Trapezoid advancement flap to reconstruct small to medium sized tissue defects-A series of clinical applications.

Autor:	Kitcat M; Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK., Benyon SL; Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
Jazyk:	angličtina
Zdroj:	JPRAS open [JPRAS Open] 2022 May 12; Vol. 33, pp. 32-36. Date of Electronic Publication: 2022 May 12 (Print Publication: 2022).
DOI:	10.1016/j.jpra.2022.05.001
Abstrakt:	The choice between skin graft and local flap reconstruction depends upon the surgeon's experience and the facilities available. For skin cancers, our main objective is clear, oncologic clearance with preservation of function. For some patients, aesthetic outcome is often equally important. In our experience, majority of our trainees will often choose skin graft reconstruction as their primary choice of reconstruction due to the fact that there is a perceived idea that this is easier to perform than a local flap. However, for lower limb or head and neck reconstructions, skin graft may result in a significant contour defect which can potentially be avoided. We present a series of cases of an alternative flap, the trapezoid advancement, a very simple design that can be utilised in several areas of the body and technically very easily replicated. This technique allows for the advancement of tissue with a minimal tension closure as compared to other local flaps. Our results showed no flap loss and excellent cosmetic outcome. Competing Interests: None. (Crown Copyright © 2022 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.)
Databáze:	MEDLINE
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