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Principles of Cutaneous Flap Surgery

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Skin Cancer Management
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Abstract

Cutaneous flap surgery is an important component of skin cancer treatment and management. Defects produced by the surgical removal of skin cancers on the head and neck will often require reconstruction for the best functional and aesthetic outcome. The dermatologic surgeon should have a solid understanding of the principles of flap design and tissue movement. This chapter reviews the basic types of cutaneous flaps as well as a guide to choosing the most appropriate reconstructive option. The practical and aesthetic considerations in flap design presented here can help guide both the novice and experienced dermatologic surgeon. Management of common complications in flap surgery is also addressed.

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References

  1. Burget G, Menick F. Aesthetic reconstruction of the nose. St Louis: Mosby-Yearbook; 1994.

    Google Scholar 

  2. Gaboriau H, Murakami C. Skin anatomy and flap physiology. Otolaryngol Clin N Am. 2001;34(3):555.

    Article  CAS  Google Scholar 

  3. Baker S. Local flaps in facial reconstruction. Philadelphia: Mosby-Elsevier; 2007.

    Google Scholar 

  4. Salasche S, Bernstein G, Senkarik M. Surgical anatomy of the skin. Norwalk: Appleton and Lange; 1998.

    Google Scholar 

  5. Tromovitch T, Stegman S, Glogau R. Flaps and grafts in dermatologic surgery. Chicago: Yearbook Medical; 1989.

    Google Scholar 

  6. Humphreys TR, Goldberg L, Wiemer DR. The postauricular (trap door) island pedicle flap revisited. Dermatol Surg. 1996;22:148–50.

    Article  CAS  PubMed  Google Scholar 

  7. Humphreys TR. Use of the ‘spiral’ flap for closure of small defects of the nasal ala. Dermatol Surg. 1997;27(4):409–10.

    Google Scholar 

  8. Zitelli JA. The bilobed flap for nasal reconstruction. Arch Dermatol. 1989;125(7):957–9.

    Article  CAS  PubMed  Google Scholar 

  9. Brodland D. Paramedian forehead flap reconstruction for nasal defects. Dermatol Surg. 2005;31:1046–52.

    Article  CAS  PubMed  Google Scholar 

  10. Menick F. Aesthetic refinements in the use of the forehead for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg. 1990;17(4):607–22.

    Article  CAS  PubMed  Google Scholar 

  11. Vural E, Batay F, Key I. Glabellar frown lines as a reliable landmark for the supratrochlear artery. Otolaryngol Head Neck Surg. 2000;123:543–6.

    Article  CAS  PubMed  Google Scholar 

  12. Kaiser A, Kernoodle D, Burg N, et al. Influence of preoperative showers on staphylococcal skin colonization: a comparative trial of antiseptic skin cleansers. Ann Thorac Surg. 1998;45:35.

    Article  Google Scholar 

  13. Behroozan D, Goldberg LH. Dermal tumescent anesthesia in cutaneous surgery. J Am Acad Dermatol. 2005;53:828–30.

    Article  PubMed  Google Scholar 

  14. Grekin RC, Auletta MJ. Local anesthesia in dermatologic surgery. J Am Acad Dermatol. 1988;19:599–614.

    Article  CAS  PubMed  Google Scholar 

  15. Chetboun A, Masquelet AC. Experimental animal model proving the benefit of primary defatting of full thickness random pattern skin flaps by suppressing ‘perfusion steal’. Plast Reconstr Surg. 2007;20(6):1496–502.

    Article  Google Scholar 

  16. Chan LK, Withey S, Butler P. Smoking and wound healing problems in reduction mammoplasty. Ann Plast Surg. 2006;56(2):111–5.

    Article  CAS  PubMed  Google Scholar 

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Humphreys, T.R. (2021). Principles of Cutaneous Flap Surgery. In: MacFarlane, D.F. (eds) Skin Cancer Management. Springer, Cham. https://doi.org/10.1007/978-3-030-50593-6_12

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  • DOI: https://doi.org/10.1007/978-3-030-50593-6_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50592-9

  • Online ISBN: 978-3-030-50593-6

  • eBook Packages: MedicineMedicine (R0)

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