Plastic Surgery Key

Keystone Flaps Theodore A. Kung Peter Neligan DEFINITION The keystone flap is a versatile fasciocutaneous flap that transfers available soft tissue to an adjacent defect and can be designed anywhere…

Tissue Expansion for Trunk Defects Ibrahim Khansa Jeffrey E. Janis DEFINITION Tissue expansion is the mechanical increase of the surface area of tissue. It relies on two phenomena: Creep: deformation…

Trapezius Muscle Flap Lauren M. Mioton Gregory A. Dumanian DEFINITION The trapezius muscle flap is a reliable option for coverage of the posterior trunk and for defects of the head…

Superior Gluteal Artery Perforator Flap Lauren M. Mioton Gregory A. Dumanian DEFINITION The superior gluteal artery flap is relevant to the treatment of pressure ulcers, coverage of the lower lumbar…

Repair of Flank and Lumbar Defects Sergey Y. Turin Chad A. Purnell Gregory A. Dumanian DEFINITION A defect in the flank/lumbar region of the abdominal wall can be a challenging…

Erector Spinae (Paraspinous) Muscle Flap Lauren M. Mioton Gregory A. Dumanian DEFINITION The erector spinae muscle flap is used for coverage of spinal wounds. ANATOMY The erector spinae, also known…

Tensor Fascia Lata Flaps for Trochanteric Ulcers Terri A. Zomerlei Jeffrey E. Janis DEFINITION Trochanteric ulcers are common in chronically bed-bound patients who lie in the lateral position. Patient populations…

Posterior Thigh and Hamstring Flaps for Ischial Ulcers John Hulsen Jeffrey E. Janis DEFINITION A pressure injury is localized damage to the skin and soft tissue typically over a bony…

Gluteal Flaps for Sacral Pressure Injuries Terri A. Zomerlei Jeffrey E. Janis DEFINITION Sacral pressure injuries are common in chronically supine patients. Patient populations most at risk include those in…

Gender-Affirming Surgery Katherine M. Gast William M. Kuzon Jr DEFINITION Gender dysphoria is the incongruence between anatomic sex and gender identity. It is estimated to affect 1.4 million Americans, or…