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M.D. Elizabeth Hale - Handbook of Dermatologic Surgery

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M.D. Elizabeth Hale Handbook of Dermatologic Surgery

Handbook of Dermatologic Surgery: summary, description and annotation

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The Handbook of Dermatologic Surgery incorporates the most cutting edge technology applicable to dermatologists and dermatologic surgeons today. Designed as a reference guide for dermatologic surgery and aesthetic procedures, it disseminates key scientific information in an easy-to-use pocket book.

This handbook is designed to be readily transportable for dermatologists and dermatologic surgeons, as well as those in training, dermatology residents and fellows, and medical students rotating through dermatology.

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Elizabeth Hale , Julie Karen and Perry Robins Handbook of Dermatologic Surgery 2014 10.1007/978-1-4614-8335-9_1
Springer Science+Business Media New York 2014
Surgical Anatomy
Elizabeth Hale 1, Julie Karen 1 and Perry Robins 1
(1)
New York University School of Medicine, New York, NY, USA
Figure 11 Anterior view of the skull Figure 12 Lateral view of the - photo 1
Figure 1.1
Anterior view of the skull
Figure 12 Lateral view of the skull Figure 13 Lateral view muscles of - photo 2
Figure 1.2
Lateral view of the skull
Figure 13 Lateral view muscles of the head and neck Figure 14 Left - photo 3
Figure 1.3
Lateral view: muscles of the head and neck
Figure 14 Left branches of cranial nerve VII facial nerve Right - photo 4
Figure 1.4
Left : branches of cranial nerve VII (facial nerve), Right : sensory nerves of the face
Table 1.1
Branches of cranial nerve V (trigeminal nerve)
V1 ophthalmic
Supraorbital nerve
Supratrochlear nerve
Infratrochlear nerve
External nasal nerve
Lacrimal nerve
V2 maxillary
Infraorbital nerve
Zygomaticofacial nerve
Zygomaticotemporal nerve
V3 mandibular
Mental nerve
Buccal nerve
Auriculotemporal nerve
Figure 15 Branches of the facial nerve circles indicate areas at greatest - photo 5
Figure 1.5
Branches of the facial nerve ( circles indicate areas at greatest risk for injury)
Figure 16 Vascular supply to the face Source Reprint from Nouri K - photo 6
Figure 1.6
Vascular supply to the face. Source : Reprint from Nouri, K. Complications in dermatologic surgery. Philadelphia, PA: Mosby Elsevier, 2008
Figure 17 Anatomy of the nose Figure 18 Subunits of the face - photo 7
Figure 1.7
Anatomy of the nose
Figure 18 Subunits of the face Figure 19 Anatomy of the external ear - photo 8
Figure 1.8
Subunits of the face
Figure 19 Anatomy of the external ear Figure 110 Anatomy of the eye - photo 9
Figure 1.9
Anatomy of the external ear
Figure 110 Anatomy of the eye Figure 111 Anatomy of the nail unit - photo 10
Figure 1.10
Anatomy of the eye
Figure 111 Anatomy of the nail unit Figure 112 Skin tension lines - photo 11
Figure 1.11
Anatomy of the nail unit
Figure 112 Skin tension lines face for planning optimal incisions to - photo 12
Figure 1.12
Skin tension lines ( face ): for planning optimal incisions to minimize scarring
Figure 113 Skin tension lines anterior Figure 114 Skin tension lines - photo 13
Figure 1.13
Skin tension lines (anterior)
Figure 114 Skin tension lines posterior Figure 115 Great saphenous - photo 14
Figure 1.14
Skin tension lines (posterior)
Figure 115 Great saphenous vein GSV and its tributaries Figure 116 - photo 15
Figure 1.15
Great saphenous vein (GSV) and its tributaries
Figure 116 Small saphenous vein SSV and its tributaries Elizabeth Hale - photo 16
Figure 1.16
Small saphenous vein (SSV) and its tributaries
Elizabeth Hale , Julie Karen and Perry Robins Handbook of Dermatologic Surgery 2014 10.1007/978-1-4614-8335-9_2
Springer Science+Business Media New York 2014
Excisional and Non-excisional Surgery
Elizabeth Hale 1, Julie Karen 1 and Perry Robins 1
(1)
New York University School of Medicine, New York, NY, USA
Preoperative History
Medical history with particular attention to:
  • Coronary artery disease
  • Hypertension
  • Arrhythmias
  • Pacemaker or defibrillator
  • Heart murmurs
  • Artificial heart valves
  • Prosthesis or shrapnel
  • Bleeding or clotting disorders
  • Hepatitis or HIV
  • Keloids or hypertrophic scars
  • Alcohol use
  • Cigarette smoking
  • Pregnancy (consider consultation with obstetrician)
Medications with particular attention to:
  • Anticoagulants (recommendations on next page)
  • Herbal and over the counter medications including but not limited to:
    • Vitamin E
    • Feverfew
    • Fish oil
    • Garlic
    • Ginger
    • Gingko biloba
    • Ginseng
    • Others: dong quai, licorice, devils claw, and danshen have the same antithrombotic effect and should be discontinued 710 days preoperatively
  • Recent use of oral retinoids (e.g., isotretinoin): may impair healing
  • Immunosuppressants (e.g., TNF-inhibitors, cyclosporine, methotrexate, mycophenolate mofetil, and prednisone): may impair healing
  • Medication allergies
Recommendations for management of anticoagulants:
  • Aspirin : irreversibly inhibits platelet aggregation via acetylation of cyclooxygenase. One aspirin affects a platelet throughout its lifespan of 610 days. Medically indicated aspirin should not be stopped. However, if the patient can safely discontinue aspirin without a high risk for stroke or myocardial infarction, it should be withheld for 10 days before surgery and then possibly 57 days after surgery (after consultation with the patients internist or cardiologist when appropriate). There may be a risk of rebound hypercoagulability with cessation.
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