The rotating island pedicle flap: an aesthetic and functional improvement on the subcutaneous island pedicle flap

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Paul J M Salmon, Michael F Klaassen

Abstract

The subcutaneous island pedicle flap is a useful closure in many areas on the face, particularly the cheek and upper lip. One disadvantage can be that the advancing edge of the flap leaves a scar at right angles to the local lines of relaxed skin tension. Tension on free edges such as the lid can also be a problem, but may be mitigated by incorporating an element of rotation into the closure. A variation on the subcutaneous island pedicle flap is described to help avoid the problems of the subcutaneous island pedicle flap while retaining its strengths. Our experience with more than 120 rotating island pedicle flaps over 10 years is described to demonstrate the versatility of this subcutaneous island pedicle flap for facial and reconstructive surgery. The technique is described and seven representative cases are presented with photographs. The flap is simple to perform, has minimal complications, and has good cosmetic results. Temporary alteration of sensation in the flap skin is a possible complication and can be largely avoided with a bipedicled dissection technique. Our experience shows the rotating island pedicle flap to be versatile, reliable, and aesthetic island pedicle flap for skin cancer surgery both on and off the fac...Continue Reading

References

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Citations

Jan 11, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Lori Jacquemin Sanford, Ally-Khan Somani
Apr 14, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Theresa L RayPeter K Lee
Jul 27, 2005·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Li Jun-HuiGuo En-Tan
Jan 20, 2010·Survey of Ophthalmology·Ana M S MorleyRaman Malhotra
Feb 19, 2008·Journal of the American Academy of Dermatology·Lisa B Campbell, Michael L Ramsey
May 18, 2012·The British Journal of Dermatology·W Hussain
Aug 16, 2014·The British Journal of Dermatology·P J M Salmon
May 18, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jun-hui LiJie Xu
Nov 19, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Walayat HussainPaul J M Salmon
Jul 12, 2011·Ophthalmic Plastic and Reconstructive Surgery·Brian J LeeVictor M Elner

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