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Peter A. Adamson, MD, CCFP, FRCSC; Guy J. Tropper, MD, FRCSC; Becky L. McGraw, MD; Frank M. Kamer, MD; FRANK M. KAMER, MD

Arch Otolaryngol Head Neck Surg. 1991;117(6):610.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Presently, there is no consensus among surgeons when skin flaps or skin-muscle flaps should be utilized. Traditionally, the skin-muscle flap has been used in patients in whom a small amount of excess skin excision (<3 mm) is anticipated. If larger amounts of skin needed to be removed, a skin flap was utilized. Many surgeons, however, employ a skin-muscle flap in all cases while other surgeons prefer skin flaps in all but the young patient with tight skin. In 1977, Spira¹ attempted a clinical study to clarify the situation. In a group of 26 patients ranging in age from 35 to 68 years old, he performed a skin-muscle flap on one lower lid and a skin flap on the contralateral lower lid. His operative results were assessed from color transparencies by several plastic surgeons, residents, and students. The photographs were made from 3 to 12 months following surgery. Except for . . . [Full Text PDF of this Article]

Author Affiliations
Beverly Hills, Calif

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