Advancement Flaps in Dermatologic Surgery Workup

  • Author: Désirée Ratner, MD; Chief Editor: Dirk M Elston, MD   more...
 
Updated: Jul 6, 2011
 

Laboratory Studies

In certain patients, the internist may obtain whatever laboratory studies are deemed necessary to provide medical clearance for the patient prior to surgery.

Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Désirée Ratner, MD  Director of Dermatologic Surgery, Professor of Clinical Dermatology, Department of Dermatology, Columbia University Medical Center, New York Presbyterian Hospital

Désirée Ratner, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Micrographic Surgery and Cutaneous Oncology, American Medical Association, American Society for Dermatologic Surgery, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Coauthor(s)

Tamara Koss, MD  Staff Physician, Department of Dermatology, Columbia-Presbyterian Medical Center

Disclosure: Nothing to disclose.

Specialty Editor Board

Shobana Sood, MD  Assistant Professor, Department of Dermatology, University of Pennsylvania Hospital

Shobana Sood, MD is a member of the following medical societies: American Academy of Dermatology and American Society for Dermatologic Surgery

Disclosure: Nothing to disclose.

David F Butler, MD  Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic

David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Mary Farley, MD  Dermatologic Surgeon/Mohs Surgeon, Anne Arundel Surgery Center

Disclosure: Nothing to disclose.

Catherine M Quirk, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania

Catherine M Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD  Director, Ackerman Academy of Dermatopathology, New York

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author, Joseph Michael Obadiah, MD, to the development and writing of this article.

References

  1. Bennett RG. Local skin flaps on the cheeks. J Dermatol Surg Oncol. Feb 1991;17(2):161-5. [Medline].

  2. Harris GJ, Garcia GH. Advancement flaps for large defects of the eyebrow, glabella, forehead, and temple. Ophthal Plast Reconstr Surg. Mar 2002;18(2):138-45. [Medline].

  3. Moy RL, Ashjian AA. Periorbital reconstruction. J Dermatol Surg Oncol. Feb 1991;17(2):153-9. [Medline].

  4. Siegle RJ. Forehead reconstruction. J Dermatol Surg Oncol. Feb 1991;17(2):200-4. [Medline].

  5. Yoo SS, Miller SJ. The crescentic advancement flap revisited. Dermatol Surg. Aug 2003;29(8):856-8. [Medline].

  6. Summers BK, Siegle RJ. Facial cutaneous reconstructive surgery: general aesthetic principles. J Am Acad Dermatol. Nov 1993;29(5 Pt 1):669-81; quiz 682-3. [Medline].

  7. Goldberg LH, Alam M. Horizontal advancement flap for symmetric reconstruction of small to medium-sized cutaneous defects of the lateral nasal supratip. J Am Acad Dermatol. Oct 2003;49(4):685-9. [Medline].

  8. Lambert RW, Dzubow LM. A dorsal nasal advancement flap for off-midline defects. J Am Acad Dermatol. Mar 2004;50(3):380-3. [Medline].

  9. Zitelli JA, Brodland DG. A regional approach to reconstruction of the upper lip. J Dermatol Surg Oncol. Feb 1991;17(2):143-8. [Medline].

  10. Dzubow LM. Flap dynamics. J Dermatol Surg Oncol. Feb 1991;17(2):116-30. [Medline].

  11. Field LM. Scalp flaps. J Dermatol Surg Oncol. Feb 1991;17(2):190-9. [Medline].

  12. Krishnan R, Garman M, Nunez-Gussman J, Orengo I. Advancement flaps: a basic theme with many variations. Dermatol Surg. Aug 2005;31(8 Pt 2):986-94. [Medline].

  13. Krunic AL, Weitzul S, Taylor RS. Chondrocutaneous advancement flap for reconstruction of helical rim defects in dermatologic surgery. Australas J Dermatol. Nov 2006;47(4):296-9. [Medline].

  14. Mellette JR Jr. Ear reconstruction with local flaps. J Dermatol Surg Oncol. Feb 1991;17(2):176-82. [Medline].

  15. Salasche SJ, Grabski WJ. Complications of flaps. J Dermatol Surg Oncol. Feb 1991;17(2):132-40. [Medline].

  16. Spinelli HM, Tabatabai N, Muzaffar AR, Isenberg JS. Upper lip reconstruction with the alar crescent flap: A new approach. J Oral Maxillofac Surg. Oct 2006;64(10):1566-70. [Medline].

  17. Summers BK, Siegle RJ. Facial cutaneous reconstructive surgery: facial flaps. J Am Acad Dermatol. Dec 1993;29(6):917-41; quiz 942-4. [Medline].

  18. Zitelli JA, Fazio MJ. Reconstruction of the nose with local flaps. J Dermatol Surg Oncol. Feb 1991;17(2):184-9. [Medline].

 
Previous
Next
 
Defect of the left preauricular region following Mohs micrographic surgery for basal cell carcinoma.
This patient had a defect of the left preauricular region following Mohs micrographic surgery for basal cell carcinoma. It was repaired with a Burow advancement flap to camouflage suture lines within the preauricular crease.
Defect above the left eyebrow following Mohs micrographic surgery for basal cell carcinoma.
This patient had a defect above the left eyebrow following Mohs micrographic surgery for basal cell carcinoma. It was repaired with an A-to-T flap to conceal the suture lines along the superior aspect of the eyebrow.
Defect above the right eyebrow following Mohs micrographic surgery for basal cell carcinoma.
This patient has a defect above the right eyebrow following Mohs micrographic surgery for basal cell carcinoma. A Burow advancement flap is planned, which places the suture line along the superolateral aspect of the orbital rim for camouflage. A dog ear is situated within the crow's feet.
This patient had a defect above the right eyebrow following Mohs micrographic surgery for basal cell carcinoma. A Burow advancement flap is sewn into place.
Defect on the right aspect of the forehead following Mohs micrographic surgery for basal cell carcinoma.
This patient had a defect on the right aspect of the forehead following Mohs micrographic surgery for basal cell carcinoma. It was repaired with a bilateral advancement flap, which camouflages the suture lines within the preexisting forehead lines.
Defect on the right upper lip following Mohs micrographic surgery for basal cell carcinoma.
This patient had a defect on the right upper lip following Mohs micrographic surgery for basal cell carcinoma. It was repaired with an island pedicle flap.
Defect on the right helical rim following Mohs micrographic surgery for basal cell carcinoma.
This patient had a defect on the right helical rim following Mohs micrographic surgery for basal cell carcinoma. It was repaired with a Burow advancement flap. A Burow triangle was removed posteriorly and is not visible in the image.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.