Description
Springer Dermatosurgery by J. Petres, M. Hundeiker, B. Feldman, K.W. Kalkoff
Dermatosurgery cannot readily be therefore be to impart the knowledge assigned to anyone branch of medical that gives the dermatologist this free- science, and as with any borderline dom of choice. This involves the teach- case, this assignation is a matter of con- ing not only of the basic principles of troversy. Since the end of the last cen- dermatosurgery but also of the ability tury, the place of the subject in the field to discriminate according to the most of dermatology has been firmly estab- varied criteria. In this field, technical lished. This is hardly surprising, since knowledge, motivation, and enthusi- a number of specialists in dermatology asm are not enough; talent is also re- spent the first part of their professional quired. C. Moncorps was engaged in work life as surgeons: for example, E. Lang of Vienna, famous for his treatment of on a monograph on dermatosurgery lupus by plastic surgery; and K. Linser (unfortunately nowhere near comple- of Tiibingen, one of the originators of tion) at the time of his death. As a for- varicose-vein stripping. H. T. Schreus mer pupil and long-standing colleague and C._x000D_Moncorps were distinguished of his, it is particularly gratifying to me to see colleagues past and present con- members of a later generation of sur- gery-oriented dermatologists; the der- tinuing a tradition in their work._x000D_ Table of contents :- _x000D_
1. Surgical Indications in Dermatology.- 1.001 Tumors, Preblastomatoses, Cysts, and Malformations.- 1.002 Benign Epithelial Tumors.- 1.003 Basal Cell Papilloma. Verruca Seborrheica 3 / 1.004 Verruca Vulgaris 4 / 1.005 Condyloma Acuminatum 5 / 1.006 Molluscum Contagiosum 5 / 1.007 Verrucous Epidermal Nevus and Rare Epidermal Nevi 5 / 1.008 Nevus Sebaceous (Jadassohn) 5 / 1.009 Clear Cell Acanthoma (Degos) 5 / 1.010 Rare Benign Tumors of the Skin Glands 6 / 1.011 Sebaceous Gland Adenoma 6 / 1.012 Senile Sebaceous Gland Hyperplasia 6 / 1.013 Rhinophyma 6 / 1.014 Nevus Comedonicus 6 / 1.015 Trichofolliculoma 6 / 1.016 Malherbe's Epithelioma 6.- 1.017 Cysts.- 1.018 Follicle Retention Cysts 7 / 1.019 Traumatic Epidermal Cysts 7 / 1.020 Milia 7.- 1.021 Precanceroses.- 1.022 Keratoma Solare 7 / 1.023 "Cornu Cutaneum." Compare Molluscum Contagiosum (Sect. 1.006) 8 / 1.024 Tar and Oil Keratoses 8 / 1.025 Arsenic Keratosis 8 / 1.026 Bowen's Disease 8 / 1.027 Erythroplasia of Queyrat 9 / 1.028 Leukoplakia 9 / 1.029 Cheilitis Abrasiva Precancerosa (Manganotti) 9 / 1.030 Radiodermatitis, Roentgenism 9 / 1.031 Lichen Sclerosus et Atrophicans 9 / 1.032 Intraepidermal Epithelioma (Borst-Jadossohn) 10.- 1.033 Carcinomas.- 1.034 Squamous Cell Carcinoma 10 / 1.035 Carcinomas of the Skin Appendages 10 / 1.036 Paget Carcinoma 10 / 1.037 Skin Metastases of Internal Carcinomas 11.- 1.038 Pseudocancerous Lesions.- 1.039 Keratoacanthoma 11 / 1.040 Papillomatosis Cutis Carcinoides Gottron 11 / 1.041 Pseudocarcinomous Hyperplasia 11 / 1.042 Oral Florid Papillomatosis 11.- 1.043 Basal Cell Carcinoma and Related Tumors.- 1.044 Basal Cell Carcinoma 12 / 1.045 Premalignant Fibroepithelial Tumor (Pinkus) 13 / 1.046 Spiegler's Tumor 13 / 1.047 Epithelioma Adenoids Cysticum (Brooke) 13 / 1.048 Nevoid Basal Cell Carcinomas 13 / 1.049 Basal Cell Nevus Syndrome (Fifth Phacomatosis) 13.- 1.050 Benign Tumors of the Pigment-Producing Cells.