Displacement flap plastic surgery, transversal

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 10.04.2021

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Synonym(s)

advancement flap; Movable flap to von Burow

History
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from Burow, 1838

Definition
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Suture flap plasty by a transverse displacement of mobilized skin parts to cover a wedge-shaped defect.

General information
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  • After wedge or triangular excision, the incision at the base of the defect is extended in a lateral, cranial or caudal direction. By undermining the skin along the incision, the defect can usually be closed without tension. To avoid the formation of skin pockets ("dog ear") and to reduce tension in the undermined displacement flap, a contralateral counter triangle (von Burow's triangle) is excised at the end of the incision line if necessary. This laterally displaced relief triangle requires an excision of approximately one third of the defect size.
  • Indications: Wedge-shaped defects in the forehead, eyebrow, retroauricular (Fig. 1 a, b, c), preauricular (Fig. 2 a, b, c, d), and cheek regions, as well as the neck and trunk.
  • An example of a modification of the displacement flap is the VY flap

Literature
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  1. by Bruns V (1859) The surgical pathology and therapy of the masticatory and gustatory organs. In: von Bruns (Hrsg) Handbuch der praktischen Chirurgie, Volume I, Part 1 Laupp, T├╝bingen
  2. Haas E (1991) Plastic facial surgery. Thieme, Stuttgart New York
  3. Petres J, Rompel R, Robins P (1996) Dermatologic surgery. Textbook and atlas. Springer, New York Berlin Heidelberg
  4. Schulz H (1988) Operative dermatology of the face. Practical interventions. Diesbach, Berlin

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Last updated on: 10.04.2021