Candy Closure: A Novel Technique for Closing Small Skin Defects

Author:

Mohan Amitabh1,Rangwala Murtuza2,Chandaka Ganesh M3

Affiliation:

1. Classified Specialist Surgery and Reconstructive Surgeon, Command Hospital Air Force, Bengaluru, Karnataka, India

2. Consultant Plastic Surgeon, Saifee Hospital, Mumbai, India

3. MO Surgeon (Reconstructive and Plastic Surgery) Command Hospital Air Force, Bengaluru, Karnataka, India

Abstract

Abstract Introduction: Local advancement flap is an important tool in the hands of reconstructive surgeons, whereas doing closure of the defect local tissue provides the best match. In this study, we describe a new technique for the closure of defects up to the size of 8 cm. Materials and Methods: It is a prospective intervention and observation study where we perform the candy closure technique to close the defect created after excising the skin lesion. This is an advancement flap technique where flaps are advanced and the defect is closed. This is a better technique to close the small skin defect. Results: In this study, we perform the candy closure technique in 43 patients without any flap loss or any major complication. The scar quality was fair to good and it was acceptable to the patient. The defect was closed primarily so the requirement of dressing was alleviated and the patient could return to work early. Conclusion: The candy closure technique is a safe and effective advancement flap for the closure of defects using surrounding skin. The technique can be used to close small defects where redundant skin is amiable in the surroundings.

Publisher

Medknow

Reference10 articles.

1. Candy closure a novel technique for closing small skin defects;Tschoi;Surg Clin N Am,2009

2. Design of skin flaps;McGregor;Lancet,1970

3. The V-Y rotational flap for nasal tip defects;Cronin;Ann Plast Surg,1983

4. The versatile V-Y flap for facial reconstruction;Omidi;Dermatol Surg,2004

5. Local cutaneous flaps;Baker;Otolaryngol Clin North Am,1994

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