- 1.051 Lentigo 14 / 1.052 Lentigo Senilis 14 / 1.053 Nevus Pigmentosus 14 / 1.054 Juvenile Melanoma (Spitz) 15 / 1.055 Nevus Coeruleus 15 / 1.056 Nevus Pilosus 15 / 1.057 Melanophacomatosis (Virchow-Rokitansky-Touraine) 15.- 1.058 Premalignant and Malignant Neogenesis of the Pigment-Producing Cells (Steigleder and Clark et al. [54, 466]).- 1.059 Lentigo Maligna, Premalignant Melanosis Dubreuilh 15 / 1.060 Lentigo Maligna Melanoma, Dubreuilh Melanoma 16 / 1.061 Superficial Spreading Melanoma 16 / 1.062 Nodular Malignant Melanoma 16.- 1.063 Benign Tumors and Pseudotumors of the Connective Tissues.- 1.064 Histiocytoma, Dermatofibroma 17 / 1.065 Nevoxanthoendothelioma 18 / 1.066 Xanthelasmas 18 / 1.067 Xantomas 18 / 1.068 Keloid 18 / 1.069 Hypertrophic Scars 19 / 1.070 Pseudosarcomatous Fasciitis 19 / 1.071 Desmoid Tumor 19 / 1.072 Nontumorous Fibroplasia (see Sect. 1.117) 19 / 1.073 Adenoma Sebaceum in Conjunction with Phacomatosis (Bourneville-Pringle) 19.- 1.074 Semimalignant and Malignant Tumors of the Connective Tissue.- 1.075 Dermatofibrosarcoma Protuberans 19 / 1.076 Fibrosarcoma 19 / 1.077 Other Sarcomatous Forms 20.- 1.078 Tumors of the Fatty Tissue.- 1.079 Lipoma 20 / 1.080 Lipomatosis Dolorosa 20.- 1.081 Benign Lymphoplasias of the Skin.- 1.082 Lymphocytoma Cutis.- 1.083 Malignant Lymphomas and Hemoblastoses.- 1.084 Benign Tumors of the Vascular and Smooth Muscle Systems.- 1.085 Eruptive Angioma 20 / 1.086 Angioma Senile 21 / 1.087 Nevus Araneus 21 / 1.088 Angiokeratoma. (Preferable [231]: thrombosed angioma) 21 / 1.089 Angiokeratoma Akroasphyticum Mibelli 21 / 1.090 Angiokeratoma Inpunctiforme Scroti s. Vulvae Fordyce 21 / 1.091 Fabry's Disease 21 / 1.092 Capillary Hemangioma 21 / 1.093 Cavernous Hemangioma 22 / 1.094 Glomus Tumor 22 / 1.095 Multiple Familial Glomus Tumors 22 / 1.096 Leiomyoma, Angioleiomyoma 22 / 1.097 Granular Cell Myoblastoma 22 / 1.098 Lymphangiomas 22.- 1.099 Vascular Nevi.- 1.100 Nevus Teleangiectaticus Lateralis 23 / 1.101 Nevus Flammeus Medialis Unna 23.- 1.102 Semimalignant and Malignant Vascular Tumors.- 1.103 Hemangiopericytoma 23 / 1.104 Hemangioendothelioma 23 / 1.105 Kaposi's Sarcoma 23 / 1.106 Hemangiosarcoma 23.- 1.107 Tumors of the Nerves and Nerve Sheaths.- 1.108 Neurilemmona, Neurofibroma 24 / 1.109 Recklinghausen's Neurofibrosis 24 / 1.110 Neurofibrosarcoma 24.- 1.111 Dysplasias, Hyperplasias, and Fibroses.- 1.112 Tylositas Articuli 24 / 1.113 Palmoplantar Fibrosis (Dupuytren's Contracture) 24 / 1.114 Juvenile Palmoplantar Fibrosis 24 / 1.115 Induratio Penis Plastica 24 / 1.116 Pseudoxanthoma Elasticum 24 / 1.117 Cutis Laxa and Cutis Hyperelastica 24.- 1.118 Inflammatory and Functional Skin Lesions.- 1.119 Inflammations Originating from Hair Follicles and Sebaceous Glands.- 1.120 Deep Necrotizing Perifolliculitis 25 / 1.121 Dissecting Cellulitis of the Scalp, Periofolliculitis Capitis Abscedens et Suffodiens 25 / 1.122 Dermatitis Perianalis Fistulosa 25 / 1.123 Pyodermia Fistulans Sinifica 25 / 1.124 Acne Conglobata, Acne Abscedens 25.- 1.125 Inflammations Originating in the Sweat Glands, the Odoriferous Glands, and the Mucous Membranes.- 1.126 Hidradenitis Suppurativa 26 / 1.127 Bartholinitis 26.- 1.128 Chronic Inflammations Originating around the Vessels.- 1.129 Tuberculosis Cutis Luposa 26 / 1.130 Sarcoidosis (Besnier-Boeck-Schaumann) 27 / 1.131 Cheilitis Granulomatosa (see Sect. 3.044) 27 / 1.132 Deep Mycoses and Diseases Due to Actinomyces 27 / 1.133 Leishmaniasis 27.- 1.134 Inflammations that Spread to the Skin.- 1.135 Dental Skin Fistulas 27 / 1.136 Tuberculosis Cutis Colliquativa 27.