Abstract
AbstractLocal flaps are useful for reconstructing scar contractures on mobile areas such as joints, the neck, the axilla, the digital web, and the mouth commissure. They are superior to skin grafts because the latter can contract, thereby leading to secondary contractures. Moreover, the color and texture match of local flaps is better than that of grafted skin. Consequently, local flaps generally provide superior aesthetic outcomes. Thus, if there is healthy skin adjacent to the scar contracture, local flaps should be the first choice. In terms of local flap selection, it is necessary to choose between a skin-pedicled flap and an island flap. We showed recently that 6 months after surgery, skin-pedicled flaps associate with greater scar extension rates than island flaps. Thus, local flaps, especially skin-pedicled flaps, elongate the scar as effectively as z-plasty. It should be noted that if the scar is large, it is effective only by dividing the scar with the local flap. However, the flap size can be slightly smaller than the deformity size (although how much smaller depends somewhat on how extensible the flap type is): it is not necessary that the flap is as big as the open wound after scar division or scar removal.
Highlights
Tures on mobile areas such as the joints, the neck, the shaped scars elongate in an accordion-like fashion over axilla, the digital web, and the mouth commissure
The flap size can be slightly smaller such as the bilobed flap and the square flap method can than the deformity size
That was the first time this flap type was described. This original propeller flap was made by using the intact skin in a cubital fossa as a subcutaneous-pedicled island flap to release post-burn linear scar contractures that adjoined the fossa
Summary
1.73 times the original length of the scar. W-plasty allows contracture release to some degree due to its so-. Tures on mobile areas such as the joints, the neck, the shaped scars elongate in an accordion-like fashion over axilla, the digital web, and the mouth commissure. In this case, the the color and texture match of local flaps is scar should be divided by a local flap to obtain contracbetter than that of grafted skin. Local flaps, perforators in the flap provides great freedom in terms especially skin-pedicled flaps, elongate the scar as effecof flap shape and the movement and rotation arc of the tively as z-plasty. Depends somewhat on how extensible the flap type is): it is not necessary that the flap is as big as the open wound after scar division or scar removal
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