Frechet Triple Flaps—Additional Experience

Abstract

It was the best of times and the worst of times. Indeed, when the Frechet Triple Flap procedure works, the patient attains a beautiful result with total crown closure. If however, the rotations are not perfectly accomplished, the slightest additional stress results in a tip necrosis, delayed wound healing, and possible dehiscence. Most of the author's problems with the procedure occurred early in the learning curve. Further consultation with Dr. Frechet and modification of flap sizes resulted in an abatement of complications. Problems with a recent case, where all appeared to go well during the extension and rotation procedures, once again emphasize the need for further investigation of the use of delayed random flaps. The satisfaction experienced by the patient when the procedure works without complications and Dr. Frechet's repeated success encourage the author to continue to work to overcome the problems he has experienced trying to duplicate Dr. Frechet's results.