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Some factors involved in the skin flap delay phenomenon

โœ Scribed by John V. O'neill; James M. Toomey; G. Gordon Snyder III


Publisher
John Wiley and Sons
Year
1976
Tongue
English
Weight
360 KB
Volume
8
Category
Article
ISSN
0022-4790

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โœฆ Synopsis


Abstract

The use of skin flaps for reconstruction following extensive ablative surgery in the head and neck area has played a major role in the improvement of the results being attained. Using the pig as an experimental animal various factors of flap orientation, skin incisions and flap undermining were investigated.

Results confirmed the ineffectiveness of incision alone as a delay maneurver and suggested that anatomical orientation of cutaneous skin flaps was not of crucial significance. The complete mechanism of the positive effects of delay remains undefined.


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## Abstract __Purpose.__ The delay phenomenon has been used for breast reconstruction with pedicled flaps but has not been widely reported with free flaps. Our goals were to (1) describe our operative technique for vascular delay of deep inferior epigastric artery perforator (DIEP) flaps when a lar