- 1.137 Cicatricial Post-inflammatory States and Post-thrombotic Syndrome.- 1.138 Phimosis 27 / 1.139 Superficial Thrombophlebitis 28 / 1.140 Varicosis in Chronic Venous Insufficiency 28 / 1.141 Small Varicose Dilations of Cutaneous Veins 28 / 1.142 Pachydermia Vegetans and Papillomatosis Cutis 29 / 1.143 Dermatopathy of the Leg 29 / 1.144 Elephantiasis Nostras 29 / 1.145 Leg Ulcer 29 / 1.146 Arteriosclerotic and Diabetic Gangrene of the Leg 30.- 1.147 Lesions Due to Foreign Bodies and Trauma.- 1.148 Foreign Body Granuloma 30 / 1.149 Tattoos and Other Corial Foreign Body Intrusions 30 / 1.150 Keloid (cf. Sect. 1.068) 30 / 1.151 Traumatic Epithelial Cysts (cf. Sect. 1.019) 30 / 1.152 Chondrodermatitis Nodularis Chronica Helicis Winkler 30 / 1.153 Callosities, Tyloma 30 / 1.154 Burns and Scalding 30 / 1.155 Chemical Burns 31 / 1.156 Wounds 31 / 1.157 Suture Dehiscence 31.- 1.158 Functional and Cosmetic Disorders.- 1.159 Axillary Hyperhidrosis 31 / 1.160 Cosmetic Surgery 32.- 1.161 Lesions of the Nails.- 1.162 Onychomycoses 32 / 1.163 Ingrown Toenail 32.- 2. Basic Principles of Dermatosurgery: Survey of Surgical Techniques.- 2.001 Requirements and Considerations.- 2.002 Surgical Instruments.- 2.003 Pre- and Postoperative Care.- 2.004 Anesthesia Procedures.- 2.005 Local Anesthesia (for techniques, cf. [11, 330]) 39 / 2.006 Local Anesthetics 39 / 2.007 Marginal Wall Anesthesia 39 / 2.008 Conduction Anesthesia 39 / 2.009 Special Regional Anesthesia Procedures 40 / 2.010 General Anesthesia 40.- 2.011 Incisions and Suture Techniques.- 2.012 Interrupted Sutures 41 / 2.013 Mattress Sutures 41 / 2.014 Continuous Intradermic Suture 41 / 2.015 Removal of Sutures 42.- 2.016 Surgical Techniques.- 2.017 Skin Biopsy 42 / 2.018 Elliptical Excision with Primary Wound Closure 42 / 2.019 "Dehnungsplastik" (Friederich [19] 43.- 2.020 Regional Flaps.- 2.021 Z-Flap Technique 4 / 2.022 VY-Flap Technique 44 / 2.023 Advancement Flap Technique 44 / 2.024 Rotation Flap Technique 45 / 2.025 Transposition Flap Technique 45 / 2.026 Island Flap Technique 45 / 2.027 Combination of Techniques 46.- 2.028 Flaps and Grafts from Other Body Areas.- 2.029 Free Skin Grafts 46 / 2.030 Tubed Pedicled Flaps 47.- 2.031 Dermabrasion.- 2.032 Electrosurgery.- 2.033 Electrotomy 48 / 2.034 Coagulation 48 / 2.035 Desiccation 48 / 2.036 Fulguration 48 / 2.037 Curettage 49.- 2.038 Chemosurgery.- 3. Special Techniques for Different Regions of the Body.- 3.001 Scalp.- 3.002 Rotation Flap Technique.- 3.003 Double Rotation Flap Technique 51 / 3.004 Rotation Flap Technique Combined with Free Skin Graft 51 / 3.005 Full-Thickness Skin Graft 52 / 3.006 Transplantation of Multiple Punch Biopsies 52 / 3.007 Surgery for Relaxation of the Scalp 52.- 3.008 Temporal Region.- 3.009 Caudal Advancement Flap Technique 53 / 3.010 Advancement Flap Technique-Free Skin Grafting Combination 54 / 3.011 Dorsal Rotation Flap Technique 54 / 3.012 Caudal Rotation Flap Technique 54 / 3.013 Free Skin Grafting Technique (Split-thickness Skin Grafts) 55.- 3.014 Forehead.- 3.015 Rotation Flap Technique 55 / 3.016 Advancement Flap Technique from Both Temporal Areas 55 / 3.017 Double Rotation Flap 56.- 3.018 Nose.- 3.019 Transposition Flap Technique 57 / 3.020 Double Transposition Flap Technique 58 / 3.021 Lateral Advancement Flap Technique 58 / 3.022 Cranial Advancement Flap Technique 59 / 3.023 Caudal Advancement Flap Technique 59 / 3.024 Rotation Flap Technique for Defects of Ala Nasi 59 / 3.025 Rotation Flap Technique for Defects of the Nasal Tip 61 / 3.026 Tunnel Flap Technique 61 / 3.027 Columella Nasi Reconstruction Technique 62 / 3.028 Island Flap Technique 62 / 3.029 Composite Grafts 62 / 3.030 Z-Flap Technique 63 / 3.031 Free Skin Grafting 63-/-3.032 Rhinophyma Therapy 63.