The closure of defects by using adjacent triangular flaps with subcutaneous pedicles

Area of Science:

• Plastic surgery
• Reconstructive surgery
• Dermatologic surgery

Background:

• Subcutaneous pedicle flaps are a common surgical technique.
• Previous methods primarily utilized lateral pedicles.
• The need for versatile and aesthetically pleasing defect closure persists.

Purpose of the Study:

• To evaluate the long-term reliability of triangular subcutaneous pedicle flaps.
• To describe the evolution of pedicle selection in flap reconstruction.
• To present techniques for optimizing flap design to prevent adverse scarring.

Main Methods:

• Retrospective review of 12 years of surgical cases utilizing triangular subcutaneous pedicle flaps.
• Analysis of flap success rates and complication patterns.
• Comparison of outcomes between lateral and central pedicle techniques.

Main Results:

• Triangular flaps with subcutaneous pedicles demonstrated consistent reliability over a 12-year period.
• A shift in preference from lateral to central pedicles was observed.
• Techniques including partial skin bridges were employed to mitigate circular scarring.

Conclusions:

• Triangular subcutaneous pedicle flaps are a dependable option for defect closure.
• Central pedicles are increasingly preferred, offering potential advantages.
• Flap design modifications can effectively prevent undesirable circular scar formation.