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Innovations in the Island Pedicle Flap for Cutaneous Facial Reconstruction
- Source :
- Dermatologic Surgery. 29:378-385
- Publication Year :
- 2003
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2003.
-
Abstract
- BACKGROUND The island pedicle flap is a useful method of reconstruction in dermatologic surgery. Traditionally, the pedicle has been centrally and inferiorly based, with flap movements by rotation or advancement. With innovations, however, the flap is remarkably applicable to a variety of facial defects. OBJECTIVE Our purpose is to introduce modifications of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements. METHODS Modifications of the island pedicle flap were applied in nine cases of cutaneous repair after Mohs micrographic surgery. Patient records and postoperative photographs were reviewed retrospectively. Both patients and other surgeons were asked to assess outcome variables. RESULTS Patients and physicians judged overall outcome as “excellent” or “good” in 100% and 90.7% of evaluated cases, respectively. CONCLUSIONS Variations of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements, are viable options in the reconstruction of facial defects after Mohs micrographic surgery.
- Subjects :
- Male
Pedicle flap
medicine.medical_specialty
business.industry
Dermatologic Surgical Procedures
Dermatology
General Medicine
Middle Aged
Plastic Surgery Procedures
Mohs Surgery
Micrographic surgery
Surgical Flaps
Surgery
Plastic surgery
Treatment Outcome
Facial reconstruction
Face
Medicine
Dermatologic surgery
Humans
Female
business
Aged
Subjects
Details
- ISSN :
- 10760512
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Dermatologic Surgery
- Accession number :
- edsair.doi.dedup.....60d1117bf12ee86c8d4027340687097c