Facial Scar Management, An Issue of Facial Plastic Surgery Clinics of North America
Erschienen am 28. November 2016
161 Seiten
978-0-323-49657-5 (ISBN)
Beschreibung
This issue of Facial Plastic Surgery Clinics, guest edited by Dr. David Hom of the University of Cincinnati, is devoted to Facial Scar Management. Articles in this outstanding issue will focus on scar treatment of the forehead, periorbital region, cheek, nose, perioral and chin region, auricle region, scalp, neck, and oral mucosa. The issue will also address soft tissue management to minimize scarring, new scar treatments using lasers, and skin color and pigmentation in ethnic skin.
Weitere Details
Weitere Ausgaben
Andere Ausgaben
David B. Hom
Facial Scar Management, An Issue of Facial Plastic Surgery Clinics of North America: Volume 25-1
Buch
05/2017
Elsevier
110,12 €
Versand in 15-20 Tagen
Inhalt
- Front Cover
- Facial Scar Management
- Copyright
- Contributors
- CONSULTING EDITOR
- EDITOR
- AUTHORS
- Contents
- Preface: Facial Scar Management
- Treating Scars in Relation to Facial Regions
- Soft Tissue Principles to Minimize Scarring: An Overview
- Management of Forehead Scars
- Periorbital Scar Correction
- Treating Scars of the Cheek Region
- Unique Clinical Aspects of Nasal Scarring
- Treating Scars of the Chin and Perioral Region
- Treating Scars in the Auricle Region
- Treatment of Scalp Scars
- Treating Scars on the Oral Mucosa
- Treating Scars to the Neck
- Contemporary Topics Relevant to Facial Scarring
- Laser-Assisted Delivery to Treat Facial Scars
- Skin Color and Pigmentation in Ethnic Skin
- FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA
- FORTHCOMING ISSUES
- May 2017
- August 2017
- November 2017
- RECENT ISSUES
- November 2016
- August 2016
- May 2016
- Preface: Facial Scar Management
- Soft Tissue Principles to Minimize Scarring
- Key points
- INTRODUCTION
- SCARRING IN RELATION TO WOUND HEALING
- RELEVANT ANATOMY
- Skin Structure and Skin Condition
- FACIAL AREAS PRONE TO SCARRING
- PATIENT FACTORS
- Medical Conditions
- Type of Skin Injury
- Ethnicity
- AGE
- PRETREATMENT OF TISSUE BEFORE SURGERY
- MINIMIZING FUTURE SCARRING DURING A PROCEDURE WITH PLANNED INCISIONS
- Suture Technique
- Surgical Choices for Scar Revision
- Managing patient expectations in scar revision
- POSTPROCEDURE INCISIONAL CARE
- Taping
- Moisture
- Silicone Ointments
- Sun Protection
- ADJUNCTIVE PROCEDURES
- Dermabrasion
- Laser
- POTENTIAL FUTURE SCAR TREATMENTS
- SUMMARY
- REFERENCES
- Management of Forehead Scars
- Key points
- INTRODUCTION
- MANAGEMENT AND TREATMENT
- Overview
- Facial Analysis
- Mid-Forehead
- Paramedian Forehead
- Temple Region
- Scar Management Specific to the Forehead
- Surgical techniques
- Hair transplantation
- Z-plasty
- W-plasty
- Geometric broken line closure
- Nonsurgical and adjunctive techniques
- Steroids
- Laser resurfacing
- Dermabrasion
- Intralesional fillers
- Botulinum toxin
- ACKNOWLEDGMENTS
- REFERENCES
- Periorbital Scar Correction
- Key points
- INTRODUCTION
- ANATOMY
- EVALUATION
- SURGICAL CORRECTION
- Cicatricial Retraction with Ectropion
- Cicatricial Retraction with Entropion
- Cicatricial Retraction with Entropion: Correction with Free Tarsal Graft
- Harvesting graft
- Retraction repair and preparation of implant site
- Horizontal Tightening of the Eyelid
- Lateral tarsal strip procedure
- Reconstruction of the medial canthal region
- Combining procedures
- Nonsurgical intervention
- SUMMARY
- REFERENCES
- Treating Scars of the Cheek Region
- Key points
- INTRODUCTION
- ANATOMIC CONSIDERATIONS
- EVALUATING A PATIENT CHEEK SCAR FOR REVISION
- TIMING OF SCAR REVISION
- CHEEK SCAR REVISION TECHNIQUES
- EXCISION
- SCAR IRREGULARIZATION
- RUNNING W-PLASTY
- GEOMETRIC BROKEN LINES CLOSURE
- SCAR REPOSITIONING
- SUBSCISION
- SCAR RESURFACING
- LASER SCAR RESURFACING
- NONSURGICAL TECHNIQUES
- Steroids and 5-Flourouracil
- Autologous Platelet-Rich Plasma
- Silicone Sheets and Gels
- Mechanical Force
- Cosmetics
- ACNE SCARS OF THE CHEEK
- SUMMARY
- REFERENCES
- Unique Clinical Aspects of Nasal Scarring
- Key points
- MANAGEMENT AND TREATMENT
- The Art of Doing Nothing
- Laser and Resurfacing
- Surgical Scar Revision
- Injectable Steroids and Fillers
- Total Subunit Reconstruction
