The Subcutaneous Pedicle Flap: Widening of Its Applications

Abstract

The histological exam confirmed the radical surgical excision of the basal cell carcinoma.In the clinical case we presented, the choice of an island flap mobilized from the region adjoining the eyelid outer canthus has proved itself excellent, because it allows the use of skin which is very similar in texture and colour to the one removed (Fig. 2).In a relatively simple surgical session, the flap was deeply undermined in order to obtain a better mobility; its medial edge was shaped to correct the tissue defect of the eyelids and simultaneously to re-create a natural, although not complete from an anatomical point of view, outer canthus. References1 Xinfeng W, Ge Q, Fang F. Repair of basal cell carcinoma on the outer canthus via a bifurcated island flap. Dermatol Surg 2006; 32: 1421-1423. 2 Oudit D, Ross G, Ellabban M, Berry M, Juma AM. A modification of the V-Y advancement flap to cover a defect of the outer canthus and both eyelids. Eur

Amplified V-Y flaps for nasal defects

“…Barron and Emmett [3] preferred to maximize the mobility of a single advancement flap in closing defects by the transfer of a subcutaneous pedicle flap based on a lateral pedicle. Herbert [11] tunnels the flap subcutaneously, and Fukudo and Nakajima et al [13] have described techniques of subcutaneous pedicle extension with careful partial undermining of the leading and trailing edges of the flap to achieve more mobility. However, these methods were inadequate for closing relatively large defects of the nose.…”

Flap Dynamics

“…Subcutaneous island‐pedicle flaps are used to gain movement 40–45 . They free up regional tissue to a greater degree than other flap designs by selective elimination of restraining cutaneous and subcutaneous connections either lateral or deep to the flap.…”

“…The deep or central pedicle subcutaneous island advancement flap is developed a bit differently (Figure 12). 42,46 The initial perimeter incision is similar. The undermining around the flap is not for purposes of pedicle development, but only to minimize the trap‐door phenomenon common to other cutaneous flaps.…”

Eyelid repair with subcutaneous pedicle flaps

“…Although the subcutaneous pedicle flap has recently been studied by many researchers [1,5,6,9], there are only a few reports on its use for eyelid reconstruction [2,7,8]. Several of the above mentioned 28 cases will be described in the present paper.…”