Bridge Method of Skin-Flap Delay

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Abstract
• Necrosis, a catastrophic complication of skin-flap use, is due to inadequate capillary blood flow. Delay procedures, which are based on newer information regarding skin vasculature and delay dynamics, can augment surviving-flap length. A delay procedure that used multiple skin bridges was studied in 121 flaps in 21 pigs. The result was a considerably greater amount of length augmentation than has previously been reported. This enhanced effect is related to a combination of nearly maximal sympathectomy in a highly ischemic, surgically defined experimental flap. (Arch Otolaryngol 103:26-28, 1977)

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