Details

<p>Introduction, vii</p> <p><b>Part I Nasal Dorsum, 1</b></p> <p>1 Combined Linear Closure and Burow’s Graft for a Dorsal Nasal Defect, 3</p> <p>2 Reconstruction of Two Nasal Defects Following Mohs Surgery, 9</p> <p>3 Repair of Adjacent Nasal Defects with One Double-Rotation Flap Closure, 13</p> <p>4 Contralateral Nasolabial Flap for a Large Nasal Defect, 19a</p> <p><b>Part II Nasal Sidewall, 23</b></p> <p>5 Dual Nasal Sidewall and LipDefects Combined into a Single Arcuate Advancement Flap, 25</p> <p>6 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect, 31</p> <p>7 Repair of the Left Nasal Sidewall, Nasofacial Sulcus,and Medial Cheek, 35</p> <p><b>Part III Nasal Tip, 41</b></p> <p>8 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects, 43</p> <p>9 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects, 49</p> <p>10 Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting, 55</p> <p>11 Nasal TipWound Repair Using a Rhombic Transposition Flap with a Double Z-Plasty at Its Base, 63</p> <p><b>Part IV Nasal Ala, 69</b></p> <p>12 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects, 71</p> <p>13 Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect, 75</p> <p>14 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full-Thickness NasalAlarDefect, 79</p> <p><b>Part V Alar Groove/Perialar Defects, 85</b></p> <p>15 Shark Island Pedicle Flap for Repair of Combined Nasal Ala-Perialar Defects, 87</p> <p>16 “Jigsaw Puzzle” Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala, 93</p> <p>17 Dog-Ear Island Pedicle Flap for Repair of Ala and NasalWall Defects, 99</p> <p><b>Part VI Alar Rim, 105</b></p> <p>18 Repair of an Alar Defect, 107</p> <p>19 Reconstruction of a FullThickness Soft Triangle Defect, 113</p> <p>20 A Tunneled and Turned-Over Nasolabial Flap for Reconstruction of Full-Thickness Nasal Ala Defects, 119</p> <p>21 Reconstruction of an Alar Rim Defect, 127</p> <p>22 Island Pedicle Flaps for Repair of a Nose, Cheek,and Lip Defect, 131</p> <p>23 Revisionary Technique for Alar Rim Notching:The Stair-Step Flap, 137</p> <p>24 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease, 145</p> <p>25 One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim, 151</p> <p>26 Repair of a Defect on the Ala, 157</p> <p>27 Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect, 163</p> <p>28 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect, 169</p> <p>29 Bilobed Flap for Full-Thickness Nasal Defect:A Common Flap for an Uncommon Indication, 175</p> <p>30 One-Stage Reconstruction Following Complete Alar Loss, 181</p> <p>Index, 187</p>

<p><strong>Desiree S Ratner</strong>, MD, Director of Dermatologic Surgery at the Columbia University Medical Center, Co-director of the Multidisciplinary Melanoma Center at the Columbia University Medical Center, Clinical Professor of Dermatology at the College of Physicians and Surgeons of Columbia University. <p><strong>Joel L. Cohen</strong>, MD Director of AboutSkin Dermatology and DermSurgery in Englewood and Lone Tree, Colorado and Assistant Clinical Professor, University of Colorado. <p><strong>David Brodland</strong>, MD, Assistant Clinical Professor, Department of Dermatology, University of Pittsburgh and Department of Dermatology UPMC Shadyside Hospital, Pittsburgh, PA.

<p><b>‘Best of the Best’ solutions to challenging reconstructive surgery of the nose</b></p> <p>The nose, with its unique and individual topography, presents particular challenges for reconstructive and skin cancer surgeons. A number of approaches can be adopted, but how does the dermatologic surgeon choose the best for any particular defect? </p> <p><i>Reconstructive Conundrums in Dermatology: The Nose</i> provides an atlas compendium of novel approaches to these challenges. Based on the Reconstructive Conundrum series published in the journal <i>Dermatologic Surgery</i>, a range of cases provide photographs of the defect before and immediately after reconstruction, and two long-term, follow-up images. The authors provide a detailed explanation for their choice of reconstruction. The Editors’ commentaries allow residents and experienced surgeons alike to compare different reconstructive alternatives and to explore the thought processes behind them.</p> <p>The 30 conundrums each provide a full background to the problem and the strategies underpinning successful surgical solution. They have been grouped into nasal subunits covering: </p> <ul> <li>Nasal dorsum</li> <li>Nasal sidewall</li> <li>Nasal tip</li> <li>Nasal ala</li> <li>Alar groove</li> <li>Alar rim</li> </ul> <p>Jam packed with clinical wisdom and surgical pearls, <i>Reconstructive Conundrums in Dermatologic Surgery: The Nose</i> provides a guiding hand to anyone faced with daunting surgical reconstructions.  </p>

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