A new classification for the standardization of nomenclature in free flap wound closure.

Abstract:

:A profusion of terms are currently used to describe free flap wound closure. It is important to broadly standardize nomenclature when embarking on a comparison of functional outcomes between institutions. Therefore, a series of 68 "emergency" (within 24 hours) free flaps performed by a single surgeon were reviewed with respect to a total experience of 188 free tissue transfers to formulate a consistent nomenclature applicable to free flap wound closure in general. The nomenclature presented divides free flap closure into three categories: "primary free flap closure" (12 to 24 hours), "delayed primary free flap closure" (2 to 7 days), and "secondary free flap closure" (after 7 days). This system is analogous to the standard terms "primary," "delayed primary," and "secondary wound closure." It is consistent with known biologic and microbiologic principles of wound closure in general and should provide a simple basis for classifying free flap wound closure. Illustrative examples are presented to highlight the classification scheme.

journal_name

Plast Reconstr Surg

authors

Ninkovic M,Mooney EK,Ninkovic M,Kleistil T,Anderl H

doi

10.1097/00006534-199903000-00020

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

903-14; discussion 915-7

issue

3

eissn

0032-1052

issn

1529-4242

journal_volume

103

pub_type

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