TY - CHAP M1 - Book, Section TI - Island Pedicle Flaps A1 - Goldman, Glenn D. A1 - Dzubow, Leonard M. A1 - Yelverton, Christopher B. Y1 - 2013 N1 - T2 - Facial Flap Surgery AB - Subcutaneous island pedicle flaps allow for substantial tissue mobilization. This is accomplished by selectively and carefully disrupting connections to the surrounding tissues to elevate and mobilize a subcutaneous pedicle. A balance must be established between releasing restraint and maintaining a sufficient blood supply to ensure flap viability. Single stage island pedicle flaps have been utilized since the late 19th century,1,2 and an excellent review of the technique was published as early as 1965 by Barron and Emmett.3 It was Esser, who is best known for the original design of the bilobed flap, who first called this an island flap. Because of the geometric outcome of the typical island pedicle flap the most common variant has widely been referred to as a V-Y advancement.4 SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/23 UR - dermatology.mhmedical.com/content.aspx?aid=1174770684 ER -