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This month's Facial Plastic News section reviews some of the advances in research presented at recent meetings of the American Association of Facial Plastic and Reconstructive Surgery. Surgeons are continually searching for mechanisms of enhancing the survival of flaps and grafts. Recent investigations have increased our understanding of some of the time-honored techniques that are used to reduce the risk of necrosis when transferring tissue from one site to another.
Surgical delay is used with large regional flaps when there is some threat of loss of viability of the distal portion of the flap. Calhoun et al (Department of Otolaryngology, University of Texas Medical Branch, Galveston) presented a description of the confusion in the surgical literature regarding the design of delayed flaps. They also presented a study comparing different designs of delay using a midline dorsal flap on white rats. The four surgical techniques included the following: Group 1 animals
THOMPSON JN, CRUMLEY R. Research Advances. Arch Otolaryngol Head Neck Surg. 1990;116(7):768–769. doi:10.1001/archotol.1990.01870070014001
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