- PEARLS AND PITFALLS
- REFERENCES
- Treating Scars of the Chin and Perioral Region
- Key points
- INTRODUCTION
- PERTINENT ANATOMY
- FUNCTIONAL ATTRIBUTES
- PATIENT EVALUATION
- SUBUNIT ORGANIZED APPROACH TO SCAR AND DEFORMITY MANAGEMENT
- Upper White Lip
- The Chin and Lower Lip
- The Vermilion or Red Lip
- The Vermilion Border
- The Oral Commissure
- SPECIFIC TECHNIQUES
- Z-plasty
- W-plasty
- Geometric Broken Line Closure
- ADJUNCTS TO SCAR REVISION
- Dermabrasion
- Laser
- Volume Restoration with Grafts or Filler
- Botulinum Toxin
- Intralesional Injections
- Topical Agents
- Silicone gel sheeting
- Camouflage
- SUMMARY
- REFERENCES
- Treating Scars in the Auricle Region
- Key points
- INTRODUCTION
- RELEVANT ANATOMY AND EMBRYOLOGY
- BASICS OF CUTANEOUS WOUND HEALING
- KELOIDS
- HYPERTROPHIC SCARRING
- AURICULAR HEMATOMA AND CAULIFLOWER EAR
- SCARS FROM RHYTIDECTOMIES
- MANAGEMENT AND TREATMENT
- General Principles of Scar Revision
- Surgical Repair Options
- Fusiform elliptical excision
- W-plasty scar revision
- Geometric line scar revision
- Z-plasty scar revision
- Wide scar excision
- Management for Keloids
- Surgical excision
- Adjunctive and nonsurgical therapies
- Management of the Cauliflower Ear
- SUMMARY
- REFERENCES
- Treatment of Scalp Scars
- Key points
- ANATOMY OF THE SCALP
- ANATOMY OF THE FOLLICLE
- SECONDARY INTENTION
- PRIMARY CLOSURE
- SKIN GRAFT
- LOCAL FLAPS
- REGIONAL FLAPS
- TISSUE EXPANSION
- FREE TISSUE TRANSFER
- FOLLICULAR UNIT TRANSPLANTS
- GENERAL CONSIDERATIONS FOR SCALP SCAR REVISION
- Location
- Size
- Hair or No Hair
- Exposed Bone
- Prior or Planned Future Radiation
- Direction of Incision Through Hair-bearing Skin
- Medical Comorbidities
- SUMMARY
- REFERENCES
- Treating Scars on the Oral Mucosa
- Key points
- INTRODUCTION
- ANATOMY AND FUNCTION
- Skin Versus Mucosa
- SCAR-PRODUCING DISEASE
- Lichen Planus
- Submucous Fibrosis
- Basement Membrane Diseases
- SCARS DUE TO INCISIONS/TRAUMA
- BUCCAL MUCOSA HARVEST
- EFFECTS OF RADIATION AND CHEMOTHERAPY
- SUMMARY
- REFERENCES
- Treating Scars to the Neck
- Key points
- INTRODUCTION
- CAUSES OF NECK SCARRING AND SCAR FORMATION
- CHARACTERIZATION OF UNFAVORABLE NECK SCARS
- TOPICAL AND INJECTABLE TREATMENT OF NECK SCARRING
- LASER AND RADIOFREQUENCY THERAPY FOR NECK SCARRING
- TREATMENT OF NECK SCARRING: SURGICAL
- ANCILLARY AND OTHER TREATMENTS OF NECK SCARRING
- CASE STUDIES
- SUMMARY
- REFERENCES
- Laser-Assisted Delivery to Treat Facial Scars
- Key points
- INTRODUCTION
- Facial Scars
- Current Treatments
- History of Laser-Assisted Delivery
- Laser-assisted drug delivery
- Clinical Applications of Laser-Assisted Delivery
- Which Laser Is the Best Laser-Assisted Delivery?
- Laser Dosimetry for Laser-Assisted Delivery
- Channel Density and Laser-Assisted Delivery
- Laser Channel Depth Effect on Laser-Assisted Delivery
- Coagulation Zone in Laser-Assisted Delivery
- Molecular Weight and Drug Diffusion in Laser-Assisted Delivery
- Laser-Assisted Delivery Facial Scar Technique
- Agents for Laser-Assisted Delivery Systems for Treatment of Facial Scars
- LASER-ASSISTED DELIVERY TREATMENT OF EXISTING FACIAL SCARS
- Hypertrophic Facial Scars: Laser-Assisted Delivery of Triamcinolone Acetonide and 5-Fluorouracil
- Atrophic Facial Scars and Laser-Assisted Delivery of Poly-l-Lactic Acid
- Hypopigmented Facial Scars: Bimatoprost
- Laser-assisted delivery synergistically acute injury or wound: Improve wound healing or prevent scarring
- Wound healing: laser-assisted delivery vitamins C and E and ferulic acid
- Atrophic and hypopigmented facial wounds: Laser-assisted delivery epidermal skin transplantation
- What is the best technique to enhance laser-assisted delivery?
- Topical application/topical application with occlusion/acoustic device/meretes article/gel matrix model
- Limitations of laser-assisted delivery
- Safety concerns
- SUMMARY
- REFERENCES
- Skin Color and Pigmentation in Ethnic Skin
- Key points
- INTRODUCTION
- COLOR PERCEPTION
- SKIN COLOR CLASSIFICATION
- Quantitation of Skin Color
- CAUSES OF SKIN COLOR VARIATION
- Physiology
- Mechanism of Constitutive Pigmentation Control
- GENETICS: EVOLUTIONARY ASPECTS OF SKIN PIGMENTATION
- ETHNIC SKIN: RESPONSE TO STRESS
- Implications for Treatment
- REFERENCES
- Index
