Vuppalapati and Niranjan describe a perforator based modification of the tripier flap
1
but is it a useful variant or just a technical exercise? Their clinical photograph,
fig. 1, shows a defect that looks as if it could easily be repaired with a simple
Wolfe graft. Siegel in his report showed that a skin paddle would survive on a muscle
pedicle.
2
Using unilateral muscle and a skin island the flap can be tunnelled just as well
as the perforator variant. More importantly the procedure can be simply performed
under local anaesthetic, probably by relatively inexperienced surgeons, and gives
good results. A useful variant? Hammers and nuts spring to mind!To read this article in full you will need to make a payment
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References
- Islanded tripier flap – another useful variant.Br J Plast Surg. 2005; 58: 882-884
- Severe ectropion: repair with modified tripier flap.Plast Reconstr Surg. 1987; 80: 21-28
Article info
Publication history
Published online: January 15, 2007
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
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- Islanded tripier flap—another useful variantBritish Journal of Plastic SurgeryVol. 58Issue 6
- PreviewThe Tripier flap from its original description is a bipedicled flap from the upper eyelid for the lower eyelid defects in 1888.1 The original description was translated with wide interpretations in 2004 by Elliot and Britto.2 This flap is the first innervated musculocutaneous flap reported.1,2 This flap had been subsequently modified by various authors.2–4 Such modifications came into practice while tailoring this flap to match the requirements to reconstruct a range of subtotal lower eyelid defects.
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