passed percutaneously through the flap and to the deep fixation point (usually the periosteum) (Figures 1 and 2). In the authors’ experience, no tissue trauma has resulted from this manoeuvre.… Click to show full abstract
passed percutaneously through the flap and to the deep fixation point (usually the periosteum) (Figures 1 and 2). In the authors’ experience, no tissue trauma has resulted from this manoeuvre. The flap is then retracted and the suture is placed more securely in the periosteum if required. The point where the suture passes through the flap is visualized, and the needle is passed through the deep dermis of the flap adjacent to this (Figures 3 and 4). The tail of the suture is then carefully pulled through the flap from the underside, and pexing suture is tied off.
               
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