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Updated: Nov 9, 2025

Engineered Vascularized Muscle Flap

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Published on: January 11, 2016

The Triangular Dart Flap: A Reconstructive Option for Soft Tissue Defects.

Thomas N Steele¹, Lauren E Blaha, Olivia P Madan

¹From the Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine; Winston-Salem, NC.

Annals of Plastic Surgery

|April 9, 2021

Summary

This summary is machine-generated.

A novel triangular dart flap technique effectively reconstructs skin cancer defects in a single stage, utilizing dog-ear tissue for tension-free closure. This method offers a promising solution for challenging soft tissue repairs.

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Area of Science:

Plastic Surgery
Dermatology
Oncology

Background:

Reconstructing soft tissue defects after skin cancer excision presents significant challenges.
Various reconstruction methods exist, including primary repair, local tissue rearrangement, and skin grafts.

Purpose of the Study:

To introduce and evaluate a novel single-stage technique, the triangular dart flap, for soft tissue defect reconstruction.
To assess the efficacy and complication rates of the triangular dart flap in repairing defects from skin cancer excisions.

Main Methods:

A retrospective review of patients undergoing local tissue rearrangements from 2009 to 2018.
Analysis of patient demographics, defect characteristics, comorbidities, and postoperative outcomes following triangular dart flap reconstruction.

Main Results:

Twenty-four patients underwent reconstruction with the triangular dart flap for malignant defects.
The mean defect size was 7.3 cm², with a mean repair size of 29.7 cm². Common pathologies included basal cell carcinoma and melanoma in situ.
No major complications occurred; 5 (20.8%) minor complications were reported. The procedure was predominantly performed under local anesthesia.

Conclusions:

The triangular dart flap is a novel, single-stage procedure suitable for correcting Mohs defects, often under local anesthesia.
This technique effectively uses redundant tissue to achieve tension-free primary closure, particularly in sensitive areas like the nasal tip.