DeWitt Corey, Holmes Todd
*Both authors are affiliated with the Department of Medicine, Division of Dermatology, University of Vermont Medical Center, South Burlington, Vermont.
Both authors are affiliated with the Department of Medicine, Division of Dermatology, University of Vermont Medical Center, South Burlington, Vermont.
Dermatol Surg. 2019 Jan;45(1):44-51. doi: 10.1097/DSS.0000000000001610.
Island pedicle flaps (IPFs) are a frequently used reconstructive option in dermatologic surgery. With variations in its execution, the flap can be used for an assortment of facial defects.
To describe the execution of a flipped IPF for the reconstruction of medium to large preauricular wounds after Mohs micrographic surgery.
An analysis of the flipped IPF reconstruction of 12 preauricular defects is presented. Patient demographics, surgical defects, aesthetic outcomes, and complications are described.
Twelve patients with 12 preauricular tumors (9 basal cell carcinomas, 2 squamous cell carcinomas, and 1 malignant melanoma) were treated using Mohs micrographic surgery. A flipped IPF reconstruction was successfully used with good cosmetic outcomes and no complications in all 12 patients.
In this series, the authors demonstrate the effective use of flipped IPFs for the reconstruction of medium to large preauricular defects with good aesthetic outcomes and no complications.
岛状蒂皮瓣（IPF）是皮肤科手术中常用的一种重建方法。根据手术操作的不同，该皮瓣可用于各种面部缺损的修复。
描述翻转岛状蒂皮瓣在Mohs显微外科手术后修复中至大型耳前伤口的手术操作方法。
对12例耳前缺损采用翻转岛状蒂皮瓣修复的病例进行分析。描述了患者的人口统计学特征、手术缺损情况、美学效果及并发症。
12例患有12个耳前肿瘤（9例基底细胞癌、2例鳞状细胞癌和1例恶性黑色素瘤）的患者接受了Mohs显微外科手术治疗。所有12例患者均成功采用翻转岛状蒂皮瓣修复，美容效果良好，无并发症发生。
在本系列研究中，作者证明了翻转岛状蒂皮瓣可有效用于修复中至大型耳前缺损，美容效果良好且无并发症。
