Plastic and Reconstructive Surgery — Flashcards

Flashcard 31: In _____ flaps, the blood supply is isolated, disconnected, and then reconnected using microsurgery at the new site.

Answer: Free (Free tissue transfer)

Flashcard 32: What is the mainstay of treatment for giant congenital melanocytic naevi?_____

Answer: Surgical excision

Flashcard 33: The ideal time for an revision cleft lip sx is _____

Answer: >5 years

Flashcard 34: Osseocutaneous and sensory flaps are types of _____ flaps

Answer: composite

Flashcard 35: _____ flaps are local flaps that ignore blood vessel paths

Answer: Random pattern

Flashcard 36: _____ flaps often skin with bone or muscle is transferred with the flap (osseocutaneous or myocutaneous flaps, respectively)

Answer: Composite

Flashcard 37: _____ flaps bears no specific relationship to where the blood supply enters

Answer: Random

Flashcard 38: Which type of skin flap is supplied by a named blood vessel, allowing it to be rotated on a narrow stalk or even 'islanded'?

Answer: Axial pattern flap

Extra: Axial pattern flaps are based on a named longitudinal artery and vein, allowing them to be moved on a narrow pedicle or even 'islanded' (where only the vessels remain connected). This is in contrast to random pattern flaps, which rely on the subdermal plexus and are limited by length-to-width ratios.

Flashcard 39: _____ flaps are longer flaps based on known blood vessels supplying the skin, which enables them to be moved safely across large distances

Answer: Axial

Flashcard 40: The length to breadth ratio of a random flap is no more than _____

Answer: 2:1