Innovations in the Island Pedicle Flap for Cutaneous Facial Reconstruction

Abstract

BACKGROUND. The island pedicle flap is a useful method of reconstruction in dermatologic surgery. Traditionally, the pedicle has been centrally and inferiorly based, with flap movements by rotation or advancement. With innovations, however, the flap is remarkably applicable to a variety of facial defects. OBJECTIVE. Our purpose is to introduce modifications of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements. METHODS. Modifications of the island pedicle flap were applied in nine cases of cutaneous repair after Mohs micro-

Tunneled Transposition Flap for Reconstruction of Defects of the Nasal Ala

“…The transposition island pedicle flap 11 is another flap that is similar to our tunneled transposition flap. The main difference between the two flaps is that the transposition island pedicle flap is designed such that the flap donor site and the defect are contiguous.…”

Advancement Flaps

“…12,17,18 In the creation of a single lateral pedicle, dissection is performed superiorly between the dermis and subcutis, and inferiorly either in the subcutaneous or submuscular plane. 19 Myocutaneous pedicles are especially useful on the nose and are based on nasalis musculature. Nasal ala defects under 1 cm and at least 3-to 5-mm superior to the alar margin may be managed with a unilateral or bilateral IPF based on the transverse portion of nasalis but can also include the dilator naris anterior muscle.…”

Transposition island pedicle flaps in the reconstruction of nasal and perinasal defects

“…Many reconstructive options exist, including the island pedicle flap and its variations. [1][2][3][4][5][6] This report demonstrates the utility of the transposition island pedicle flap.…”