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J. Kevin Poitras, MD
2440 M St NW Washington, DC 20037

Arch Dermatol. 1987;123(11):1431.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I read with interest the article entitled "Subcutaneous Island Pedicle Flaps" by Tomich et al¹ in the April issue of the ARCHIVES. I am pleased to see the recent increase in the number of articles dealing with dermatologic surgery in the ARCHIVES. It is disturbing, however, to note the propagation in the dermatologic literature of a misconception that began with a very similar article by Dzubow.² Specifically, one method of classification of skin flaps is based on their blood supply. Under this classification, two separate categories of flaps exist. The first, cutaneous flaps, receive their blood supply from segmental, anastomotic, or axial arteries lying deep to the underlying musculature and sending perforating arteries to the interconnecting dermal subdermal plexus of the skin. The second type, arterial flaps, receive their blood supply through a direct cutaneous artery. The second group may be subclassified as peninsular, or . . . [Full Text PDF of this Article]

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