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Related Experiment Videos

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

A J Emmett

    Plastic and Reconstructive Surgery
    |January 1, 1977
    PubMed
    Summary

    Triangular flaps using subcutaneous pedicles are a reliable method for closing surgical defects. Surgeons now favor central pedicles over lateral ones and can modify flaps to avoid undesirable circular scars.

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    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.

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  • 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.