The reappraisal of the slide-swing skin flap: a versatile technique for surgical defects = The reappraisal of the slide-swing skin flap: a versatile technique for surgical defects

다국어 초록 (Multilingual Abstract)

Background: The slide-swing skin flap is a combination of transposition and adjacent skin sliding and can be used to close large, round defects with a flap that is smaller than the primary defect to produce aesthetically good results.
Objectives: To evaluate the efficacy and safety of the slide- swing skin flap for various surgical defects caused by skin tumor excisions.
Methods: This retrospective case series, which includes 33 Asian patients between the ages of 25 and 86 years, describes the slide-swing skin flap after primary excision for malignant or premalignant skin conditions. The outcomes were assessed 12 weeks after surgery using the patient and observer scar assessment scale (POSAS).
Results: Patients were 25 male and 8 female, and the causes of surgery were various malignant skin tumors including malignant melanoma, dermatofibrosarcoma protuberans, and malignant nodular hidradenoma. Tumors were on the lower limb in 11 patients, back in 9 patients, chest in 5 patients, face in 3 patients, buttock in 3 patients and 2 patients had tumors in other locations. The mean defect size was 3.5×3.1±1.9×2.2 cm. The mean patient POSAS total score was 9.7±3.0 and mean observer POSAS total score was 11.0±2.7. All flaps survived and postoperative recoveries were uneventful.
Conclusion: The slide-swing skin flap is highly versatile and can be used to cover various surgical defects, irrespective of size and location, with excellent functional and cosmetic results.