Case Reports
7 February 2024

“Sorting hat” flap as a modification of the classic A-T flap

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This article presents a case study of a novel modification of the A-T flap, known as “Sorting Hat” flap, employed in dermatologic surgery for facial reconstruction. In the treatment of an 89-year-old male’s squamous cell carcinoma lesion on the forehead, the “Sorting Hat” flap, introduced as an innovative alternative, eliminates the need for Burrow triangles and relies on flap shape for inconspicuous scarring and favorable cosmetic outcomes. 

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Citations

Gualdi G, Monari P, Apalla Z, Lallas A. Surgical treatment of basal cell carcinoma and squamous cell carcinoma. G Ital Dermatol Venereol 2015;1504:435-47.
Gualdi G, Monari P, Crotti S, et al. Matter of margins. J Eur Acad Dermatol Venereol 2015;29:255-61.
Gualdi G, Venturini M, Zanca A, et al. Pre-surgical basal cell carcinoma margin definition: the smart approach. J Eur Acad Dermatol Venereol 2016;30:474-6.
Brunetti B, Tenna S, Poccia I, et al. Aesthetic Reconstruction of the Frontotemporal Region. The Extended A-T Plasty, A Workhorse Revisited. Ann Plast Surg 2017;79:34–38.
Stevens C R, Tan L, Kassir R, Calhoun K. Biomechanics of Ato- T Flap Design. Laryngoscope 1999;109:113–7.
Krishnan R, Garman M, Nunez-Gussman J, Orengo I: Advancement Flaps. A Basic Theme with Many Variations.

How to Cite



“Sorting hat” flap as a modification of the classic A-T flap. (2024). Dermatology Reports, 16(4). https://doi.org/10.4081/dr.2024.9907