Research Article

The Use of Infrared Thermography in Determining Timing for Early Pedicle Division of the Preexpanded Bipedicled Visor Flap after Ischemic Preconditioning

Figure 1

Surgical procedures of the preexpanded bipedicled visor flap. (a) Tissue expansion and flap design: a total volume of 800 ml was achieved for tissue expansion and the flap was designed based on the bilateral superficial temporal vessels. The red arrow indicated the running course of the superficial temporal vessel. (b) Flap harvest: the visor flap was elevated according to the flap design with the superficial temporal vessels intact as pedicles at the two sides. (c) Scar excision: the scar and periwound contraction of the lower lip and the anterior cervical region were thoroughly released. (d) Flap transfer: the elevated flap was rotated 180 degrees to cover the recipient site.
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