When simple primary closure is unable to achieve functional and aesthetic goals of reconstructionReconstruction, a tissue-movement procedure, such as a flapFlap, should be considered. The elements to successful flapFlap execution include proper patient selection and preparation, comprehension of risks and necessary precautions, use of sterile or clean technique, informed procedure design and meticulous suture technique, as well as good postoperative wound careWound care and patient education. FlapsFlap are commonly classified according to their primary movement—advancementAdvancementflapsFlap, rotationRotationflapsFlap, transpositionTranspositionflapsFlap, and interpolationInterpolationflapsFlap—and each has its benefits and drawbacks. Meticulous postoperative wound careWound care is necessary to ensure an optimal outcome. Patients should be seen for follow-up to evaluate outcomes and any necessary interventions.

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Flaps

  • John D. Peters,
  • Syed Minhaj Rahman,
  • Jessica M. Sheehan,
  • Thomas E. Rohrer

摘要

When simple primary closure is unable to achieve functional and aesthetic goals of reconstructionReconstruction, a tissue-movement procedure, such as a flapFlap, should be considered. The elements to successful flapFlap execution include proper patient selection and preparation, comprehension of risks and necessary precautions, use of sterile or clean technique, informed procedure design and meticulous suture technique, as well as good postoperative wound careWound care and patient education. FlapsFlap are commonly classified according to their primary movement—advancementAdvancementflapsFlap, rotationRotationflapsFlap, transpositionTranspositionflapsFlap, and interpolationInterpolationflapsFlap—and each has its benefits and drawbacks. Meticulous postoperative wound careWound care is necessary to ensure an optimal outcome. Patients should be seen for follow-up to evaluate outcomes and any necessary interventions.