Reconstruction with Local Subdermal Plexus Flaps

1. Introduction

Skin flaps are a simple, quick and relatively simple surgical technique which may be used to close cutaneous defects which are too large to be closed by simple apposition of the wound edges, or application of simpler techniques to manage regional wound tension.

A number of different flap types are available for use, depending on the size and location of the defect. In order to use local subdermal plexus flaps correctly, the surgeon needs to have a good knowledge of the following topics:
• Cutaneous physiology and blood supply
• Factors affecting wound healing
• Skin elasticity, mobility and skin tension lines
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