Background: The subcutaneous island pedicle flap is a useful closure in many areas on the face, particularly the cheek and upper lip. One disadvantage can be that the advancing edge of the flap leaves a scar at right angles to the local lines of relaxed skin tension. Tension on free edges such as the lid can also be a problem, but may be mitigated by incorporating an element of rotation into the closure. A variation on the subcutaneous island pedicle flap is described to help avoid the problems of the subcutaneous island pedicle flap while retaining its strengths.
Objective: Our experience with more than 120 rotating island pedicle flaps over 10 years is described to demonstrate the versatility of this subcutaneous island pedicle flap for facial and reconstructive surgery.
Methods: The technique is described and seven representative cases are presented with photographs.
Results: The flap is simple to perform, has minimal complications, and has good cosmetic results. Temporary alteration of sensation in the flap skin is a possible complication and can be largely avoided with a bipedicled dissection technique.
Conclusion: Our experience shows the rotating island pedicle flap to be versatile, reliable, and aesthetic island pedicle flap for skin cancer surgery both on and off the face and a practical modification of the subcutaneous island pedicle flap.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/j.1524-4725.2004.30380.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparison of Clinical and Radiological Outcomes of Three-Column Lumbar Osteotomies with and without Interbody Cages for Adult Spinal Deformity.
Spine J
January 2025
International Spine Study Group Foundation, Denver, Colorado, USA.
Background Context: Correcting sagittal malalignment in adult spinal deformity (ASD) is a challenging task, often requiring complex surgical interventions like pedicle subtraction osteotomies (PSOs). Different types of three-column osteotomies (3COs), including Schwab 3, Schwab 4, Schwab 4 with interbody cages, and the "sandwich" technique, aim to optimize alignment and fusion outcomes. The role of interbody cages in enhancing fusion and segmental correction remains unclear.
View Article and Find Full Text PDFLaterally Based Island Pedicle Flap with Cheek Advancement for Defects of the Nasal Ala.
J Clin Aesthet Dermatol
December 2024
Mr. Dahabreh and Drs. Hazan and Khorasani are with the Department of Dermatology, Icahn School of Medicine at the Mount Sinai Medical Center in New York, New York.
V-to-Y advancement flap is a successful repair technique that preserves vascular and tissue integrity adopted after Mohs micrographic surgery to repair cutaneous defects on the head and neck. However, defects at the lateral distal nasal ala requires large extension beyond cosmetic margins that increase risk of skin webbing, an undesired result on a cosmetically sensitive location to the patient. In this article, we present a novel approach to modifying the procedure employing the V-to-Y advancement flap by truncated the trailing end of the island pedicle to allow for successful healing and better patient satisfaction.
View Article and Find Full Text PDFSuperficial palmar branch of radial artery flap for digital skin reconstruction: anatomical study and clinical applications.
Surg Radiol Anat
December 2024
Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Article Synopsis
- The study examines the superficial palmar branch of the radial artery (SUPBRA) to improve techniques for reconstructing palmar skin, focusing on its anatomy and harvesting methods.
- Researchers dissected 19 male hand specimens to gather detailed anatomical data, including dimensions and positions of key structures related to SUPBRA, analyzing how best to utilize this flap in reconstruction efforts.
- Results indicated that the SUPBRA has adequate dimensions for viability in surgical applications, with specific measurements and the identification of critical vascular contributions that ensure successful use in cases of hand injury.
Fasciocutaneous SMAS Island Flap for Large Facial Defect Reconstruction.
Facial Plast Surg Aesthet Med
December 2024
Skin Cancer and Reconstructive Surgery (SCARS) Center, Newport Beach, California, USA.
Article Synopsis
- Large facial defects have historically been repaired using cervicofacial rotation flaps; this study examines the effectiveness of SMAS island flaps for such reconstructions.
- A retrospective analysis of 36 patients (predominantly male, average age 69) who had undergone flap surgery between 2009 and 2023 revealed a mean flap advancing distance of 3.8 cm, with a low incidence of ischemia (8%).
- The results suggest that SMAS island flaps are reliable for large cheek defects, with anterior pedicles being preferable for anterior defects and posterior pedicles for those located in the back.
The Small Finger Reverse Ulnar Digital Artery Hypothenar Palmar Perforator Flap: An Anatomical Study With Clinical Examples.
Plast Reconstr Surg Glob Open
November 2024
From the Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, N.Y.
Background: Local flaps are commonly used for reconstruction of digital soft-tissue defects. There remains a paucity of options available for small finger volar and dorsal soft-tissue defects distal to the proximal interphalangeal joint. The purpose of this study was to analyze perforators along the hypothenar palmar region arising from the artery of the ulnar side of the small finger as it comes off the superficial palmar arch for consistency and potential to be used for perforator-based flap reconstruction of soft-tissue defects and joint coverage of the small finger.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!