Skin Flap Alternatives

SUTUREGARD® Medical, Inc. Blog

 

We have previously discussed skin grafts and flaps (link to those posts). The major distinction in a skin flap and skin graft is blood supply. Skin flaps have a connected blood supply. Skin grafts do not have connected blood supply.

Recall that the lack of a connected blood supply limits the potential thickness of a skin graft. If the graft is too thick, the blood supply from the wound base may be inadequate and result in partial or total loss of the graft.


A wound bed can supply nourishment to only a limited thickness of skin graft. Beyond that, there is risk of failure.

The robust blood supply of a flap allows for a much thicker piece of skin to be placed over the wound

Placing this piece of skin with a connected blood supply (flap) over the wound can take one of two major forms:


Outline of steps for a staged flap

The pedicle of the flap carries the blood supply to the tip. The tip of the pedicle is moved over the wound and sewn in place. The area where that flap was taken is closed. The surgery is left to heal for several weeks. In those weeks, the “tip” skin develops its own blood supply. After this period, the pedicle is severed, resulting in a healthy and thicker piece of skin than a graft.

Wound area

  • Nasal tip
  • Helical rim of ear
  • Finger tip
  • Side (ala) of nose

Donor

  • Forehead
  • Skin of upper neck
  • Palm (thenar) skin
  • Cheek
Table of some common staged flaps

Related

Bill Lear, MD, Discusses Development of HEMIGARD ARS

Bill Lear, MD, Mohs surgeon now but 5-year emergency physician previously, talks with Dr. Mark Plast...

Read More >

Press Release - SUTUREGARD® Medical, Inc is Presenting at Arab Health

SUTUREGARD® Medical, Inc is excited to announce that CEO Dan Ladizinsky, MD, will be presenting SUTU...

Read More >

You have a skin cancer for which your doctor recommends Mohs surgery. What is Mohs Surgery?

First, let’s back up. Tissue is sent for pathology to answer one of two questions: “what is it?” ...

Read More >

What is Moh's Surgery?

Mohs surgery relies on processing tissue. The tumor is removed but then it is studied & laid down to...

Read More >

The Deeper Meaning of a Successful Sales Launch

Sales are proven traction. Investors love it. But for inventors, sales have a deeper, transformation...

Read More >

Why We Use GluSeal® With Our HEMIGARD™- Assisted Skin Closures

Our research has demonstrated that the middle suture in an elliptical wound is under approximately s...

Read More >

Relax & Close, More Wounds, More Simply.

Making wound closure easier for surgeons and better for patients.

Order Now