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Scarred Flap

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Color Atlas of Burn Reconstructive Surgery


For functional reconstruction in extensively burned patients, reconstruction using flaps is necessary, but sometimes healthy skin is missing. However, scars due to epidermal burn (EB), superficial dermal burn (SDB), and deep dermal burn (DDB) can be used as local flaps or regional flaps. There are two concerns about scarred flaps: (1) vascularity of the flap and (2) elasticity of the flap. However, appropriate design and careful preoperative and intraoperative assessment of scars make this procedure successful. In 1981, the present author reported the effectiveness of scarred flaps including the musculocutaneous vascular system [1], after which some cases were experienced [2–4].

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  1. Fumiiri M, Ishii K, Hyakusoku H et al (1981) Scarred flap-including musculocutaneous vascular system. Jpn J PRS 24:470–475

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  2. Hyakusoku H, Ishii K, Fumiiri M (1983). The use of skin flaps containing scar tissue for extensive burn scar contractures. Transaction of the 8th IPRAS 8, pp 210–212

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  3. Hyakusoku H, Okubo M, Suenobu J, Fumiiri M (1986) Use of scarred flaps and secondary flaps for reconstructive surgery of extensive burns. Burns 12:470–474

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  4. Hyakusoku H, Tonegawa H, Fumiiri M (1994) Heel coverage with a T-shaped distally based sural island fasciocutaneous flap. Plast Reconstr Surg 93:872–876

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Correspondence to Hiko Hyakusoku MD, PhD .

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© 2010 Springer-Verlag Berlin Heidelberg

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Hyakusoku, H. (2010). Scarred Flap. In: Hyakusoku, H., Orgill, D., Teot, L., Pribaz, J., Ogawa, R. (eds) Color Atlas of Burn Reconstructive Surgery. Springer, Berlin, Heidelberg.

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05069-5

  • Online ISBN: 978-3-642-05070-1

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