modified comet flap

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comet flap 에 관한 논문입니다

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is a challenge for dermatologic surgeon to have to repair very large surgical defects on the head and neck where cosmetics and maintenance of normal function are important.
The dog-ear rotation flap is a combination repair which is executed by first closing one end of the surgical defect in a primary side-to-side-fashion, and then rotation flap from the large dog-ear created at the distal end of the wound. This flap is reported to offer superior cosmetic and functional results to other closure options, particularly for extensive defects of head and neck area.
Lentigo maligna is well known as an irregularly pigmented macular lesion usually presenting on the sun-damaged head and neck of elderly patients. It has the potential to develop into invasive melanoma(LMM) and reccurence is relatively common. Surgical excision is believed to be the treatment of choice and wide surgical margin is often necessary to confirm clear histological margins.

참고 자료

Kazuo Kishi, Hideo Nakajima, Nobuaki Imanishi. J Plast Reconstr Aesthet Surg 2008;61(4):423-424

Bugatti L, Filosa G. The comet flap. J Eur Acad Dermatol Venereol 2007 ;21(4):557-8

Schmidt DK, Mellette JR Jr. The dog-ear rotation flap for the repair of large surgical defects on the head and neck. Dermatol Surg 2001;27(10):908-10

Garcia del Campo JA, Garcia de Marcos JA, del Castillo Pardo de Vera JL, Garcia de
Marcos MJ. Local flap reconstruction of large scalp defects. 2008; 13(10):e666-70

Leedy JE, Janis JE, Rohrich RJ. Reconstruction of acquired scalp defects: an algorithmic approach. Plast Reconstr Surg 2005;116(4):54e-72e

Lee S, Rafii AA, Sykes J. Advances in scalp reconstruction. Curr Opin Otolaryngol Head Neck Surg 2006;14(4):249-53

Mehrara BJ, Disa JJ, Pusic A. Scalp reconstruction. J Surg Oncol 2006’94(6):504-8