Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications
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 o...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587822000328 |
| _version_ | 1828121455682912256 |
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| author | M. Kitcat S.L. Benyon |
| author_facet | M. Kitcat S.L. Benyon |
| author_sort | M. Kitcat |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T14:21:37Z |
| format | Article |
| id | doaj.art-d33208e7809f4179858329fb24d9d557 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-04-11T14:21:37Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-d33208e7809f4179858329fb24d9d5572022-12-22T04:19:03ZengElsevierJPRAS Open2352-58782022-09-01333236Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applicationsM. Kitcat0S.L. Benyon1Corresponding author.; Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UKPlastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UKThe 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.http://www.sciencedirect.com/science/article/pii/S2352587822000328Trapezoid flapKeystone flapLocal flapSkin graftMedium defect |
| spellingShingle | M. Kitcat S.L. Benyon Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications JPRAS Open Trapezoid flap Keystone flap Local flap Skin graft Medium defect |
| title | Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications |
| title_full | Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications |
| title_fullStr | Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications |
| title_full_unstemmed | Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications |
| title_short | Trapezoid advancement flap to reconstruct small to medium sized tissue defects–A series of clinical applications |
| title_sort | trapezoid advancement flap to reconstruct small to medium sized tissue defects a series of clinical applications |
| topic | Trapezoid flap Keystone flap Local flap Skin graft Medium defect |
| url | http://www.sciencedirect.com/science/article/pii/S2352587822000328 |
| work_keys_str_mv | AT mkitcat trapezoidadvancementflaptoreconstructsmalltomediumsizedtissuedefectsaseriesofclinicalapplications AT slbenyon trapezoidadvancementflaptoreconstructsmalltomediumsizedtissuedefectsaseriesofclinicalapplications |