Expertise in Head and Neck Cutaneous Reconstructive Surgery

Abstract

BACKGROUND The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature. OBJECTIVE To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. METHODS The authors conducted a systematic review of the head and neck reconstructive literature from 2000 through 2015 based on a priori search terms relating to suture technique, linear closure, advancement, rotation, transposition and interpolation flaps, and identified the specialty of the senior authors. RESULTS The authors identified 74,871 articles, of which 1,319 were relevant. Under suture technique articles, the senior authors were primarily dermatologists (58.2%) and plastic surgeons (20.3%). Under linear closure, the authors were dermatologists (48.1%), plastic surgeons (22.2%), and otolaryngologists (20.4%). Under advancement and rotation flaps, the senior authors were plastic surgeons (40.5%, 38.9%), dermatologists (38.1%, 34.2%), and otolaryngologists (14.4%, 21.6%). Under transposition and interpolation flaps, the senior authors were plastic surgeons (47.3%, 39.4%), dermatologists (32.3%, 27.0%), and otolaryngologists (15.3%, 23.4%). CONCLUSION The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.

Transposition glabellar flap in post orbital exenteration fistula: case report

“…Regional flaps are the appropriate terminology for these flaps. [2][3][4] Human integument is constituted by the superficial epidermis and the deep dermis. Epidermis further is comprised of four to five layers, vis a vis, its location, stratum corneum, stratum lucidum (palms and soles of hands and feet only), stratum granulosum, stratum spinosum and stratum basale.…”

Transpositionslappenplastik zur Deckung eines ausgedehnten Defektes der Oberlippenregion nach Resektion eines mikrozystischen Adnexkarzinoms

“…Transpositionslappen wie beispielsweise nasolabial für Defekte im Bereich der Nase oder Oberlippe sind geeignet, um die Spannung aus der Defektrichtung zu verlagern sowie Spannungsvektoren in günstigere Richtungen neu ausrichten. Patienten sollten ausführlich über mögliche Revisionsoperationen beispielsweise zur Drehpunktkorrektur aufgeklärt werden [7–10].…”

Transposition flap plastic to cover an extensive defect of the upper lip region after resection of a microcystic adnexal carcinoma

“…Patients should be informed in detail about possible revision surgery, e.g. for pivot point correction [7–10].…”