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November 1987

The Importance of the Basic Classifications of Skin Flaps-Reply

Author Affiliations

Department of Dermatology Tufts/New England Medical Center 750 Washington St Boston, MA 02111

Arch Dermatol. 1987;123(11):1431-1432. doi:10.1001/archderm.1987.01660350025003

In Reply.—  The authors would like to thank Dr Poitras for his recent letter. It was not our intention or desire to teach the use of one flap for all situations but, rather, to show a straightforward and simple flap based on the classic ellipse that could be easily mastered by dermatologists and others who are starting to perform flap surgery. Certainly the residents in our training program receive adequate training in various types of flaps, not only the mechanics but also their principles.Island flaps are defined as those flaps whose pedicle consists only of nutrient vessels.1 These flaps may be based on either a specific artery (arterial flap) or a random blood supply.According to Jackson2:Island flaps are of two types, depending on flap blood supply. In one type, the base consists of subcutaneous tissue without definite blood vessels. Of necessity, the flap pedicle is

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