Bishop Flap and Sigma Flap to Repair Surgical Defects in High-Tension Anatomical Regions.

Autor:	Russo-de la Torre F; Servicio de Dermatología, Hospital Punta de Europa, Algeciras, Cádiz, España. Electronic address: russo@aedv.es., Garbayo-Salmons P; Servicio de Dermatología, Hospital Universitario Parc Taulí, Sabadell, Barcelona, España., Romaní J; Servicio de Dermatología, Hospital General de Granollers, Granollers, Barcelona, España., Ballester R; Servicio de Dermatología, Hospital Clínico de Valencia, España., Rivera-Fuertes I; Servicio de Dermatología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España., Vargas-Laguna E; Servicio de Dermatología, Hospital Severo Ochoa, Leganés, Madrid, España., Millán-Cayetano JF; Servicio de Dermatología, Hospital Puerta del Mar, Cádiz, España., Calderon-Castrat X; Servicio de Dermatología, Hospital Marina Baixa, Villajoyosa, Alicante, España., Masferrer E; Servicio de Dermatología, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Actas dermo-sifiliograficas [Actas Dermosifiliogr] 2024 Mar 29. Date of Electronic Publication: 2024 Mar 29.
DOI:	10.1016/j.ad.2024.03.022
Abstrakt:	Background: The reconstruction of surgical defects in high-tension anatomical regions is challenging due to the ischemia and subsequent necrosis associated with tension closure. Research on new flaps capable of closing these defects exerting less tension would be a tremendous advancement in dermatological surgery. Patients and Methods: We conducted a multicenter, retrospective study that used 2 new flaps-the bishop and the sigma ones-to repair surgical defects in high-tension regions such as the scalp, lower extremities, and the nasal pyramid. The bishop flap was used in 9 patients, 5 of whom exhibited their lesion in the nasal pyramid, 2 in the legs and another 2 in the scalp. The sigma flap was used in 6 patients, 5 of whom exhibited scalp lesions and 1 leg lesion. Results: Uneventful and excellent results were obtained in all 15 patients due to infection, dehiscence, or necrosis. Conclusions: Both the bishop and the sigma flaps are a good alternative to repair surgical defects in high-tension regions such as the scalp, lower extremities, or the nasal pyramid. (Copyright © 2024 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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