Inverted triangle repair of dog-ear

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Presentation transcript:

Inverted triangle repair of dog-ear Francisco Russo, MD Journal of the American Academy of Dermatology Volume 76, Issue 3, Pages e95-e97 (March 2017) DOI: 10.1016/j.jaad.2016.09.016 Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Pig's feet as surgical model. A, Circular defect. B, Three stitches are placed at the middle of the wound to clearly define 2 dog-ears. The inferior dog-ear was removed as an M-plasty. C, An inverted triangular piece of excess tissue was removed in the superior dog-ear. D, Y-shaped closure of the resulting defect was performed. E, Frontal view of both techniques of repair. Inverted triangle allowed for larger reduction in the scar's length than M-plasty. Journal of the American Academy of Dermatology 2017 76, e95-e97DOI: (10.1016/j.jaad.2016.09.016) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Schema comparing traditional M-plasty with inverted triangle technique. Inverted triangle allows for larger reduction in the scar's length than M-plasty. Journal of the American Academy of Dermatology 2017 76, e95-e97DOI: (10.1016/j.jaad.2016.09.016) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Patient. A, Primary defect. B, Marked inverted triangle before excision. C, Status after excision of the inverted triangle. D, Corner suture placement. E, Tightened suture with Y-shaped closure. F, Final postoperative outcome. Journal of the American Academy of Dermatology 2017 76, e95-e97DOI: (10.1016/j.jaad.2016.09.016) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions