title: [Twice delaying of the expanded flap].
abstract: 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.
authors.affiliation: Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing 100041, China.
authors.forename: Yi-guang
authors.initials: YG
authors.lastname: Wu
authors.forename: Qun
authors.initials: Q
authors.lastname: Qiao
authors.forename: Zhi-fei
authors.initials: ZF
authors.lastname: Liu
authors.forename: Sen-Kai
authors.initials: SK
authors.lastname: Li
authors.forename: Yang-qun
authors.initials: YQ
authors.lastname: Li
authors.forename: Cheng
authors.initials: C
authors.lastname: Liu
authors.forename: Ru
authors.initials: R
authors.lastname: Zhao
authors.forename: Song
authors.initials: S
authors.lastname: Ke-xin
authors.forename: Ying-jun
authors.initials: YJ
authors.lastname: Yan
authors.forename: Bao-dong
authors.initials: BD
authors.lastname: Sun
mesh_terms: 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