RT Book, Section
A1 Goldman, Glenn D.
A1 Dzubow, Leonard M.
A1 Yelverton, Christopher B.
SR Print(0)
ID 1174770684
T1 Island Pedicle Flaps
T2 Facial Flap Surgery
YR 2013
FD 2013
PB McGraw Hill LLC
PP New York, NY
SN 9780071749251
LK dermatology.mhmedical.com/content.aspx?aid=1174770684
RD 2024/04/19
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