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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

CALDERON O, WILFREDO et al. Use of a new cone shaped flap to cover skin defects. Experience in 108 patients. Rev Chil Cir [online]. 2009, vol.61, n.6, pp.526-532. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262009000600006.

Background: A new type of fasciocutaneous flap with the shape of an ice cream cone that is formed by locally rotated and V-Y advance flaps joined together, that can be used to cover complex defects, was developed. Previously, the irrigation of these flaps was ascertained in the legs of ten corpses. Aim: To report the results with the use of this type of ice cream cone shaped flap. Material and Methods: Retrospective analysis of 108 patients aged 20 to 52 years (99 males) in whom an ice cream cone shaped flap was used. Results: The defects covered were located in the leg in 27%, in the ankle in 10%, in the sole in 9%, in the heel in 8% and in other locations in the rest of patients. Eighty flaps (74%) had a good evolution, 11 (10%) had a major dehiscence, 13 (12%) had a minor dehiscence and 4 flaps (4%) had necrosis. Conclusions: This ice cream cone shaped flap is easy to use, safe and devoid of complications in most cases.

Palabras clave : Fasciocutaneous flap; cone shaped flap; skin defects.

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