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February 1975

Silicone Elastomer Sheeting in the Development of Pedicle Flaps

Author Affiliations

From the Plastic Surgery Service, Memorial Hospital, the Division of Plastic Surgery, The New York Hospital, and Cornell University Medical Center (Dr. Guthrie, Jr.); the Department of Surgery (Dr. Cucin) and the Division of Plastic Surgery (Dr. Orlando), The New York Hospital-Cornell Medical Center; and Memorial Hospital, New York (Dr. Kovachev).

Arch Otolaryngol. 1975;101(2):89-90. doi:10.1001/archotol.1975.00780310011003

A "delay" of a pedicle flap stimulates improvement in the flap circulation, probably through partial ischemia. The degree of stimulation present at any given time is inversely proportional to the length of time that has passed after the delay because progressive revascularization across the delay lines reduces the ischemic stimulus.

This revascularization can be prevented by placing silicone elastomers (Silastic) sheeting between the flap and its bed.

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