Abstract

CALDERON, W. et al. Clinical applications of the cone shaped flap. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.3, pp.307-312. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000300009.

We present our experience with a previously described flap, the shaped cone flap, to cover skin defects. This flap due its name to the shape, similar to an ice cream cone, that is formed by locally rotated and V-Y advance flaps joined together, being both fasciocutaneous flaps. We perform a retrospective analysis of 108 patients operated on between 2000 and 2013, aged 20 to 52 years, 99 males, treated with a cone shaped flap. The defects covered were located in the leg in 27%, in the ankle in 10%, in the sole of the foot in 9%, in the heel in 8% and in other locations in the rest of patients. Eighty flaps (74%) had a good evolution, 11 (10,2%) had a major dehiscence, 13 (12%) had a minor dehiscence and 4 flaps (3,7 %) had necrosis. We confirm the cone shaped flap as an easy and safe alternative for reconstruction that avoid complications in most of the cases and with a low surgical cost.

Keywords : Fasciocutaneous flap; Cone shaped flap; Skin defects repair.

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