Videos available online INTRODUCTION In contrast to rotation flaps, which have a curvilinear configuration, transposition flaps have a linear configuration. Both are pivotal flaps moving about a pivotal point. Both flaps develop standing cutaneous deformities (SCDs) at their bases and…
INTRODUCTION Rotation flaps are pivotal flaps with a curvilinear configuration. By necessity they must be designed immediately adjacent to the defect. Thus a border of the defect becomes the advancing border of the skin flap. Although useful in many clinical…
Videos available online INTRODUCTION The author defines a local cutaneous flap as an area of skin and subcutaneous tissue with a direct vascular supply that is transferred from its in situ position to a site located immediately adjacent to or…
PREPARATION OF THE PATIENT Surgical restoration of the face may require a multistage procedure with a potentially protracted healing period before the final aesthetic outcome is evident. The initial reconstructive procedure is usually the most influential in predicting the aesthetic…
INTRODUCTION Local flap procedures can offer patients excellent options for the repair of soft tissue defects. After proper design and execution, the long-term results can be very satisfactory. Regardless of the local flap selected, proper soft tissue techniques are vital…
INTRODUCTION Scientific and clinical research in the areas of wound healing and the biomechanics of skin flaps has changed skin flap design from erratic, unsure, and artistic to consistent, scientific, and artistic. Today, skin flap design emphasizes vascular patterns, skin…
INTRODUCTION The creation of a cutaneous flap applies specific stresses to otherwise normal skin. These stresses include local tissue trauma and reduced neurovascular supply to the affected tissue. The extent to which skin can survive these injuries is a reflection…
INTRODUCTION The skin is a complex organ that is essential for all forms of mammalian life. It may be viewed as a double-layered sheath, cushioned by the underlying subcutaneous adipose tissue, that covers the entire surface of the body. The…