RT Book, Section
A1 Goldman, Glenn D.
A1 Dzubow, Leonard M.
A1 Yelverton, Christopher B.
SR Print(0)
ID 1174770540
T1 Advancement
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=1174770540
RD 2024/04/19
AB The  advancement  flap  is  the  oldest  and  most  straightforward  type  of  adjacent  tissue  transfer,  since  it  is  basically  a  geometric  and  biomechanical  extension  of  the  fusiform  or  lenticular  closure  (Fig.  2.1).  As  compared  to  primary  side-to-side  closure,  the  advancement  flap  provides  a  small  amount  of  additional  tension  release  and  no  tension  redistribution.  The  unique  attribute  of  the  advancement  flap  is  the  ability  to  redistribute  and  selectively  position  collections  of  tissue  redundancy  termed  dog-ears  when  they  are  generated  by  wound  closure.1  Advancement  flaps  have  widespread  utilization  in  the  repair  of  facial  operative  wounds,  and  despite  their  relative  simplicity,  they  are  the  most  common  type  of  nonlinear  reconstruction  utilized  by  most  surgeons.  Their  design  and  execution  is  enhanced  by  a  thorough  understanding  of  the  principals  of  tissue  motion.  Interestingly,  less  literature  attention  has  been  paid  to  the  design  of  advancement  flaps  than  to  their  more  complex  cousins,  transposition,  and  rotation.