V-Y Flaps and Island Flaps

Mar 3, 2019 by in Dermatology Comments Off on V-Y Flaps and Island Flaps

Abstract Flap reconstruction of surgical defects of the face offers unsurpassed aesthetic and functional outcomes. The V-Y flap is a modification of the traditional advancement that improves the flap’s vascular…

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Staged Interpolation Flaps

Mar 3, 2019 by in Dermatology Comments Off on Staged Interpolation Flaps

Abstract Staged interpolation flaps require at least two stages to complete. They are usually reserved for defects that are deep, large (complete or subtotal subunit wound), or full thickness. These…

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Skin Grafts

Mar 3, 2019 by in Dermatology Comments Off on Skin Grafts

Abstract Skin grafts are autologous portions of skin completely divided from their blood supply and transplanted into a recipient wound. Full-thickness skin grafts are composed of epidermis and the full…

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Rotation Flaps

Mar 3, 2019 by in Dermatology Comments Off on Rotation Flaps

Abstract A rotation flap employs an arciform incision adjacent to an operative wound in order to recruit laxity from multiple directions and redirect flap closure tension. Adjacent tissue laxity assists…

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Scalp Reconstruction

Mar 3, 2019 by in Dermatology Comments Off on Scalp Reconstruction

Abstract Although the scalp represents one of the most visually and anatomically homogeneous regions of the head and neck, its unique anatomic characteristics and subtleties, however, can often make reconstructive…

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Second Intention Healing and Primary Closure

Mar 3, 2019 by in Dermatology Comments Off on Second Intention Healing and Primary Closure

Abstract Second intention healing and primary closure are fundamental reconstruction options in dermatologic surgery. In general, second intention healing is best suited for wounds where the surrounding skin has a…

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Basic Principles in Flap Reconstruction

Mar 3, 2019 by in Dermatology Comments Off on Basic Principles in Flap Reconstruction

Abstract Reconstruction of the skin is challenging and rewarding to the dermatologic surgeon. When second intention or side-to-side linear closure is not possible, more complex movement of local or distant…

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Anatomy

Mar 3, 2019 by in Dermatology Comments Off on Anatomy

Abstract Dermatologic, oncological, and aesthetic surgery require an intimate knowledge of the bony structures, muscles, vessels, and nerves of the head and neck. They also require an understanding of their…

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