How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

Seine, Adrian J.; Brown, Alistair C.; Salmon, Paul J.M.; Mortimer, Neil J.

doi:10.1097/dss.0000000000003961

Dermatol Surg

2023

DOI: 10.1097/dss.0000000000003961

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How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

Adrian J. Seine,

Alistair C. Brown,

Paul J.M. Salmon

et al.

Abstract: Supplemental Digital Content is Available in the Text.

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“…We are writing regarding the recently published article “How we do it: Alar advancement flap for small medially based alar defects.” 1 This described what we believed to be a novel reconstructive technique.…”

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confidence: 98%

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Seine,

Brown,

Salmon

et al. 2023

Dermatol Surg

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I nterpolation flaps are often required for large and deep defects. They require a two-stage procedure. During the first stage, the primary defect is covered by the flap body, which is supplied by a robust vascular pedicle. After sufficient vascularization to the wound bed has developed, a second stage is performed in which the pedicle is divided and the flap is fully inset. In the time between stages, bleeding from the flap is a potential complication. Interventions to mitigate bleeding include diligent cautery, additional suture placement, the application of pressuring dressings, and wrapping petrolatumimpregnated gauze around the stalk of the pedicle. 1,2 However, each of these techniques carries the risk of compromising the vascular supply of the flap.Herein, we propose a safe, reliable, accessible, and relatively inexpensive method to minimize bleeding while maintaining vascular patency when using interpolation flaps. As an alternative to the petrolatum-infused gauze method, we have used 2-octyl cyanoacrylate, a commercially available wound adhesive.

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confidence: 98%

Response on: How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

Seine,

Brown,

Salmon

et al. 2023

Dermatol Surg

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How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 1 publication

References 2 publications

Response on: How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

Response on: How We Do It: Alar Advancement Flap for Small Medially Based Alar Defects

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