Dermatologic Surgery E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 971

Veröffentlichungsjahr: 2012

Beschreibung

This manual offers detailed, step-by-step guidance to dermatologic surgical procedures. The coverage provides three main sections - General Dermatologic Surgery, Cosmetic Surgery, Lasers and Miscellaneous topics - over 60 chapters with a concise templated format. Each chapter features five sections: pre-operative care, step by step surgical technique, post operative care and follow up, complications, and prevention and management of complications. Filled with clear descriptions and illustrations (5-10 per procedure), this manual and accompanying DVD provides physicians with updated and easy-to-read information for quick review and reference.

CD-ROM/DVD and other supplementary materials are not included as part of the e-book file, but are available for download after purchase.

Leseprobe

Table of Contents

Cover

Dedication

Title page

Copyright page

List of contributors

Foreword

Preface

Acknowledgements

List of videos

PART 1: Dermatologic Surgery

CHAPTER 1 Cutaneous anatomy in dermatologic surgery

Introduction

Scalp and forehead

Mid-face

Perioral

Chin

Periorbital

Cheeks

Auricular

Neck

CHAPTER 2 Surgical equipment and instrumentation

Instruments

Summary

CHAPTER 3 Anesthesia in dermatologic surgery

Local anesthetics

Key features

Choosing the appropriate anesthetic technique

Instruments

Step-by-step anesthetic techniques

Complications

CHAPTER 4 Suturing techniques

Introduction

Instruments

Choosing appropriate suture materials

Surgical needles

Needle holders

Suture scissors

Forceps

Important points for suturing

Step-by-step suturing technique

Types of suturing technique

Variations of running sutures

Suture removal

CHAPTER 5 Electrosurgery

Introduction

Principles of electrosurgery

Cardiac pacemaker and defibrillator interference

Radiofrequency ablation system

Complications

CHAPTER 6 Biopsy techniques

Preoperative care

Step-by-step surgical techniques

Video list

CHAPTER 7 Mohs micrographic surgery

Preoperative care

Step-by-step surgical procedure

Equipment for the Mohs micrographic surgery laboratory

Limitations of Mohs micrographic surgery

Video list

CHAPTER 8 Skin grafts

Introduction

Full-thickness skin grafts

Split-thickness skin grafts

Complications

Conclusion

Video list

CHAPTER 9 Nail unit surgery

Preoperative care

Preoperative care

Step-by-step surgical techniques

Postoperative care and follow-up

Prevention, and management of complications

Video list

CHAPTER 10 Cryosurgery

Preoperative care

Techniques

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Prevention and management of complications

Video list

CHAPTER 11 Dermatologic surgery in ethnic skin

Introduction

Preoperative care

Care during procedure

Postoperative care and follow-up

Conclusion

CHAPTER 12 Complications and emergencies in dermatologic surgery

Introduction

Emergency preparedness

Conclusion

PART 2: Reconstructive Surgery

CHAPTER 13 Secondary intention healing

Introduction

The stages of healing

Management of secondary intention wound healing

CHAPTER 14 Side-to-side closure

Introduction

The principles of wound closure

Advantages of primary side-to-side closure

Contraindications to primary side to side wound closure

Preoperative care

Step-by-step technique

Complications

Postoperative care and follow-up

CHAPTER 15 Skin flaps

General

Introduction

Flap biomechanics

Flap vascular supply

Flap terminology

Flap classification

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Conclusion

Advancement flaps

Preoperative care

Step-by-step surgical technique, crescentic advancement flap

Postoperative care and follow-up

Prevention and management of complications

Rotation flaps

Classic rotation flap

Rotation flap with a back-cut

Dorsal nasal flap

Bilateral rotation flap

O-Z rotation flap

Pinwheel rotation flaps

Transposition flaps

Introduction

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Subcutaneous island pedicle flap

Introduction

Cutaneous anatomy pertinent to performing a subcutaneous island pedicle flap

Preoperative considerations

Subcutaneous island pedicle flap

Video list

CHAPTER 16 Reconstruction of the nose

Introduction

Nasal Anatomy

Patient preparation

Healing by secondary intention

Defect analysis and preparation

Anesthesia

Reconstructive methods

Cutaneous grafts

Composite grafts

Primary closure

Cutaneous flaps

Interpolation flaps

Interpolated forehead flaps

Interpolated melolabial flaps

Postoperative care and follow-up

Complications

Summary

CHAPTER 17 Reconstruction of the lips

Introduction

Anatomy and function

Step-by-step surgical techniques

Prevention and management of complications

CHAPTER 18 Reconstruction of the eyelids

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Video list

CHAPTER 19 Reconstruction of the ears

Introduction

Principles of ear closure

Suture techniques

Second intention healing

Skin grafts

Primary closure

Single stage flaps

Staged flaps

Perioperative care

Conclusion

Video list

CHAPTER 20 Reconstruction of the cheeks

Introduction

Preoperative care

Choosing a reconstructive technique

Repair by cheek subunit

Complications

Conclusions

Video list

CHAPTER 21 Reconstruction of the forehead and temples

Introduction

Preoperative care

Tissue reservoirs

Step-by-step surgical techniques

Prevention and management of complications

Conclusion

Video list

CHAPTER 22 Reconstruction of the scalp

Primary closures of the scalp

Preoperative care

Step-by-step surgical technique (Video 22.1)

