthetically pleasing and functional lip is more difficult with larger
defects.
Maximizing Results for Lipofilling in Facial Reconstruction 487
Juan P. Barret, Neus Sarobe, Nelida Grande, Delia Vila, andJose M. Palacin
Lipostructure (also known as structural fat grafts, lipofilling, or fat grafting) has be¬
come a technique with a good reputation and reproducible results. The application
of this technology in patients undergoing reconstruction is a novel surgical alternative.
Obtaining good results in this patient population is very difficult, but the application of
small fat grafts with a strict Coleman technique produces long-term cosmetic effects.
Adult-derived stem cells have been pointed out as important effectors of this regen¬
erative technology, and future research should focus in this direction.
Prefabrication and Prelamination Applications in Current Aesthetic
Facial Reconstruction 493
Jon A. Mathy andJulian J. Pribaz
Prefabrication and prelamination techniques can offer significant advantage in aes¬
thetic facial reconstruction. Specifically, they can be applied to expand the recruit¬
ment and assembly of optimal tissues for better approximation of aesthetic ideals.
Some of their unique abilities are presented, and their advantages, limitations, and
technical pointers are provided. The place for prelamination and prefabrication in
the burgeoning era of composite tissue transplantation is addressed. Some of the
relevant features and interdependences among these procedures as they relate
to aesthetic facial reconstruction are discussed.
Current Concepts and Future Challenges in Facial Transplantation 507
Benoit G. Lengel6
Facial allotransplarrtation has become a surgical reality. The first successful seg-
mental human face transplants have demonstrated that facial allografts are reliable,
their rejection can be prevented by low-dose immunosuppression, and their neuro¬
logic recovery enables oral and expressive functions of the face to be restored. Clin¬
ical facts have shown that the risk-benefit balance is acceptable in the medium term,
that at the neurocognitive level the allograft is reintegrated in the body scheme of the
recipient, and that it does not engender a donor identity transfer. This article pres¬
ents a classification of facial allografts and discusses the technical, immunologic,
and ethical challenges that lie ahead.
Index 523
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| physical | XI S., S. 319 - 526 zahlr. Ill. |
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| series | Clinics in plastic surgery |
| series2 | Clinics in plastic surgery |
| spelling | Aesthetic facial reconstruction guest ed. Stefan O. P. Hofer Philadelphia, Pa. Saunders 2009 XI S., S. 319 - 526 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Clinics in plastic surgery 36,3 Face surgery Reconstructive Surgical Procedures Hofer, Stefan O. P. Sonstige (DE-588)138769257 oth Clinics in plastic surgery 36,3 (DE-604)BV000003656 36,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017697278&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Aesthetic facial reconstruction Clinics in plastic surgery Face surgery Reconstructive Surgical Procedures |
| title | Aesthetic facial reconstruction |
| title_auth | Aesthetic facial reconstruction |
| title_exact_search | Aesthetic facial reconstruction |
| title_full | Aesthetic facial reconstruction guest ed. Stefan O. P. Hofer |
| title_fullStr | Aesthetic facial reconstruction guest ed. Stefan O. P. Hofer |
| title_full_unstemmed | Aesthetic facial reconstruction guest ed. Stefan O. P. Hofer |
| title_short | Aesthetic facial reconstruction |
| title_sort | aesthetic facial reconstruction |
| topic | Face surgery Reconstructive Surgical Procedures |
| topic_facet | Face surgery Reconstructive Surgical Procedures |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017697278&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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