Transcription of LOCAL FLAPS - Practical Plastic Surgery
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LOCAL FLAPS - Practical Plastic Surgery
LLOOCCAALL FFLLAAPPSSDD eeffiinniittiioonnssAflapis a piece of tissue with a blood supply that can be used to coveran open wound. A flap can be created from skin with its underlyingsubcutaneous tissue, fascia, or muscle, either individually or in somecombination. Depending on the reconstructive requirements, evenbone can be included in a flapimplies that the tissue is adjacent to the open wound inneed of coverage, whereas in a distant flap , the tissue is brought froman area away from the open wound. LOCAL flap coverageof a wound is the next higher rung up the recon-structive ladder after a skin graft. Examples of wounds that require flapcoverage include wounds with exposed bone, tendon, or other vitalstructure and large wounds over a flexion crease, for which a split-thickness skin graft or secondary closure would result in tight site:where the flap site:the open wound/soft tissue defect in need of :the blood supply of the flap ( , its arterial inflow andvenous outflow).
114 Practical Plastic Surgery for Nonsurgeons The purpose of the delay procedure is to enable the pedicle to assume its role as the main source of circulation before …
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