[Twice delaying of the expanded flap].
OBJECTIVE
To introduce a new method for enlarging the survival area of an expanded flap.


METHODS
After the skin expander was inflated with enough injection, the first delaying was performed. In the operation, two incisions were made in the skin and subcutaneous tissue superficial to the expander capsule on both sides of the long axis of the expanded flap. After 10 to 14 days, the second delaying followed, in which one pedicle was divided to form a unilateral-pedicled, super-long random flap. When the flap was transferred to the recipient Since 2000,this technique has been used in 16 patients. All the area, the door site was closed directly.


RESULTS
flaps survived completely.


CONCLUSIONS
The technique of twice delaying can enlarge the survival area of the expanded skin flap.
Wu
Yi-guang
YG
Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing 100041, China.
Qiao
Qun
Q
Liu
Zhi-fei
ZF
Li
Sen-Kai
SK
Li
Yang-qun
YQ
Liu
Cheng
C
Zhao
Ru
R
Ke-xin
Song
S
Yan
Ying-jun
YJ
Sun
Bao-dong
BD
D000293:Adolescent; D000328:Adult; D002648:Child; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps