Local and Regional Flaps in Head and Neck Reconstruction

Rui Fernandes, DMD, MD, FACS, is Chief of the Head and Neck Service at the University of Florida College of Medicine. He maintains an active clinical practice in Jacksonville and serves as the program director for the microvascular reconstructive surgery fellowship. He is a fellow of the American Association of Oral & Maxillofacial Surgeons, American College of Oral & Maxillofacial Surgeons, American College of Surgeons, the American Head and Neck Society, the American Society of Clinical Oncology and is a founding fellow of the International Academy of Oral Oncology. He has authored more than 70 manuscripts and book chapters and has delivered numerous lectures both nationally and internationally.

Preface vii

Acknowledgments ix

About the companion website xi

1 Introduction 1

2 Flap classification 2

3 Bilobed flap 5

4 Rhomboid flap 12

5 Crescentic flap 20

6 Septal flap 31

7 Nasolabial flap 41

8 V to Y Advancement Flap 50

9 Keystone flap 57

10 Paramedian forehead flap 62

11 The temporoparietal fascia flap 75

12 Temporalis muscle flap 84

13 Cervicofacial advancement flap 92

14 Submental island flap 103

15 Pectoralis major myocutaneous flap 114

16 Latissimus dorsi myocutaneous flap 123

17 Sternocleidomastoid flap 133

18 Trapezius flap 140

19 The supraclavicular artery island flap 147

20 The internal mammary perforator flap 162

21 Ear reconstruction 170

22 Lip reconstruction 186

23 Nasal reconstruction 206

24 Scalp reconstruction 222

Index 243