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March 1951


AMA Arch Otolaryngol. 1951;53(3):285-289. doi:10.1001/archotol.1951.03750030044004

SATISFACTORY cosmetic results in the repair of facial defects are dependent on many factors and demand that the repaired area be of a color and texture resembling the normal tissue of that region. Visible scars of the donor site must be kept at a minimum, lest a deformity as unsightly as the original be produced.

In recent literature1 there has been a greater tendency to stress the value of using neighboring and contiguous flaps to obtain suitable color and texture matches, but in spite of this tendency, many procedures and technics which were introduced years ago continue to reappear with each new textbook on plastic surgery, even though the results of such procedures are unsatisfactory to patient and surgeon.

The bipedicle scalp flap (visor flap) used to repair defects of the upper lip is one that has been described in nearly every textbook, and because of this has assumed