Abstract
A previous study introduced the application of an "unfolded cube advancement flap" for wide skin defects and wide scars on the face and extremities. This method uses tissue expanders to expand the skin into a cube-like shape, which is then advanced over the area of loss.
In this study we report the application of this method in 7 cases of head and face reconstruction, and 4 cases of reconstruction of the extremities. This method was successful in all of the patients who underwent head and face reconstruction, with a satisfactory esthetic outcome that achieved coincidence of the suture marks, wrinkle lines and regular multiple scar contour lines. Slight circulatory problem were encountered, however, in the most displaced areas of the flaps, and contour line irregularities were seen in all 4 of the extremity repairs. However this technique was markedly effective for esthetic improvement of extensive scarring.
