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Chapter-11 Staged Flaps

BOOK TITLE: Reconstructive Dermatologic Surgery

Author
1. Lewin Jesse M
2. Carucci John A
ISBN
9789351529415
DOI
10.5005/jp/books/14126_12
Edition
1/e
Publishing Year
2018
Pages
28
Author Affiliations
1. New York University Langone Medical Center, New York, New York, USA, Columbia University Medical Center, New York, NY, USA
2. New York University Langone Medical Center, New York, New York, USA, NYU-Langone Medical Center, New York, NY, USA
Chapter keywords
Staged flap, melolabial interpolation flap, mastoid pedicle flap, retroauricular pedicle flap, paramedian forehead flap, abbe flap, postauricular staged banner flap

Abstract

This chapter covers the applications and proper execution of the melolabial interpolation flap, mastoid pedicle flap, paramedian forehead flap, and Abbe “lip switch” flap. The staged interpolation flap is a workhorse for dermatologic surgeons reconstructing complex defects following tumor extirpation that cannot be repaired adequately with local adjacent tissue transfers or grafts. The principle underlying the staged interpolation flap is to elevate tissue with a strong arterial supply from one location and transpose it over uninvolved skin in order to cover and nourish the recipient site with well-matched donor tissue. At present dermatologic surgeons perform staged interpolation flaps to reconstruct complex defects primarily of the nose, ear, and lip. While many other surgical subspecialties perform multiple staged flaps with intravenous sedation or general anesthesia, staged interpolation flaps have been demonstrated to be safe and with low complication rates in the hands of dermatologic surgeons using local anesthesia.

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