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Tissue Rearrangements: The Power of the Z-Plasty
Gabriel Hundeshagen1, Ramón Zapata-Sirvent2, Jeremy Goverman3
1Department of Surgery, Shriners Hospital for Children-Galveston, University of Texas Medical Branch, 815 Market Street, Galveston, TX 77550, USA; Department of Hand, Plastic and Reconstructive Surgery, Burn Trauma Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Street 13, Ludwigshafen 67071, Germany.
Abstract:
The z-plasty is a highly versatile standard technique of reconstructive burn surgery. Variations of the classic z-plasty with limbs of equal length at 60° angles can accommodate specific reconstruction needs. Opposing z-plasties can be used when available tissue is limited; series of z-plasties can be linked to elongate tissue over a longer distance with smaller individual incisions, and a z-plasty with varying limb angles and lengths can provide tissue coverage in areas with special distributions of scarred and normal skin.
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