The Bilateral Dog‐Ear Transposition Flap

Arnold, Alan J.; Bennett, Richard G.

doi:10.1111/j.1524-4725.1990.tb00098.x

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Utilization of the dog-ear wound closure is not an all-together novel technique, and multiple authors have presented alternative treatment options 6,10–13 . Alternatively, other local flaps, such as a V-to-Y advancement, can be designed using tissue that would otherwise have formed a dog-ear 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Utilization of the dog-ear wound closure is not an all-together novel technique, and multiple authors have presented alternative treatment options. 6,[10][11][12][13] Alternatively, other local flaps, such as a V-to-Yadvancement, can be designed using tissue that would otherwise have formed a dog-ear. 14 The triangular dart flap described in this article is a novel addition to these techniques and especially useful in patients who are poor candidates for general anesthesia, those with nasal tip defects, or defects in other high-tension areas, including the lateral ankle.…”

Section: Discussionmentioning

confidence: 99%

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The Triangular Dart Flap

Steele¹,

Blaha²,

Madan³

et al. 2021

Ann Plast Surg

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Introduction Reconstruction of soft tissue defects after skin cancer excision remains a challenge. Options for reconstruction are numerous, including primary repair, local tissue rearrangement, and skin grafts, among others. In this series, the authors present a novel technique: The triangular dart flap. This is a single-stage tissue rearrangement that uses the redundant tissue of the dog-ear to aid in the closure of these wounds. Methods A retrospective review was conducted of all patients undergoing local tissue rearrangements by the senior author from 2009 to 2018. Factors were collected and analyzed, including age, size and cause of defect, comorbidities, smoking history, and postoperative complications. Results Twenty-four patients underwent reconstruction with a triangular dart flap for repair of malignant defects. Mean defect size was 7.3 cm2 (0.8–20 cm2), and mean repair size was 29.7 cm2 (6–80 cm2). Initial pathology included basal cell carcinoma (45.8%), melanoma in situ (29.2%), and squamous cell carcinoma (16.7%), among others. Location varied widely among face and extremities. Anesthesia was predominantly local only (79.1%). There were no major complications, and 5 (20.8%) minor complications. Conclusions The triangular dart flap is a novel single-stage procedure, generally performed under local anesthesia only, for correction of Mohs defects. By using the redundant tissue of dog-ears to better approximate the wound edges, a tension-free primary closure can be achieved in sensitive areas, such as the nasal tip.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Triangular Dart Flap

Steele¹,

Blaha²,

Madan³

et al. 2021

Ann Plast Surg

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show abstract

“…4 Alternatively the excess tissue that would have formed a dog-ear can be moved into the wound to facilitate closure and reduce tension in areas of inelasticity. 22 This concept is the basis of subcutaneous pedicle flaps in which one or both triangular pieces of tissue that would have been discarded as dog-ears are maintained on a subcutaneous pedicle and advanced into the defect (Figure 9). Herbert 23 popularized this technique, which is also referred to as the V-Y advancement flap because the final suture lines resemble a Y or kite.…”

Section: V-y Advancement Flapmentioning

confidence: 99%