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Related Experiment Videos

The 'note flap'.

J W Walike, W F Larrabee

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |July 1, 1985
    PubMed
    Summary

    A novel triangular skin flap design effectively closes facial defects. This versatile local flap, resembling an eighth note, offers a reliable surgical solution for reconstructive needs.

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    Area of Science:

    • Plastic Surgery
    • Dermatology
    • Surgical Techniques

    Background:

    • Facial defects require reconstructive solutions.
    • Local skin flaps are a common method for closure.
    • Optimizing flap design is crucial for successful reconstruction.

    Purpose of the Study:

    • To present a versatile local skin flap for facial defect closure.
    • To describe the design and application of the triangular flap.
    • To evaluate the flap's dimensions and tension characteristics.

    Main Methods:

    • A specific geometric design for a triangular flap is detailed.
    • The flap is drawn tangent to the defect, parallel to relaxed skin tension lines.
    • De-epithelialization of the flap tip facilitates closure; opposing flaps can be used for larger defects.

    Main Results:

    • A series of 20 patients demonstrated the flap's efficacy.
    • Mean flap dimensions: first side 1.4d, second side 1.1d, tip angle 50.3 degrees.
    • The flap area averaged 75% of the circular defect area, with tension vectors perpendicular to the tangential side.

    Conclusions:

    • The described triangular flap is a versatile and effective local flap for facial defect closure.
    • The flap design provides adequate coverage and considers skin tension dynamics.
    • This technique offers a reproducible method for reconstructive surgery.

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