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Original Article
January 1977

Bridge Method of Skin-Flap Delay

Author Affiliations

From the Surgical Research Laboratory, Newington (Conn) Veterans Administration Hospital, and the Division of Otorhinolaryngology and Facial Plastic Surgery, University of Connecticut School of Medicine, Farmington. Dr Toomey is now with the Department of Otolaryngology, Washington University School of Medicine, St Louis.

Arch Otolaryngol. 1977;103(1):26-28. doi:10.1001/archotol.1977.00780180064006

Necrosis, a catastrophic complication of skin-flap use, is due to inadequate capillary blood flow. Delay procedures, which are based on newer information regarding skin vasculature and delay dynamics, can augment surviving-flap length. A delay procedure that used multiple skin bridges was studied in 121 flaps in 21 pigs. The result was a considerably greater amount of length augmentation than has previously been reported. This enhanced effect is related to a combination of nearly maximal sympathectomy in a highly ischemic, surgically defined experimental flap.

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