Print Friendly, PDF & Email

1.

Help us understand random vs. axial pattern flaps.  Give examples of each in the head and neck.

2.

Discuss transposition, advancement, rotation and interpolation flaps.

3.

What are clinical applications for the V-Y advancement flap?

Reference(s):

Andrades, P. R., Calderon, W., Leniz, P., Bartel, G., Danilla, S., & Benitez, S. (2005). Geometric analysis of the V-Y advancement flap and its clinical applications. Plastic and Reconstructive Surgery, 115(6), 1582–1590.

4.

What is the safe length to width ratio of a flap? What is a burrow’s triangle?

5.

Discuss the design of the rhomboid flap.  Why is this a “work horse” flap in the face?  Where is the point of greatest tension?

6.

The Z-plasty, make it simple!

Reference(s):

Hudson, D. A. (2000). Some thoughts on choosing a Z-plasty: the Z made simple. Plastic and Reconstructive Surgery, 106(3), 665–671.

7.

How do you plan a classic bilobed flap? How do you avoid pin cushioning?

Reference(s):

Iida, N., Ohsumi, N., Tonegawa, M., & Tsutsumi, K. (1999). Simple method of designing a bilobed flap. Plastic and Reconstructive Surgery, 104(2), 495–499.

8.

You excise a 1cm melanoma that is located at nasolabial fold.  What are your reconstructive options?

9.

A patient presents after resection of a basal cell carcinoma near the medial canthus.  The defect is 5mm.  Discuss reconstructive options.