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Related Experiment Videos

Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.

Chad A Purnell1,2, Sergey Y Turin1,2, Gregory A Dumanian1,2

  • 1Chicago, Ill.

Plastic and Reconstructive Surgery
|December 28, 2017
PubMed
Summary

Plastic surgeons can reconstruct a neoumbilicus using a novel "pumpkin-teeth" flap technique. This method offers a quick and effective solution for umbilical reconstruction, minimizing complications and improving patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Creating a neoumbilicus is a frequent challenge in plastic surgery.
  • Existing techniques may involve complex procedures or undesirable outcomes.

Purpose of the Study:

  • To present a novel technique for umbilical reconstruction using bilateral square "pumpkin-teeth" advancement flaps.
  • To evaluate the applicability and outcomes of this technique in diverse surgical settings.

Main Methods:

  • The technique involves bilateral square advancement flaps, described as "pumpkin-teeth" flaps.
  • Applicable to both vertical midline incisions and abdominoplasty cases without a midline incision.

Main Results:

  • Successfully performed in over 50 patients with vertical midline incisions and five patients without.

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  • Complications included persistent serous drainage (vertical incision group) and inadequate depth (no midline incision group).

    • Conclusions:

    • This "pumpkin-teeth" flap technique provides a rapid and reliable method for neoumbilicus creation.
    • It avoids small flaps, external incisions, and healing by secondary intention, offering a superior alternative.