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Flap surgery is a technique essential to plastic and reconstructive surgery. A flap is defined as tissue that can be moved to another site and has its own blood supply. This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
A second repair can sometimes be required; causes are recurrence of cancer, new cancer or new trauma. A second flap can be harvested from the contralateral forehead after a prior vertical flap. [1] If an oblique or angled flap was used during the first surgery, the second repair becomes more difficult.
Medically necessary dermatologic surgical procedures include curettage and electrosurgery, and Mohs surgery for the treatment of skin cancer, as well as skin grafting for repairing damaged skin. Cosmetic dermatologic surgeries comprise anti-ageing procedures, and mole and scar removal surgeries.
Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
Reconstructive surgery: Triangles of skin adjacent to a sliding flap are excised to facilitate movement of the flap [1] Collis gastroplasty: John Leigh Collis, British cardiothoracic surgeon: Upper gastrointestinal surgery: Procedure for lengthening oesophagus [2] COLLIS JL (September 1957). "An operation for hiatus hernia with short oesophagus ...
Anterolateral thigh flap (ALT flap) Musculocutaneous: Free flap/Interpolation: Abdominal wall [1] / Open tibial fractures / Esophageal reconstruction [2] Becker flap: Fasciocutaneous: Interpolation: Hand reconstruction Deep inferior epigastric perforator (DIEP) flap [3] Cutaneous: Free flap: Free flap breast reconstruction: Dufourmental flap ...
The transposition of two triangular flaps The incisions are designed to create a Z shape with the central limb aligned with the part of the scar that needs lengthening or re-aligning. The traditional 60° angle Z-plasty will give a theoretical lengthening of the central limb of 75%. [ 1 ]