Reconstructive

271) Which of the following statements is TRUE regarding the local flap shown below?



A. The first flap should be ½ the size of the defect.
B. The second flap should be slightly smaller than the defect.
C. The major disadvantage is a high risk for pin cushioning.
D. This flap distributes tension mainly on the first flap.
E. The axis of the second flap has to be more than 180 degrees to the long axis of the original defect.




REFERENCES & ANSWER



Park S.S.: Local and Regional Cutaneous Flaps, Chapter 44, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Second Edition, pp. 539-540, 2002

Park S.S.: Local and Regional Cutaneous Flaps, Chapter 54, in Facial Plastic and Reconstructive Surgery (Papel, editor), Thieme, Third Edition, pp. 721-743, 2009



271) C        The major disadvantage is a high risk for pin cushioning.