Advancement Flaps

Abstract

BACKGROUND. The advancement flap involves the linear advancement of tissue in one direction. Despite its straightforwardness and simple concept, it can be used to close a variety of defects, ranging from small defects on the scalp or extremities to large, complicated defects involving cosmetic units on the face.

Outcome of flap surgeries in dermatosurgical unit at a tertiary care centre in India with a review of literature

“…A unipedicle advancement is designed with defect width-to-flap width ratio of 1:3. [1011] In this study, two single advancement flaps were done to close the primary defect on the back and toe, respectively.…”

Combination Nasolabial Transposition Flap and Island Pedicle Flap Following Mohs Surgery of Simultaneous Basal Cell Carcinomas Involving Both Nasal Alae

“…The island pedicle flap is a versatile method and can be used to repair small-to-medium sized defects involving any area of face, including the nasal ala. The nasal sidewall may be a potential donor site for defects of the nasal ala [9][10][11][12] . So, the defect of the left ala was reconstructed by a subcutaneous island pedicle flap.…”

Oval-to-Z Flap: A Novel Option in Cutaneous Reconstruction

“…When closing surgical defects, the majority of dermatologists use a combination of individual buried stitches to appose wound edges and transepidermal stitches to complete the closure 2 but for optimal cosmesis, it may be best to avoid use of transepidermal stitches altogether. 3 To complete closures without placement of transepidermal stitches, dermatologists usually use surgical glue containing cyanoacrylate or place running subcuticular stitches in a wave-like pattern, weaving side-to-side parallel to the skin's surface at the level of the upper papillary dermis.…”

“…This typically creates a small Burow's triangle at the trailing edge that may or may not require excision. 3 Burow's triangle advancement flaps may be employed from each side of a defect, as seen in the O-T flap.…”