Advancement and rotational flaps

Dockery, G. Dock

doi:10.1016/b978-0-7020-3136-6.00017-5

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…The technique was described by Dockery and is suggested for closure of plantar foot circular defects. 14 Saipoor et al performed a retrospective audit of the literature showing the technique to be an effective and safe single-stage procedure to achieve closure of excised plantar foot lesions. 15…”

Section: Discussionmentioning

confidence: 99%

Epidermal inclusion cyst with foreign-body giant-cell reaction treated with surgical excision and rotational flap closure: A case report

Preston

Johnson

Thomas

2018

Proceedings of Singapore Healthcare

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Epidermal inclusion cysts (epidermoid cysts) occur from penetration of epidermal cells into underlying dermal tissue. They are most commonly found on the scalp, face, neck, and back with a reported incidence of 10% on the extremities. We present the case of a 53-year-old female who presented with complaint of a painful plantar forefoot soft-tissue mass of insidious origin. After magnetic resonance imaging, she was treated with surgical excision and plastic rotational flap closure. The surgical site healed without incident, and she was able to ambulate pain free in her normal footwear with full weight bearing and no shoe modifications or orthotics. This case was novel in that the size of the lesion required the use of a uni-lobe full-thickness rotational skin flap to achieve complete tension-free closure.

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Section: Discussionmentioning

confidence: 99%

Epidermal inclusion cyst with foreign-body giant-cell reaction treated with surgical excision and rotational flap closure: A case report

Preston

Johnson

Thomas

2018

Proceedings of Singapore Healthcare

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“…A dimension of 0.60 mm was configured to indicate the incision size. The flap patterns were based on general guidelines proposed by dermatologists, 1,25‐27 and geometry schematic defining each of the local flaps is shown in Figure 2.…”

Section: Finite Element Modelingmentioning

confidence: 99%

“…Two Burow's triangles were excised on each corner of the flap base to provide the flexibility for the flap to extend. In clinical practice, Burow's triangles may aid in reducing the tension on the ends of advancement flaps; however, the excision of Burow's triangles is unnecessary in most cases due to the minimal effect on supple skin 26 . Noteworthy that the Burow's triangles were parameterized large enough to assist the flap mobility.…”

Section: Finite Element Modelingmentioning

confidence: 99%

Anticipating local flaps closed‐form solution on 3D face models using finite element method

Kwan

Najhan

Yau

et al. 2020

Numer Methods Biomed Eng

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A realistic three‐dimensional (3D) computational model of skin flap closures using Asian‐like head templates from two different genders, male and female, has been developed. The current study aimed to understand the biomechanics of the local flap designs along with the effect of wound closures on the respective genders. Two Asian head templates from opposite genders were obtained to use as base models. A third‐order Yeoh hyperelastic model was adapted to characterize as skin material properties. A single layer composed of combined epidermis and dermis was considered, and the models were thickened according to respective anatomical positions. Each model gender was excised with a fixed defect size which was consequently covered by three different local flap designs, namely advancement, rotation, and rhomboid flaps. Post‐operative simulation presented various scenarios of skin flap closures. Rotation and rhomboid flaps demonstrated maximal tension at the apex of the flap for both genders as well as advancement flap in the female face model. However, advancement flap closure in the male face model was presented otherwise. Yet, the deformation patterns and the peak tension of the discussed flaps were consistent with conventional local flap surgery. Moreover, male face models generated higher stresses compared to the female face models with a 70.34% mean difference. Overall, the skin flap operations were executed manually, and the designed surgery model met the objectives successfully while acknowledging the study limitations. Novelty File 3D head templates were considered to address the gap as 3D face models were uncommonly employed in understanding the biomechanics of the local flaps realistically. Most of the existing studies focus on the 2D and 3D planar geometry in their models. As gender comparison has yet to be addressed, we intended to fill this gap by exploring the stress contours of the local flap designs in different genders. Create a 3D face model from two opposite genders which is capable of simulating closure of wounds using local flaps with a focus on advancement, rotation, and rhomboid flaps.

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A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis

2018

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Advancement and rotational flaps

Cited by 3 publications

References 22 publications

Epidermal inclusion cyst with foreign-body giant-cell reaction treated with surgical excision and rotational flap closure: A case report

Epidermal inclusion cyst with foreign-body giant-cell reaction treated with surgical excision and rotational flap closure: A case report

Anticipating local flaps closed‐form solution on 3D face models using finite element method

A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis

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