title: Innovations in the island pedicle flap for cutaneous facial reconstruction.
abstract: BACKGROUND
  The island pedicle flap is a useful method of reconstruction in dermatologic surgery. Traditionally, the pedicle has been centrally and inferiorly based, with flap movements by rotation or advancement. With innovations, however, the flap is remarkably applicable to a variety of facial defects.
  
  
  OBJECTIVE
  Our purpose is to introduce modifications of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements.
  
  
  METHODS
  Modifications of the island pedicle flap were applied in nine cases of cutaneous repair after Mohs micrographic surgery. Patient records and postoperative photographs were reviewed retrospectively. Both patients and other surgeons were asked to assess outcome variables.
  
  
  RESULTS
  Patients and physicians judged overall outcome as "excellent" or "good" in 100% and 90.7% of evaluated cases, respectively.
  
  
  CONCLUSIONS
  Variations of the island pedicle flap, including (1) single lateral pedicle, (2) transposition, and (3) interpolation movements, are viable options in the reconstruction of facial defects after Mohs micrographic surgery.
authors.affiliation: Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA.
authors.forename: Bethany R
authors.initials: BR
authors.lastname: Hairston
authors.forename: Tri H
authors.initials: TH
authors.lastname: Nguyen
mesh_terms: D000368:Aged; D062109:Dermatologic Surgical Procedures; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome