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The flip-flap puzzle flap: Another recycling option
Silvia Gandolfi,Raphael Carloni,Matthieu Gilleron,Albane Bonmarchand,Isabelle Auquit-Auckbur 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.2
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.
The flip-flap puzzle flap: Another recycling option
Gandolfi, Silvia,Carloni, Raphael,Gilleron, Matthieu,Bonmarchand, Albane,Auquit-Auckbur, Isabelle Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.2
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.