Design
Authors: Liv Schöllhammer, MD, Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
- Linear pedicle flaps designed non-adjacent to primary defect
- Random or, more common, axil blood supply
- Pedicle is moved under or over intervening tissue
- Usually requires a multistage procedure where the pedicle is cut in the second stage. Pedicle can be cut after a minimum of 3 weeks
- When moved under intervening tissue the pedicle must be de-epithelialized to rest in the subcutaneous tunnel
Paramedian forehead flap
This is a short introduction to one of the earliest described flaps in literature. It requires great technique and experience and a more thorough description can be found elsewhere in the literature.
- Arterial flap based on the supratrochlear artery
- Classically used in nasal tip reconstruction
- Donor site skin tension may be too great for direct closure with the need for partially healing by secondary intent

Melolabial interpolated flap
- Random flap from cheek (melolabial line)
- Useful in nose reconstruction, especially alar defects
- The width of the flap is equal to the width of the primary defect
- The flap is raised including a minimum of 3mm subcutaneous fat to ensure vascularity
- The flap can be thinned distally but not proximally on the pedicle to ensure vascularity

Acknowledgements
Illustrations: Marie Helles, med.stud.