{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:55:35Z","timestamp":1789581335066,"version":"build-2803163510"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T00:00:00Z","timestamp":1651449600000},"content-version":"vor","delay-in-days":2984,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>\nBackground\n Extensive degloving injuries of the extremities usually result in necrosis of the flap, necessitating comprehensive skin grafting. Provided there is a sufficient tool to evaluate flap viability, full-thickness skin can be used from a nonviable avulsed flap. We used a Wood's lamp to determine the viability of avulsed flaps in the operation field after intravenous injection of fluorescein dye.<\/jats:p><jats:p>\nMethods\n We experienced 13 cases during 16 months. Fifteen minutes after the intravenous injection of fluorescein dye, the avulsed skin flaps were examined and non-fluorescent areas were marked under Wood's lamp illumination. The marked area was defatted for full-thickness skin grafting. The fluorescent areas were sutured directly without tension. The non-fluorescent areas were covered by defatted skin. Several days later, there was soft tissue necrosis within the flap area. We measured necrotic area and revised the flap.<\/jats:p><jats:p>\nResults\n Among all the cases, necrotic area was 21.3% of the total avulsed area. However, if we exclude three cases, one of a carelessly managed patient and two cases of the flaps were inappropriately applied, good results were obtained, with a necrotic area of only 8.4%. Eight patients needed split-thickness skin grafts, and heel pad reconstruction was performed with free flap.<\/jats:p><jats:p>\nConclusions\n A full-thickness skin graft from an avulsed flap is a good method for addressing aesthetic concerns without producing donor site morbidity. Fluorescein dye is a useful, simple, and cost-effective tool for evaluating flap viability. Avulsed flap injuries can be managed well with Wood's lamp illumination and a full-thickness skin graft.<\/jats:p>","DOI":"10.5999\/aps.2014.41.2.126","type":"journal-article","created":{"date-parts":[[2014,3,14]],"date-time":"2014-03-14T23:54:35Z","timestamp":1394841275000},"page":"126-132","source":"Crossref","is-referenced-by-count":11,"title":["A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft"],"prefix":"10.1055","volume":"41","author":[{"given":"Hyoseob","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dae Hee","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Il Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myong Chul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1097\/00006534-199711000-00009","article-title":"Technical refinement in the management of circumferentially avulsed skin of the leg","volume":"100","author":"SF Jeng","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1097\/00006534-200104010-00017","article-title":"Delayed full-thickness autografting of cryopreserved avulsed skin in degloving injuries of the extremities","volume":"107","author":"A Nogueira","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/S0007-1226(57)80020-4","article-title":"Treatment of skin avulsion injures of the extremities","volume":"10","author":"CO Innis","year":"1957","journal-title":"Br J Plast Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/00000637-198707000-00016","article-title":"How to harvest skin graft from the avulsed flap in degloving injuries","volume":"19","author":"AA Zeligowski","year":"1987","journal-title":"Ann Plast Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/0007-1226(82)90085-6","article-title":"A simple method of 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An experimental study","volume":"95","author":"SF Morris","year":"1995","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2014.41.2.126.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T22:41:00Z","timestamp":1651531260000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2014.41.2.126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3]]},"references-count":25,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,5,2]]},"published-print":{"date-parts":[[2014,3]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2014.41.2.126","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3]]}}}