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Reducing Risks for Local Skin Flap Failure. | LitMetric

Reducing Risks for Local Skin Flap Failure.

Facial Plast Surg Clin North Am

Department of Otolaryngology-Head and Neck Surgery, University of California San Diego, 9300 Campus Point Drive, MC 7895, La Jolla, CA 92037-7895, USA.

Published: May 2023

AI Article Synopsis

Article Abstract

Local tissue flaps are a fundamental technique in cutaneous reconstruction. Reducing the risk of flap failure is of critical importance. The intrinsic vascularity of a flap is the most important determinant of success. Good surgical techniques, including flap design, delicate tissue handling, and tension-less closure, help reduce the risk of flap compromise. Determining the etiology of compromise, including arterial, venous, hematologic, or infectious, is the first step in salvaging a failing flap. Common causes include pedicle kinking, hematoma, pressure/tension, systemic patient factors, and poor surgical technique. Swift action to restore perfusion or venous outflow through numerous strategies is required.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990621PMC
http://dx.doi.org/10.1016/j.fsc.2023.01.006DOI Listing

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