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Viability of skin flaps subjected to simultaneous chemical peel with occlusive taping
Author(s) -
Hayes David K.,
Stambaugh Kweon I.
Publication year - 1989
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198210000-00008
Subject(s) - medicine , skin flap , surgery , dorsum , dilation (metric space) , carotid arteries , anatomy , mathematics , combinatorics
Abstract This study was undertaken to determine whether the application of a standardized chemical peel with an occlusive tape dressing to an acutely raised skin flap (as in combining rhytidectomy with chemical peel) affects skin flap viability. Thirty‐six 4‐cm x 4.cm dorsal skin flaps were raised on guinea pigs and sutured back into place. Eighteen of these flaps were simultaneously treated with a single application of Baker's solution and a 24‐hour occlusive tape dressing. A mean of 3.1 cm 2 of the non‐peeled flaps necrosed, compared with 6.3 cm 2 of the peeled flaps, a statistically significant increase in tissue loss in flaps that were simultaneously chemically peeled. We conclude that application of Baker's solution with an occlusive tape dressing to an acutely raised skin flap impairs skin flap viability and may result in skin flap necrosis.