Postoperative care and follow-up

Small local flaps to repair scalp wounds

Step-by-step surgical technique

Small local flaps to repair scalp wounds

Small local flaps to repair scalp wounds

Small local flaps to repair scalp wounds

Video list

CHAPTER 23 Reconstruction and soft-tissue management of the trunk

Introduction

Chest reconstruction

Abdominal wall reconstruction

Upper extremity reconstruction

CHAPTER 24 Reconstruction of the hand

Introduction

Hand anatomy, arteries, and nerves

Soft-tissue reconstruction of hand

Defect reconstruction by anatomic region

CHAPTER 25 Treatment of Dupuytren’s contracture by needle fibrotomy

Introduction

The anatomy of Dupuytren’s contracture

Clinical findings in DC

DC and malignancy

Associated factors & diseases

Proposed pathophysiological mechanism: the vasodilatation hypothesis

Progression or recurrence

The treatments of DC

Rationale of needle fibrotomy

Preoperative care

Step-by-step surgical technique

Results of NF treatment

Postoperative care and follow-up

Prevention of disease progression

Complications

Prevention and management of complications

Advantages of NF over surgery

Conclusions

Video list

PART 3: Cosmetic Surgery

CHAPTER 26 Treatment of acne scars

Introduction

Preoperative care

Step-by-step surgical technique and postoperative care (Video 26.1)

Complications and management of complications

Video list

CHAPTER 27 Dermabrasion

Introduction

Indications

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Summary

CHAPTER 28 Hair transplantation

Introduction

Hair loss: who, when, and “why me?”

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Conclusion

CHAPTER 29 Chemical peeling

Introduction

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Video list

CHAPTER 30 Liposuction

Introduction

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Future directions

Video list

CHAPTER 31 Upper eyelid blepharoplasty

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Summary

Video list

CHAPTER 32 Facelifts

Indications

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Video list

CHAPTER 33 Sclerotherapy

Introduction

Varicose veins

Diagnostic approaches

Preoperative care

Step-by-step surgical techniques

Treatment techniques

Reticular veins

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Pearls and pitfalls: reticular veins

Keys to success: reticular veins

Telangiectasias

Choosing the appropriate sclerosant concentration for treating telangiectasias

Step-by-step surgical technique: sclerotherapy for telangiectasias

Postoperative care and follow-up

Treating approaches to resistant telangiectasia

Conclusion

CHAPTER 34 Botulinum toxin

Introduction

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Complications

Final considerations

Video list

CHAPTER 35 Temporary fillers

Autologous fat transfer

Introduction

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Prevention and management of complications

Collagens

Introduction

Bovine collagen

Human collagen

Porcine collagen

Patient selection

Preoperative care

Injection techniques

Indications

Postoperative care and follow-up

Closing remarks

Poly-L-lactic acid

Introduction

Composition and mechanism of action

PLLA reconstitution

Injection techniques

Complications

Contraindications

Postoperative care and follow-up

Conclusion

An overview of the dermal filler calcium hydroxylapatite (Radiesse)

Introduction

Composition and mechanism of action

CaHA in clinical literature

FDA-approved indications

Patient counseling and evaluation

Preoperative care

Complications

Conclusion

Acknowledgements

Hyaluronic acid fillers

Introduction

Preoperative care

Step-by-step injection technique

Complications

Prevention and management of complications

Video list

CHAPTER 36 Permanent fillers: liquid silicone and polymethylmethacrylate

Liquid silicone

Mechanism of action

Indications

Efficacy and safety

Technique (Video 36.1)

Prevention and management of complications

Polymethylmethacrylate

Video list

CHAPTER 37 Cosmetic dermatologic surgery in ethnic skin

Introduction

Evaluation of the ethnic patient

Preoperative care

Postoperative care and follow-up

Complications

Dimpleplasty

Sebaceous cyst

Xanthelasma

Ephelides/lentigenes

Syringomas

Acrochordons

Vitiligo

PART 4: Lasers

CHAPTER 38 Laser for treatment of vascular lesions

Preoperative care

Step-by-step procedure for port wine stains

Step-by-step procedure for telangiectasias and spider angiomas (Videos 38.1 and 38.2)

