Rotational flap plastic

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Rotational displacement flaps; Rotation flap

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Imre, 1924

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Suture flap plasty of the skin in which a circular segmental skin flap is used to cover a triangular defect by rotation displacement.

General information
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  • In the area of the short side of the triangular defect, an arcuate incision is made up to 1.5 to 2 times the length of the short excidate leg in a lateral direction. To avoid excessive tension in the tip of the flap, the Dzubow method is recommended, whereby the inner leg of the defect triangle is first extended cranially by incision and the semi-arched incision is made from the end point of the extension. At the end of the arch, a contralateral relief triangle according to von Burow can be applied as required (see also displacement flap plastic surgery, transversal), the size of which is about one third of the excised area. For length compensation, a "back cut" from the end of the arch is possible. In this case, a back triangle is not necessary. In order to avoid flap necrosis, the flap pedicle must not be incised too far. The back cut should not exceed a quarter of the stem length.
  • Indications: Excisional defects of the capillitium, eyelids, preauricular (Fig. 1 a, b, c, d), cheeks (Fig. 2 a, b, c) and neck as well as of the trunk (Fig. 3 a, b, c), buttocks and extremities (Fig. 4 a, b, c).

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  1. Dzubow LM (1987) The dynamics of flap movement: effect of pivotal restraint on flap rotation and transposition. J Dermatol Surg Oncol 13: 1348-1353
  2. Dzubow LM (1991) Flap dynamics. J Dermatol Surg Oncol 17: 116-130
  3. Zoltan J (1977) Atlas of surgical cutting and suturing techniques. Karger, Basel Munich Paris London


Last updated on: 29.10.2020