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- Presentation
F061: Workhorse Reconstruction: Favorite Repairs - Peng Flap
Description
In this presentation on the Peng flap, also known as the anchor flap, the speaker discusses its advantages and applications in reconstructive surgery, particularly on the nose. The flap, a bilateral advancement rotation technique, utilizes adjacent tissue to improve cosmetic outcomes and provide a good tissue match. The speaker highlights its effectiveness in restoring contour while minimizing complications such as ailer notching and retraction. Notably, the Peng flap is advantageous for patients on anticoagulants due to its wide base and smaller tissue requirement, allowing it to be performed as a single-stage procedure. The speaker details design considerations for various defect sizes, emphasizing the importance of vascular supply and scar placement. The presentation also showcases modifications to the flap design for optimal results and highlights its versatility, demonstrating successful outcomes in various clinical cases.
Conclusions
- The Peng flap is commonly used for nasal tip reconstruction due to its effective use of adjacent tissue.
- This flap technique provides a good skin match and can hide scars effectively.
- The bilateral advancement-rotation component of the flap enables adequate contour restoration.
- The symmetrical movement of the flap helps reduce complications such as uneven scarring and retraction.
- The flap has a wide base and is suitable for patients with limited tissue mobility due to anticoagulant medications.
- The Peng flap is a one-stage procedure, making it less invasive and more efficient compared to multi-stage repairs.
- Various modifications and design approaches enhance the versatility of the flap for different nasal defects.
- The flap can be extended laterally to utilize more tissue from the cheek, which contributes to better healing outcomes.
- Design considerations must account for the patient’s unique anatomical features to avoid complications.
- Peng VT, et al. "Pinch Modification" of the linear advancement flap. Derm Surg. 13(3):251-3. March 1987.
- Rowe D, et al. The Peng Flap: The flap of choice for the convex curve of the central nasal tip. Derm Surg. 1995(21):149-152.
- Leonard AL, Hanke CW. The anchor flap: a myocutaneous, biaxial pattern flap for postsurgical defects of the nasal dorsum and tip. Derm Surg. 33(9):1110-5.
- Ahern RW, Lawrence N. The Peng flap: reviewed and refined. Derm Surg. 34(2):232-7.
- Deluca J, et al. Using the Peng flap for a wide dorsal nasal defect. J Dtsch Dermatol Ges. 12(11):1060-2.
- Abrusci V, Pasquali P. "Pinch Modification" Used to Repair a Large Surgical Defect on the Scalp: Other Proposed Uses. Derm Surg. 17(3):263-4. March 1991.
- Greenbaum SS, Greenbaum CH. An alternative for nasal tip reconstruction: the bilateral rotation flap. J Dermatol Surg Oncol. 17(5):455-9. May 1991.
- Wagner J., et al. Use of the Peng flap for philtrum reconstruction after surgery for skin cancer: a modified flap technique for philtrum reconstruction. Clin Exp Dermatol. 37(7):799-800. October 2012.
- Jayasekera PS, et al. Use of a proximal Peng flap for reconstruction of the nasal dorsum in 14 patients. Derm Surg. 45(12):1704-6.