When such flaps have elongated leading edges, tip tension may be reduced, with commensurate reduction in the likelihood of tip necrosis.
Reports of research conducted in vivo to accurately measure the changes in tension after basic flap modifications are lacking in the literature. Although modifications in flap design may lead to improved closure of operative wounds, experimental data regarding the value of such modification is needed. In addition, there is still disagreement about which flap design is preferable.
These investigators studied the tissue dynamics of rotation flaps to determine optimal flap length. In an animal model, they compared the mechanical closure tension associated with a standard rotation flap to that in a rotation flap that had an elongated leading edge. They used a specially designed tension measuring device and assessed the results after elevation an…
Reviewing Author
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)