- 3.033 Lips.- 3.034 Vermilionectomy for the Lower Lip (Langenbeck and von Bruns) 64 / 3.035 Triangular Excision 65 / 3.036 Advancement Flap Techniques for the Lower Lip (von Burow) 66 / 3.037 Lower Lip Repair (Estlander) 66 / 3.038 Transposition Flap Technique for Defects of the Lower Lip 67 / 3.039 VY-Flap Technique 67 / 3.040 Plastic Surgery to Widen the Mouth 68 / 3.041 Transposition Flap Technique for Upper Lip Repair 68 / 3.042 Advancement Flap Technique (von Burow) for Upper Lip Repair 68 / 3.043 Lower Lip Repair (Spiessl) 69 / 3.044 Surgical Therapy for Cheilitis Granulomatosa (Melkersson-Rosenthal Syndrome) 69 / 3.045 Correction of Thin Labium 70.- 3.046 Eyelids.- 3.047 Advancement Flap Technique (Inner Canthus) 70 / 3.048 Transposition Flap Technique (Inner Canthus) 71 / 3.049 Advancement-Rotation Flap Technique (Upper Eyelid) 71 / 3.050 Advancement Flap Technique (Lower Eyelid) 71 / 3.051 Rotation Flap Technique (Imre) 71 / 3.052 Transposition Flap Technique (Lower Eyelid) 72 / 3.053 Correction for Baggy Eyelids (Blepharoplasty) 72.- 3.054 Cheeks.- 3.055 Advancement Flap Technique 75 / 3.056 Transposition Flap Technique 75 / 3.057 Rotation Flap Technique 75.- 3.058 Auricle, Pre- and Postauriclar Region.- 3.059 Triangular Excision 75 / 3.060 Reduction Plasty of the Auricle (Trendelenburg) 76 / 3.061 Partial Amputation of the Auricle 76 / 3.062 Plastic Reconstruction of the Auricle for Partial Defects 79 / 3.063 Rotation Flap Technique 79 / 3.064 Transposition Flap Technique 79 / 3.065 Advancement Flap Technique 79 / 3.066 Tunnel Flap Technique 79 / 3.067 Chin, Throat, and Neck 79 / 3.068 Advancement Flap Technique 81 / 3.069 Rotation Flap Technique (Lateral Chin-Mandibular Area) 81 / 3.070 Rotation Flap Technique (Throat) 82 / 3.071 Double Rotation Flap Technique 82 / 3.072 Transposition Flap Technique 82.- 3.073 Trunk.- 3.074 Transposition Flap Technique 83 / 3.075 Rotation Flap Technique 83 / 3.076 Double Rotation Flap Technique 83 / 3.077 Free Skin Grafting Technique 83 / 3.078 Rehabilitation of Sagging Abdomen 84.- 3.079 Axilla.- 3.080 Transposition Flap Technique 85 / 3.081 Rotation Flap Technique 85 / 3.082 Surgical Therapy for Axillary Hyperhidrosis 85.- 3.083 Male Genital Region.- 3.084 Dorsal Incision 86 / 3.085 Circumcision 86 / 3.086 Phimosis Correction (Rebreyoud [385]) 87 / 3.087 Pedicled Flap Technique (Happle) 87 / 3.088 Amputation of the Penis 88 / 3.089 Repair of a Defect in the Scrotal Area 88 / 3.090 Free Skin Grafting Technique 88 / 3.091 Lymphangioplasty (Handley and Zieman [358, 570]) 88 / 3.092 Testicular Biopsy 89 / 3.093 Surgery of Varicocele 89.- 3.094 Female Genital Region.- 3.095 Vulvectomy.- 3.096 Extremities.- 3.097 Multiple Z Flaps 90 / 3.098 Transposition Flap Technique 90 / 3.099 Free Skin Grafting Technique 90 / 3.100 Surgical Therapy for Leg Ulcers 90.- 3.101 Hands and Feet.- 3.102 Free Skin Grafting Technique 92 / 3.103 Transposition Flap Technique 92 / 3.104 VY-Flap Technique 92 / 3.105 Multiple Z-Flap Technique 92 / 3.106 Dermabrasion 92 / 3.107 Nail Extraction 92 / 3.108 Nail Extraction Combined with Triangular Excision 92 / 3.109 Triangular Excision (Emmet) 92.- Plates._x000D_
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