• RECYCLING THE KEYSTONE FLAP

    6 monthes ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    The concept of recycling or reusing a flap is probably as old as the history of flaps itself, eg. the elegant “crane principle” of Millard (1) for transporting subcutaneous tissues. Segments of muscle flaps have been re-advanced into nearby secondary defects or become the source of a second free flap (2). Any perforator flap can be later split with preservation of the pertinent perforator to be a pedicle for a second local or even free perforator flap (2). In general then, any inset flap if tissue redundancy is sufficient, might benefit not only by its recontouring, but also with the...
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