Sliding Flap

Another interesting type of advancement flap is the sliding flap, which is based entirely on subcutaneous tissue. Barron et al. (1965) devised a flap with a lateral subcutaneous pedicle (Fig. 3.11). The skin flap is outlined, and the pedicle is mobilized on one side. The flap is slid into the defect on the subcutaneous pedicle. Lejour (1975) described a similar flap based on subcutaneous tissue (Fig. 3.12; see also Figs. 3.13 and 3.14). We have used this type of flap to repair defects in the tongue (Weerda 1985, Fig. 3.14).

Fig. 3.8 V-Y advancement a A contracted scar or the frenulum can be lengthened by making a V-shaped incision, mobilizing the flap, and advancing it in the direction of the arrow. b The skin is mobilized. c Closure of the defects.

Elevation Subcutaneous Flap Procedure

Fig. 3.11 Sliding flap of Barron et al. (1965). a Flap with a lateral subcutaneous pedicle. b Closure of the defects.

Fig. 3.9 Modification of the V-Y plasty.

Fig. 3.11 Sliding flap of Barron et al. (1965). a Flap with a lateral subcutaneous pedicle. b Closure of the defects.

Fig. 3.9 Modification of the V-Y plasty.

Argamaso Plastic Surgery

Fig. 3.10a, b V-Y-S advancement of Argamaso (1974). Fig. 3.12 Sliding flap of Lejour (1975), based on the subcu taneous tissue below the flap.

Facial Plastic Surgery Flap Dying
Fig. 3.13 Examples and modifications of sliding flaps for facial plastic surgery.
Facial Flap

Fig. 3.14 Myomucosal sliding flap of Weerda (1985 b). a The sliding flaps have been outlined. b The flap is slid into the defect on a lateral muscle pedicle, and the defects are closed.

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