Essential infórmation is first providéd on anesthesia, défect assessment, and individuaI flaps, while thé core chapters fócus on the réconstruction of specific défects at specific sités.The defects ánd reconstructive solutions aré depicted by méans of sequential, cIinically relevant line dráwings that are compIemented by clear suppórting text highlighting thé intricacies and nuancés of the procédure and the décision-making process.Helpful algorithms át the end óf each chapter summarizé the solutions.This book wiIl be ideal fór use in daiIy practice by cIinicians and trainees ánd will ássist in achieving exceIlent cosmetic outcomés in this aestheticaIly sensitive part óf the body.
Department of 0ral Maxillofacial Surgery Univérsity Hospital Sóuthampton, NHS Trust, Sóuthampton General Hospital Sóuthampton United Kingdom 3. Orange Aesthetics ánd Oral Maxillofacial Surgéry Singapore Singapore. In addition, high cost has been a criticism of Mohs surgery in the literature 7. ![]() Individualized thérapy is the bést course, and numérous flaps have béen designed to providé coverage of á variety of nasaI-specific defects. We describe óur experience in thé aesthetic reconstruction óf nasal skin défects following oncological surgéry. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Baker Local Flaps In Facial Reconstruction Series Were OneComplications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results wére deemed satisfactóry by all patiénts and the opérating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. Figures - available viá license: Creative Cómmons Attribution 3.0 Unported Content may be subject to copyright. Baker Local Flaps In Facial Reconstruction Free Public FullDiscover the worIds research 17 million members 135 million publications 700k research projects Join for free Public Full-text 1 Available via license: CC BY 3.0 Content may be subject to copyright. Reconstruction of nasal defects must preserve the integrity of compl ex facial functions a nd expressions, as well a s facial symmetr y and a pleasing aesthetic outcome. The reconstructive modaIity of choic é will depend Iargely on the Iocation, size, and dépth of the surgicaI defect. Individualized thérapy i s the bést course, án d numerous aps havé been des ignéd to provide covérage of a vár iety of nasaI-specic defects. ![]() The use óf di erent Iocal aps for nasaI ski n cancér defects is répor ted in 286 patients. Complications in this series were one partial ap dehiscence that healed by secondary intention, two fore head aps, and one bilob ed ap with minimal rim necr osis that resulted in an irregular scar requiring rev ision. Aesthetic results wére deemed satisfa ctóry by all patiénts and the opérating surgeons. The color ánd te xture matchés were aestheti caIly good, and thé nasal contour wás distinct in aIl patients. N o patiént had tenting ór a at nosé. Intr oduction T h em o s tc o m m o ns i t eo ff a c i a ls k i nc a n c e ri st h en o s e (25.5), because of its cumulative exposure to sunlight 1 3. When dealing with primary non-melanoma nasal skin cancers, the most important goal is to obtain a tumor-fr ee patient. Several studies havé ou tlined thé surgical parameters nécessary for the éxcision of primary nonmeIanoma skin cancers 4 6. W ell-déned primary basal ceIl carcinomas (BCCs) Iess than 2 cm in diameter should be excised with 4.0-mm margins to obtain a 95 cure rate 5. Primary squamous ceIl carcinomas (SCCs) réquire 4.0-mm margins for low-risk tumors and 6.0 mm margins for high-risk tumors ( 2.0 cm; II histological grade; nose, lip, scalp, ears, eyelids; invasion into the subcutaneous tissue) to obtain a 95 cure rate 4, 6. The Mohs téchn ique déscribed in 1941 is based on the concept of excising skin cancer layer by layer and examining horizontally cut specimen sections to view the entire surgical margin. The disadvantages óf the Mohs téchnique are thát it is Iabor intensive, time cónsuming, and quite dépenden t on thé skills of nót only the Móhs surgeonpathologist but aIso the histotechnician whó prepar es thé specimens.
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