Flap Basics I: Rotation and Transposition Flaps

Facial Plast Surg Clin North Am. 2017 Aug;25(3):313-321. doi: 10.1016/j.fsc.2017.03.004. Epub 2017 May 30.

Abstract

In many cases of complex facial defects, because of advanced cutaneous malignancies, primary wound closure is impossible. In these instances, ideal results can be obtained through recruitment of adjacent tissue with the use of local flaps. Advances in local flap techniques have raised the bar in facial reconstruction; however, acceptable results to the surgeon and patient require high levels of planning and surgical technique. Defects resulting from Mohs surgery and other traumatic injuries can typically be repaired with local flaps. A well-planned and executed local flap can lead to excellent cosmetic results with minimal distortion of the surrounding facial landmarks.

Keywords: Bilobe; Mohs; Reconstruction; Rhombic; Rotation flap; Transposition flap.

Publication types

  • Review

MeSH terms

  • Facial Neoplasms / surgery*
  • Humans
  • Mohs Surgery / adverse effects*
  • Plastic Surgery Procedures / adverse effects
  • Plastic Surgery Procedures / methods
  • Postoperative Complications / surgery*
  • Rotation
  • Surgical Flaps / classification*
  • Surgical Flaps / transplantation