The flip-flap puzzle flap: Another recycling option

Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al. introduced the concept of the free-style puzzle flap, in which a previously harvested flap become...

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Bibliographic Details
Published inArchives of plastic surgery Vol. 46; no. 2; pp. 176 - 180
Main Authors Gandolfi, Silvia, Carloni, Raphael, Gilleron, Matthieu, Bonmarchand, Albane, Auquit-Auckbur, Isabelle
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA Thieme Medical Publishers, Inc 01.03.2019
Korean Society of Plastic and Reconstructive Surgeons
대한성형외과학회
Subjects
Extremities
Idea and Innovation
Perforator flaps
Reconstructive surgical procedures
Soft tissue injuries
Surgical flaps
성형외과학
Reconstructive surgical procedures
Soft tissue injuries
Surgical flaps
Perforator flaps
Extremities
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Summary:Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al. introduced the concept of the free-style puzzle flap, in which a previously harvested flap becomes its own donor site by recycling the perforator. However, when a perforator cannot be found with a Doppler device, we suggest performing a new type of flap, the flip-flap puzzle flap, which combines two concepts: the free-style puzzle flap and the flip-flap flap described by Voche et al. in the 1990s. We present the cases of three patients who achieved complete healing through this procedure.
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https://www.e-aps.org/journal/view.php?doi=10.5999/aps.2018.00983
ISSN:2234-6163
2234-6171
DOI:10.5999/aps.2018.00983