Local Flaps in Facial Reconstruction, 3e

790 Pages·2014·347.43 MB·English

by  Shan R. Baker MD

LOCAL FLAPS IN FACIAL
RECONSTRUCTION

LOCAL FLAPS
IN FACIAL
RECONSTRUCTION
Third Edition
Shan R. Baker, MD, FACS
Professor
Facial Plastic and Reconstructive Surgery
Department of Otolayngology—Head and Neck Surgery
University of Michigan
Ann Arbor, Michigan
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
LOCAL FLAPS IN FACIAL RECONSTRUCTION ISBN: 978-1-4557-5316-1
Copyright © 2014, 2007, 1995 by Saunders, an imprint of Elsevier Inc.
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Notice
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
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Previous editions copyrighted 1995, 2007
Library of Congress Cataloging-in-Publication Data
Local flaps in facial reconstruction / [edited by] Shan R. Baker.—Third edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4557-5316-1 (hardcover : alk. paper)
I. Baker, Shan R. editor of compilation.
[DNLM: 1. Face—surgery. 2. Surgical Flaps. 3. Reconstructive Surgical Procedures. WE 705]
RD523
617.5'2059—dc23
2013030014
Senior Content Strategist: Belinda Kuhn
Content Development Specialist: Lisa Barnes
Publishing Services Manager: Anne Altepeter
Project Manager: Ted Rodgers
Designer: Ellen Zanolle
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To Catherine Belle Baker, Alexander Ray Baker,
and Monica Catherine Baker, and to the thousands
of patients who have trusted me to make their
faces whole
P
REFACE
This textbook provides an in-depth discussion of the use co-authored 11 of the 28 chapters comprising this edition.
of local flaps for reconstruction of the face, scalp, and Neil A. Swanson, MD, a colleague and friend, and I
neck. Like the second edition, it is designed to be a edited the first edition. Because of my desire to impart a
“working man’s” manual for repair of cutaneous defects more personal approach to the current work, I chose to
of the head and neck, providing practical and effective edit this edition entirely on my own as I did with the
methods of reconstructing skin defects of a variety of second edition. Although this may have restricted
sizes, configurations, and locations. It is unique in that the diversity of surgical approaches available for discus-
the contributors are from the medical specialties of sion, it enables a textbook with a more homogenous nar-
otolaryngology, ophthalmology, dermatology, and plastic rative and consistent message. Similar to the second
surgery. The authors are individuals who I believe have edition, there are videos available, in this case at the
exceptional knowledge and experience using local flaps in ExpertConsult website. The videos demonstrate the
facial reconstruction. They are some of the most promi- design and transfer of a multitude of local flaps. Included
nent surgeons in their respective specialties. in the videos are actual surgical procedures performed in
I am fully cognizant of the political and philosophical the operating room. In addition to showing uncompli-
differences among various surgical specialties involved cated cases using simple cutaneous flaps, very complex
with reconstructing the face. However, it is important to defects requiring multiple flaps and grafts are included.
set aside any conflicts of interests and disagreements in This work represents the culmination of 36 years of
order to promote an interchange of ideas and knowledge cooperative interaction between me and the dermatologi-
that will be both educational to physicians and beneficial cal surgeons at the University of Michigan. During this
to patients. This textbook represents an example of interval, we have shared the care of a few thousand
mutual interest and cooperation among a diverse group patients, which I believe was to the patient’s benefit. This
of surgeons. This is the third edition of a textbook origi- cooperative arrangement facilitated the interchange of
nally published in 1995 and is printed in three languages. knowledge and experience, which led to a hybrid of surgi-
Although the majority of the illustrations used in this cal approaches for the repair of facial cutaneous defects.
edition are the same as those appearing in the second This cross-fertilization of ideas was a direct benefit to me
edition, all of the chapters have been upgraded by intro- and my ability to care for patients and is the source of
ducing new concepts or additional information. In the my desire to edit this textbook.
