F Russo-de la Torre, P Garbayo-Salmons, J Romaní, R Ballester, I Rivera-Fuertes, E Vargas-Laguna, J F Millán-Cayetano, X Calderon-Castrat, E Masferrer
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[Translated article] Bishop Flap and Sigma Flap to Repair Surgical Defects in High-Tension Anatomical Regions.
Background: The reconstruction of surgical defects in high-tension anatomical regions is challenging due to the ischemia and subsequent necrosis associated with tension closure. Research on new flaps capable of closing these defects exerting less tension would be a tremendous advancement in dermatological surgery.
Patients and methods: We conducted a multicenter, retrospective study that used 2 new flaps-the bishop and the sigma ones-to repair surgical defects in high-tension regions such as the scalp, lower extremities, and the nasal pyramid. The bishop flap was used in 9 patients, 5 of whom exhibited their lesion in the nasal pyramid, 2 in the legs and another 2 in the scalp. The sigma flap was used in 6 patients, 5 of whom exhibited scalp lesions and 1 leg lesion.
Results: Uneventful and excellent results were obtained in all 15 patients due to infection, dehiscence, or necrosis.
Conclusions: Both the bishop and the sigma flaps are a good alternative to repair surgical defects in high-tension regions such as the scalp, lower extremities, or the nasal pyramid.
期刊介绍：
Actas Dermo-Sifiliográficas, publicación Oficial de la Academia Española de Dermatología y Venereología, es una revista de prestigio consolidado. Creada en 1909, es la revista mensual más antigua editada en España.En 2006 entró en Medline, y hoy resulta imprescindible para estar al día sobre la dermatología española y mundial.
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