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Back to basics: the subcutaneous island pedicle flap
Janie M Leonhardt1, Naomi Lawrence
1Division of Dermatology, Cooper University Hospital Medical Center, Marlton, New Jersey 08053, USA. janie33@hotmail.com
Summary
The island pedicle flap is a versatile surgical technique for facial reconstruction. It offers excellent tissue matching for repairing defects on the nose, cheek, and lip.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Achieving optimal aesthetic reconstruction of facial cutaneous defects relies on matching donor tissue characteristics.
- Island pedicle flaps are valuable for facial reconstruction due to minimized distortion and improved tissue match.
Purpose of the Study:
- To review four specific anatomical locations where island pedicle flaps are effectively utilized for closure.
- To reinforce the utility of the island pedicle flap in facial reconstruction.
Main Methods:
- Review of flap planning strategies for island pedicle flaps.
- Analysis of specific modifications of the island pedicle flap for different facial sites.
Main Results:
- Successful application of the island pedicle flap for closure on the nasal tip.
- Successful application of the island pedicle flap for closure on the nasal ala.
- Successful application of the island pedicle flap for closure on the upper cheek and upper lip.
Conclusions:
- The island pedicle flap is a crucial tool for surgeons performing facial defect repairs.
- Effective use requires careful planning and implementation for successful outcomes.
