Reconstructive Conundrums in Dermatologic Surgery

Desiree S Ratner, 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. Joel L. Cohen, MD Director of AboutSkin Dermatology and DermSurgery in Englewood and Lone Tree, Colorado and Assistant Clinical Professor, University of Colorado. David Brodland, MD, Assistant Clinical Professor, Department of Dermatology, University of Pittsburgh and Department of Dermatology UPMC Shadyside Hospital, Pittsburgh, PA.

• Introduction, viiPart I Nasal Dorsum, 11 Combined Linear Closure and Burow’s Graft for a Dorsal Nasal Defect, 32 Reconstruction of Two Nasal Defects Following Mohs Surgery, 93 Repair of Adjacent Nasal Defects with One Double-Rotation Flap Closure, 134 Contralateral Nasolabial Flap for a Large Nasal Defect, 19aPart II Nasal Sidewall, 235 Dual Nasal Sidewall and LipDefects Combined into a Single Arcuate Advancement Flap, 256 Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect, 317 Repair of the Left Nasal Sidewall, Nasofacial Sulcus,and Medial Cheek, 35Part III Nasal Tip, 418 The Dorsal Nasal Flap for Reconstruction of Large Nasal Tip Defects, 439 Adjunctive Use of Primary Nasal Tip Closure to Facilitate Local Flap Closure of Challenging Nasal Defects, 4910 Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting, 5511 Nasal TipWound Repair Using a Rhombic Transposition Flap with a Double Z-Plasty at Its Base, 63Part IV Nasal Ala, 6912 Spiral Subcutaneous Island Pedicle Advancement Flap for Repair of Alar Defects, 7113 Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect, 7514 Combined Hinge and Nasolabial Transposition Flap for Repair of a Full-Thickness NasalAlarDefect, 79Part V Alar Groove/Perialar Defects, 8515 Shark Island Pedicle Flap for Repair of Combined Nasal Ala-Perialar Defects, 8716 “Jigsaw Puzzle” Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala, 9317 Dog-Ear Island Pedicle Flap for Repair of Ala and NasalWall Defects, 99Part VI Alar Rim, 10518 Repair of an Alar Defect, 10719 Reconstruction of a FullThickness Soft Triangle Defect, 11320 A Tunneled and Turned-Over Nasolabial Flap for Reconstruction of Full-Thickness Nasal Ala Defects, 11921 Reconstruction of an Alar Rim Defect, 12722 Island Pedicle Flaps for Repair of a Nose, Cheek,and Lip Defect, 13123 Revisionary Technique for Alar Rim Notching:The Stair-Step Flap, 13724 Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease, 14525 One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim, 15126 Repair of a Defect on the Ala, 15727 Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect, 16328 Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect, 16929 Bilobed Flap for Full-Thickness Nasal Defect:A Common Flap for an Uncommon Indication, 17530 One-Stage Reconstruction Following Complete Alar Loss, 181Index, 187