A woman was referred to our practice with basal cell cancer on her left lower eyelid. We performed w…

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A woman was referred to our practice with basal cell cancer on her left lower eyelid. We performed wide excision and closed the post-excisional defect with transpositional island flap.

An island flap is a flap consisting of skin and subcutaneous tissue, with its pedicle gets de-epithelialized and leaving only the nutrient vessels positioned underneath a healthy anatomical area (tunneling) to reach its receiving defect. Proper design of an island flap requires familiarity with the anatomic and vascular basis of the flap, and with technical aspects of flap mobility. Transposition, tunneling, interpolation, and many variants of an island pedicle exist. This kind of flap is most useful for defects on the upper cutaneous lip and on periorbital area.

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Seorang ibu dirujuk kelola ke praktik kami dengan kanker sel basal di kelopak bawah mata kirinya. Kami melakukan eksisi luas dan menutup defek pascaeksisi dengan transposisi flap pulau.

Flap pulau (island flap) adalah flap yang terdiri dari kulit dan jaringan subkutan, dengan pedikelnya dilakukan deepitelisasi untuk menyisakan pembuluh darah suplai nutrisi agar bisa disisipkan di bawah area anatomi yang sehat (tunneling) untuk mencapai defek penerima. Desain flap pulau (island flap) yang tepat membutuhkan pengetahuan dasar anatomi dan vaskularisasi dari flap, dan aspek mobilitas flap. Flap pulau (island flap) dapat didesain sebagai sebuah transposisi, tunneling, interpolasi, dan banyak lagi varian. Flap jenis ini paling sering digunakan untuk defek pada bibir atas dan area periorbital.



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