majority of chapters, new clinical cases and photographs This book would not have been possible without
have been added or used to replace previous cases and the cooperation of all of the dermatological surgeons in
photographs. As with the second edition, a number of the Department of Dermatology at the University of
chapters have been authored by myself. This is due to a Michigan. For this reason, I express my sincere gratitude
conscious effort on my part to present personal surgical to all of them for their continued support and confidence
techniques and my philosophy of using local flaps in in me.
facial reconstruction. To impart my philosophy toward
surgical repair of Mohs defects, I have authored or Shan R. Baker, MD, FACS
ix
A
CKNOWLEDGMENTS
Although many people have indirectly contributed to the of the lectures that I have prepared and books I have
creation of this book, I would like to thank those who published.
had major roles in assisting me in its preparation. I would like to thank Fred Bobrow for editing the
Foremost, I am grateful to all of my patients who videos that accompany this book.
through their misfortune of being afflicted with skin I thank Timothy M. Johnson, MD, director of derma-
cancer have enabled me to learn and perfect reconstruc- tological surgery at the University of Michigan, and his
tive surgical techniques. A particular gratitude is offered colleagues Darius J. Karimipour, MD; Christopher K.
to those patients who have allowed me to publish their Bichakjian, MD; Jennifer L. Schwartz, MD; Sandra C.
photographs in this book. Paek, MD; Marcus Frohm, MD; and Jeffrey S. Orringer,
I would like to thank Deborah DeGuire for assistance MD. Thank you all for referral of your patients through-
with preparation of the manuscript and Mary Hambright out the many years we have been professionally associ-
for her assistance with procuring photographs. ated. Without your support and trust, this book would
I am grateful to Marcia Stuursma and Deborah not have been possible.
DeGuire for their friendship and support and serving as I am appreciative of the assistance provided to me in
my ambassador to patients and colleagues over an interval the filming of the video clips by my fellows Deirdre S.
that spans nearly my entire professional career. Leake, MD; Jeffrey S. Moyer, MD; and Wael K. Abdel-
I am most grateful to Kathy Herman for her unfailing Hamid, MD.
optimism and unflinching support and for never consid- I would like to thank all of the authors of this textbook
ering a task too great or too small to perform. I would for devoting hundreds of hours toward the preparation
like to thank Lily Wu for providing excellent nursing care of their chapters. The quality of this textbook is directly
and being such a successful liaison to my patients. related to your contributions.
A special thank you goes to James Bruce for his friend-
ship. Mr. Bruce has assisted me for many years by prepar- Shan R. Baker, MD, FACS
ing hundreds of photographs and video clips used in all
x
C
ONTRIBUTORS
E. Fred Aguilar III, MD John L. Frodel, MD
Professor of Surgery Geisinger Medical Center
Michael E. DeBakey Department of Surgery Director, Facial Plastic Surgery
Division of Plastic Surgery Department of Otolaryngology—Head and Neck
Baylor College of Medicine Surgery
Houston, Texas Danville, Pennsylvania
Atlanta Medispa and Surgicenter
Shan R. Baker, MD, FACS Atlanta and Marietta, Georgia
Professor
Marcus L. Frohm, MD
Facial Plastic and Reconstructive Surgery
Assistant Professor
Department of Otolayngology—Head and Neck
Department of Dermatology, Cutaneous Surgery and
Surgery
Oncology
University of Michigan
University of Michigan
Ann Arbor, Michigan
Ann Arbor, Michigan
Amit D. Bhrany, MD George Goding Jr., MD
Assistant Professor
Professor, Department of Otolaryngology
Department of Otolaryngology—Head and Neck
University of Minnesota Medical School
Surgery
Faculty, Department of Otolaryngology
University of Washington School of Medicine
Hennepin County Medical Center
Seattle, Washington
Minneapolis, Minnesota
Christopher K. Bichakjian, MD Tessa A. Hadlock, MD
