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  • Title: Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
    Author: Purnell CA, Turin SY, Dumanian GA.
    Journal: Plast Reconstr Surg; 2018 Jan; 141(1):186-189. PubMed ID: 29280880.
    Abstract:
    The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e.g., an abdominoplasty). The reconstruction has been performed in over 50 patients with a vertical midline incision and five patients without a midline incision. The only complications noted were persistent serous drainage in several patients with vertical incision and inadequate depth in one patient without a midline incision. This technique is quickly performed, and avoids small flaps, external incisions, and healing by secondary intention.
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