Single-stage interpolation flaps in facial reconstruction.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Surgical Oncology

Background:

• Complex surgical defects, especially near free margins, pose significant reconstructive challenges.
• Local flap options may be limited by anatomical constraints.
• Interpolation flaps can be modified for single-stage reconstruction of difficult wounds.

Purpose of the Study:

• To establish a framework for managing soft tissue defects near free margins.
• To demonstrate the design and execution of single-stage interpolation flaps for reconstruction.
• To address challenging wounds in a single operative session.

Main Methods:

• Review of single-stage interpolation flap utilization.
• Anatomical region-based analysis of flap application.
• Surgical approach considerations for flap design.

Main Results:

• Demonstration of flap conceptualization, design, and execution based on anatomical region.
• Successful reconstruction of various defects involving free margins.

Conclusions:

• Single-stage interpolation flaps (tunneled, transposed, deepithelialized) offer versatile reconstruction options.
• Robust flap vascularity supports tissue bulk importation and intricate contouring.
• Strategic flap design enables access to distant tissue and preserves single-stage benefits.