Advancement Flaps for Skin Movement and Tension Relief
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Questions and Answers

Why does a high length-to-width ratio decrease the likelihood of flap survival?

  • The flap becomes too heavy for the recipient bed.
  • The skin tension decreases with a higher ratio.
  • Blood supply will not reach the distal end of the flap. (correct)
  • The vascular plexus becomes more robust.

What is the basic technique known as the single pedicle advancement flap used for?

  • To close large wounds with one flap. (correct)
  • To create a double pedicle flap.
  • To enhance blood circulation in the recipient bed.
  • To move skin to cover an adjacent defect.

Why are two single pedicle flaps considered safer than one large flap for closing larger wounds?

  • They prevent revascularization from the recipient bed.
  • They increase the risk of failure due to tension.
  • They reduce the blood supply to the recipient bed.
  • They provide better coverage over the defect. (correct)

In which flap technique does the coverage depend on stretching the skin over the defect?

<p>V-Y advancement flap (C)</p> Signup and view all the answers

What is the purpose of axial pattern flaps in surgical procedures?

<p>To provide a new blood supply to ensure flap survival (B)</p> Signup and view all the answers

Which artery is the best-described for axial pattern flaps?

<p>Caudal superficial epigastric artery (D)</p> Signup and view all the answers

Why must axial pattern flaps have consistent landmarks?

<p>To have a direct cutaneous arterial supply (B)</p> Signup and view all the answers

What is the purpose of using free skin grafts?

<p>For cases with massive tissue loss like large burns or degloving injuries (D)</p> Signup and view all the answers

What factor is vital for the survival of all skin flaps and grafts?

<p>Recipient bed free of debris, infection, and necrotic tissue (D)</p> Signup and view all the answers

What may cause skin edema in a flap immediately after inosculation?

<p>Venous return before arterial supply (B)</p> Signup and view all the answers

Why should purple color not be used as a predictor of viability in flaps?

<p>'Purple skin' can sometimes be viable (B)</p> Signup and view all the answers

What is the significance of assessing color, warmth, sensation, and bleeding in determining flap viability?

<p>They are objective measures that accurately assess flap viability (D)</p> Signup and view all the answers

Why might contused, purple skin sometimes be viable?

<p>'Purple' may not indicate tissue death (A)</p> Signup and view all the answers

What may not remain viable if laid over squamous epithelium, denuded bone, cartilage, or tendon?

<p>Free skin grafts (D)</p> Signup and view all the answers

What methods are NOT accurate in assessing the viability of flaps?

<p>Anastomosis with recipient bed vessels (B)</p> Signup and view all the answers

In which type of surgeries are free skin grafts typically used?

<p>Cases involving massive tissue loss (C)</p> Signup and view all the answers

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