Delay techniques for local flaps in dermatologic surgery
Farber, N.; Haik, J.; Weissman, O.; Israeli, H.; Winkler, E.; Zilinsky, I.
Journal of Drugs in Dermatology Jdd 11(9): 1108-1110
2012
ISSN/ISBN: 1545-9616 PMID: 23135656 Document Number: 11931
Local flaps may be required to reconstruct defects on the face, neck, and scalp. Occasionally, delay techniques are indicated to reduce the risk for flap ischemia and subsequent necrosis. Delay may be employed before the flap is raised, as done to improve blood supply to a random flap when length to breadth proportions are not ideal, or after the flap is raised and before separation of the pedicle in the final reconstructive step to improve vascularity in the distal end of an interpolation flap. We present our techniques and results of delay procedures for interpolation and similar flaps.
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