General Principles Patients typically present to an ambulatory surgical center for anesthesia and subsequent reconstruction the day of their Mohs procedure, usually without any prior medical screening. Often patients are…
Mohs micrographic surgery (MMS) allows for efficient evaluation of the entire margin in an outpatient setting under local anesthesia with the goal of confirming clear histologic margins prior to reconstruction….
General Principles In many ways, this is the “best of times” to practice medicine as a surgeon. We are at a time of unparalleled patient safety and at the cusp…
Reconstruction of Contractures: Z-Plasty, Skin Grafting, and Flaps Xiangxia Liu DEFINITION Scar contracture is the result of tightening of the skin during and after the wound healing process. The continuous…
Soft Tissue Coverage of Lower Leg—Free Flap Goo-Hyun Mun Kyong-Je Woo DEFINITION Microvascular free flap transfer is a reliable and often ideal option for soft tissue reconstruction of a complex…
Reconstruction of Heel and Plantar Defects: Free Flap Goo-Hyun Mun Kyong-Je Woo DEFINITION Heel and plantar soft tissues perform a special role of weight bearing while walking or standing. The…
Pediatric Facial Reanimation Using a Functional Gracilis Muscle Transfer Brad M. Gandolfi Jeffrey R. Marcus Michael R. Zenn DEFINITION Facial paralysis does not describe a disease but instead the sequelae…
Second Toe-to-Thumb Transfer for Hypoplastic Thumb Amir H. Taghinia Brian I. Labow Joseph Upton DEFINITION Toe-to-thumb transfer for congenital conditions is usually indicated in cases in which the carpometacarpal joint…
Masseter-to-Facial Nerve Transfer Michael J. A. Klebuc DEFINITION The descending branch of the masseter nerve can be transferred to selected zygomatic-buccal branches of the facial nerve (V-VII) to restore motion…
Soft Tissue Coverage of the Knee: Free Flaps Goo-Hyun Mun So Young Kim DEFINITION Although most soft tissue and bony defects around the knee are usually covered with locoregional tissues,…