Associate Professor Director, Facial Plastic and Reconstructive Surgery
Department of Dermatology Department of Otolaryngology
University of Michigan Massachusetts Eye and Ear Infirmary and Harvard
Ann Arbor, Michigan Medical School
Boston, Massachusetts
DeWayne T. Bradley, MD
Michael John Hawes, MD, FACS
Otolaryngologist
Clinical Professor of Ophthalmology
The Polyclinic Northgate
University of Colorado Health Sciences Center
Seattle, Washington
Oculoplastic/Facial Surgeon
Porter Memorial Hospital
Mack L. Cheney, MD
Denver, Colorado
Director, Massachusetts Eye and Ear Office of Global
Surgery and Health
Marcelo Hochman, MD
Kletjian Chair of Global Surgery, Massachusetts Eye
Hemangioma and Malformation Treatment Center
and Ear
Charleston, South Carolina
Professor of Otolaryngology and Laryngology
Harvard University Medical School
John F. Hoffmann, MD
Boston, Massachusetts
Spokane Center for Facial Plastic Surgery
Spokane, Washington
Alison B. Durham, MD
Department of Dermatology David B. Hom, MD, FACS
University of Michigan Medical School Professor, Director, Division of Facial Plastic and
Ann Arbor, Michigan Reconstructive Surgery
Department of Otolaryngology—Head and Neck
Robert G. Fante, MD, FACS Surgery and Dermatology
Associate Clinical Professor University of Cincinnati College of Medicine
Department of Ophthalmology Medical Director for Facial Trauma
University of Colorado Cincinnati Children’s Hospital Medical Center
Denver, Colorado Cincinnati, Ohio
xi
xii CONTRIBUTORS
Brian S. Jewett, MD Stephen S. Park, MD
Assistant Professor Professor and vice chair
Division of Facial Plastic and Reconstructive Surgery Department of Otolaryngology
University of Miami Miller School of Medicine University of Virginia
Miami, Florida Charlottesville, Virginia
Timothy M. Johnson, MD Sachin S. Pawar, MD
Lewis and Lillian Becker Professor Fellow/Instructor
University of Michigan Medical School Facial Plastic and Reconstructive Surgery
Ann Arbor, Michigan Oregon Health and Science University
Portland, Oregon
Cody A. Koch, MD, PhD
Plastic Surgeon Vito C. Quatela, MD
Koch Facial Plastic Surgery and Spa Clinical Associate Professor, Otolaryngology
West Des Moines, Iowa University of Rochester
Staff, Department of Otolaryngology
Wayne F. Larrabee Jr., MD Strong Memorial Hospital
Clinical Professor Staff, Department of Otolaryngology
Department of Otolaryngology—Head and Neck Unity Hospital Systems
Surgery Rochester, New York
University of Washington
Director, Larrabee Center for Facial Plastic Surgery Gregory J. Renner, MD
Seattle,Washington Professor
Department of Otolaryngology—Head and Neck
Deirdre S. Leake, MD Surgery
Facial Plastic Surgeon and Otolaryngologist University of Missouri School of Medicine
Flagler Hospital Columbia, Missouri
St. Augustine, Florida
Ronald J. Siegle, MD
Stewart Little, MD Clinical Professor of Dermatology
Assistant Professor Division of Dermatology
Department of Otolaryngology Department of Internal Medicine
LSU Health Shreveport The Ohio State University
Shreveport, Louisiana Columbus, Ohio
Benjamin C. Marcus, MD Randal W. Swenson, BA, MD
Associate Professor of Surgery Assistant Clinical Professor
Department of Surgery Otolaryngology
University of Wisconsin School of Medicine University of Utah Health Sciences Center
and Public Health Salt Lake City, Utah
Madison, Wisconsin
Jonathan M. Sykes, MD
Jeffrey S. Moyer, MD Professor and Director of Facial Plastic Surgery
Associate Professor and Chief, Facial Plastic and Department of Otolaryngology
Reconstructive Surgery University of California, Davis
Department of Otolaryngology—Head and Neck Sacramento, California
Surgery
University of Michigan Tom D. Wang, MD
Ann Arbor, Michigan Professor and Chief
Division of Facial Plastic and Reconstructive Surgery
Craig S. Murakami, BS, MD Oregon Health and Science University
Clinical Associate Professor Portland, Oregon
Virginia Mason Medical Center
University of Washington
Seattle, Washington
Sam Naficy, MD
Clinical Assistant Professor
Facial Plastic and Reconstructive Surgery
University of Washington
Seattle, Washington