Step-by-step procedure for hemangiomas

Postoperative care

Video list

CHAPTER 39 Laser treatment for pigmented lesions

Introduction

Preoperative considerations

Step-by-step procedure for epidermal pigmented lesions

Step-by-step procedure for dermal pigmented lesions

Postoperative care for pigmented lesion patients

CHAPTER 40 Laser treatment of tattoos

Introduction

Choosing the appropriate laser

Preoperative care

Anesthesia

Laser safety

Step by step procedure for tattoo removal (Video 40.1)

Postoperative care and follow-up

Other considerations

Video list

CHAPTER 41 Lasers for hair removal

Introduction

Preoperative care

Step-by-step procedure surgical technique (Video 41.1)

Postoperative care and follow-up

Complications

Video list

CHAPTER 42 Laser and light treatment for hair transplantation and growth induction

Introduction

Medical therapy for hair loss

Hair transplantation

Laser-assisted hair transplantation

Low-level light therapy and hair loss

Clinical application of the devices

Peer-reviewed evidence

Current role of LLLT in treating male and female pattern hair loss

Future challenges

CHAPTER 43 Laser treatment for keloid, hypertrophic, and surgical scars

Introduction

Video list

CHAPTER 44 Laser for treatment of leg veins

Introduction

Anatomy of venous system

Patient selection

Clinical outcomes of laser and light treatment

Considerations for treatment strategy

Treatment techniques

Complications

Conclusion

Video list

CHAPTER 45 Laser treatment for acne

Introduction

Suggested procedure for use of the photopneumatic device (Video 45.1)

Side effects of the photopneumatic device

Video list

CHAPTER 46 Laser treatment of psoriasis, vitiligo, and alopecia areata

Introduction

Psoriasis

Vitiligo

Alopecia areata

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Prevention and management of complications

Video list

CHAPTER 47 Lasers for skin resurfacing

Introduction

Ablative resurfacing

Non-ablative resurfacing

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Prevention and management of complications

Conclusions

CHAPTER 48 Fractional resurfacing lasers: ablative and non-ablative

Introduction

Fractional ablative resurfacing

Fractional non-ablative resurfacing

Preoperative care

Step-by-step surgical technique

Postoperative care and follow-up

Complications

Prevention and management of complications

Conclusions

CHAPTER 49 Non-invasive devices for fat removal

Introduction

Preoperative care

Step-by-step surgical technique

Complications

Conclusion

CHAPTER 50 Laser and light treatment for wound healing

Introduction

General wound care considerations

Clinical application of phototherapy

Discussion

CHAPTER 51 Laser for in vivo skin cancer diagnosis. Reflectance confocal microscopy

Introduction

Reflectance confocal microscopy. Basic principles. Confocal features of normal skin

Skin tumors

Squamous neoplasia

Basal cell carcinoma

Acquired melanocytic tumors

Melanoma

Clinical applications

Acknowledgments

Video list

CHAPTER 52 Intense pulsed light

Preoperative care

Step-by-step surgical technique

Hair removal (photoepilation)

Pigmentation

Melasma

Vessels

Photorejuvenation and skin tightening

Medical indications

Postoperative care and follow-up

Complications

Prevention and management of complications

Patient selection and compliance

Video list

CHAPTER 53 Light-emitting diodes

Introduction

Mechanism of action

Indications

Photorejuvenation

Acne

Preoperative care

Procedure

Postoperative care and follow-up

Complications

Video list

CHAPTER 54 Photodynamic therapy

Introduction

Photosensitizers

Light source

Instruments and items required

Step-by-step surgical technique (Video 54.1)

Postoperative care and follow-up

Desired phototoxic reaction

Complications

Prevention and management of complications

Contraindications

Video list

CHAPTER 55 Laser for skin tightening

Introduction

Non-invasive skin tightening with laser and light sources

The use of fractional resurfacing for skin tightening

Laser-assisted lipolysis for skin tightening

Video list

CHAPTER 56 Radiofrequency for skin tightening

Introduction

Facts about radiofrequency

Mechanism of action for skin tightening

Comment about lasers and radiofrequency

Types of radiofrequency devices

During the consultation

Preparation for radiofrequency procedure

Achieving predictable and reproducible results

Tips for monopolar radiofrequency with Thermacool

Treatment pearls for devices without disposable treatment tips

Contraindications to the use of radiofrequency

Video list

CHAPTER 57 Lasers for treatment of ethnic skin

Introduction

Preoperative care

Freckles and lentigines

Nevus of ota

Acquired bilateral nevus of Ota-like macules (ABNOM or Hori’s macules)

