Dzubow L M
J Dermatol Surg Oncol. 1987 May;13(5):480-6. doi: 10.1111/j.1524-4725.1987.tb00932.x.
Complex geometrically designed closures of defects following tumor removal by Mohs surgery are often utilized when simpler methods of direct tissue aposition would suffice. There are, however, specific advantages in certain instances of using a preplanned geometric closure. Utilization of the secondary defect created by movement of a rotation flap permits redirection of the forces of tension of wound closure. Preplanning of advancement flaps allows for selective placement of tissue dog ears and thereby allows for maximal camouflaging of excisional scars. The dynamics of these two flaps are discussed and specific examples illustrating the principles are reviewed.
在Mohs手术切除肿瘤后，当采用更简单的直接组织对合方法就足够时，通常会使用几何形状复杂的缺损闭合术。然而，在某些情况下使用预先规划的几何闭合术有特定的优势。利用旋转皮瓣移动产生的继发缺损可改变伤口闭合张力的方向。推进皮瓣的预先规划允许选择性地放置组织犬耳，从而最大程度地掩盖切除瘢痕。本文讨论了这两种皮瓣的动态变化，并回顾了说明这些原则的具体实例。
