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Displacement flap, subcutaneously pedicled
Synonym(s)
pedicled subcutaneous flap; sliding flap; Sliding flap plastic; subcutaneous pedicle flap
DefinitionThis section has been translated automatically.
Suture flap plastic surgery of the skin, in which a triangular sliding flap for covering the defect maintains the subcutaneous connection with the underlying tissue.
General informationThis section has been translated automatically.
- The lesion is excised rectangularly or circularly. A triangular flap is cut from the adjacent skin, starting from the long side of the defect, and its entire pedicle is left in contact with the underlying fascia. Caution. Because the vascular supply is provided solely by the subcutaneous adipose tissue, the flap must be sufficiently wide and thick. Sliding flaps that are too narrow or thin may be subject to total necrosis. The ratio of flap base width to flap length should not exceed 1:3 if possible. To close larger defects, double-sided subcutaneous sliding flaps can be prepared, the so-called kite flap. When the flap tip no longer reaches the incised skin, a Y-shaped suture is created at the ends. In the double-sided subcutaneously pedicled method, two sliding flaps are pushed together with the base.
- Indications: After excisions above the eyebrow; infraorbital region, chin, middle of the back, on the back of the hand.
LiteratureThis section has been translated automatically.
- Kaufmann R, Podda M, Landes E (2005) Dermatological operations. Colour atlas and textbook on skin surgery. Thieme, Stuttgart New York
- Neukam D (1989) Operative dermatology. Kohlhammer, Stuttgart
- Zoltan J (1984) Atlas of skin replacement procedures. Karger, Basel Munich Paris London