Melasma

Skin rejuvenation

Video list

PART 5: Topics Pertinent to the Practice of Dermatologic Surgery

CHAPTER 58 Wound dressings

Introduction

Types of dressings

Conclusion

CHAPTER 59 Medicolegal aspects

Introduction

Medical malpractice

Consent/refusal for treatment

Medical records

Adverse events and complications in dermatologic surgery

Summary

CHAPTER 60 Ethical aspects

Introduction

Core values

Medical necessity: blending economics with patient needs

Cosmetic procedures: rhetoric versus reality

Lasers

Credentials and training

Conclusion

CHAPTER 61 Psychiatric aspects of cutaneous surgery

Introduction

Patients who exaggerate their cosmetic defects

Alternative psychiatric diagnoses

Management

Psychiatric disorders resulting from disfigurement

Summary

CHAPTER 62 New frontiers in photodynamic therapy

Introduction

Daylight-mediated PDT

Fractional laser-assisted PDT

Complications

Final thoughts

Index

I dedicate this book to my dear family and friends who have been there for me throughout my life.

I love you all.

Keyvan Nouri, MD

Companion DVD-ROM

This book is accompanied by a companion DVD with:more than 80 videos showing procedures described in the book

All videos are referenced in the text where you see this logo

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Library of Congress Cataloging-in-Publication Data

Dermatologic surgery : step by step / edited by Keyvan Nouri.

p. ; cm.

 Includes bibliographical references and index.

 ISBN 978-1-4443-3067-0 (hardback : alk. paper)

 I. Nouri, Keyvan.

 [DNLM: 1. Skin–surgery. 2. Skin Diseases–surgery. 3. Laser Therapy–methods. 4. Reconstructive Surgical Procedures–methods. WR 650]

 617.4'77–dc23

2012017387

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

List of Contributors

Murad Alam, MD MScAssociate Professor of Dermatology, Otolaryngology and SurgeryChief, Section of Cutaneous and Aesthetic SurgeryNorthwestern UniversityChicago, IL, USA

Yasser Alqubaisy, MDDermatological Surgery Fellow University of Miami HospitalDepartment of Dermatology and Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiami, FL, USA

Tina S. Alster, MDDirector, Washington Institute of Dermatologic Laser SurgeryClinical Professor of DermatologyGeorgetown University Medical CenterWashington, DC, USA

Katharine Ball Arefiev, MDDepartment of DermatologyStanford Hospital and ClinicsRedwood City, CA, USA

Yash J. Avashia, BSMedical StudentUniversity of MiamiMiller School of MedicineMiami, FL, USA

Marc Avram, MDClinical Professor of DermatologyWeill Medical College of Cornell UniversityNew York, NY, USA

Mathew M. Avram, MD JDDirectorMGH Dermatology Laser and Cosmetic Center Massachusetts General Hospital Affiliate Faculty, Wellman Center for Photomedicine Faculty Director for Procedural Dermatology Training Department of Dermatology, Harvard Medical School Boston, MA, USA

Annelyse C. Ballin, MDCosmetic International FellowshipUniversity of Miami Miller School of MedicineMiami, FL, USA

Tina Bhutani, MDClinical Research FellowUCSF Psoriasis and Skin Treatment CenterSan Francisco, CA, USA

Inja Bogdan Allemann, MDPhysicianDermatologic ClinicUniversity Hospital ZurichZurich, Switzerland

Diana Bolotin, MD PhDAssistant ProfessorDirector of Mohs SurgerySection of DermatologyUniversity of ChicagoChicago, IL, USA

Fredric S. Brandt, MDPrivate PracticeCoral Gables, FL and New York, NY;Brandt Dermatology AssociatesCoral Gables, FL, USA

Mariano Busso, MDPrivate PracticeCoconut Grove, FL;Voluntary Assistant Clinical Professor of Dermatology University of Miami Coral Gables, FL, USA

Alex Cazzaniga, BS MBADirector of Research Dermatology Research InstituteCoral Gables, FL, USA

Henry Hin Lee Chan, MD PhD FRCPSpecialist in DermatologyHonorary ProfessorLi Ka Shing Faculty of MedicineUniversity of Hong Kong;Visiting ScientistWellman Center for PhotomedicineMassachusetts General HospitalHarvard Medical SchoolBoston, MA, USA

Nicola P.Y. Chan, MBBChir MRCPHonorary Clinical Assistant ProfessorDepartment of MedicineUniversity of Hong KongHong Kong, China

Lisa K. Chipps, MD MSAssistant Clinical ProfessorDavid Geffen School of Medicine at UCLA;Director of Dermatologic SurgeryHarbor-UCLA Medical CenterLos Angeles, CA, USA