Swivel flap plastic

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Lobed flap; Schrudde pedicled transposition flap; simple pedicle flap; Transposition flap

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Schrudde, 1963

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Pedunculated transposition lobe, rounded at the tip to cover round to oval skin defects.

General information
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  • From the immediate vicinity of the round to oval skin defect, a flap pedunculated at the base and rounded at the tip is incised and prepared at an angle of 60-90°. To avoid a flap pad raised above the skin level, the fat layer must be carefully removed before the flap is swung into the defect. The ratio of flap width to length should be 1:3 to a maximum of 1:4, depending on the blood supply.
  • Indications: Smaller defects, e.g. after tumor excision, in the region of the eyelids, above the nasal wing as well as in the pre- and post-auricular region, larger defects of the trunk and extremities (Fig. 1 a-d; Fig. 2 a, b).

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  1. Kaufmann R, Podda M, Landes E (2005) Dermatological operations. Colour atlas and textbook on skin surgery. Thieme, Stuttgart New York
  2. Schrudde J (1963) The coverage of skin defects by pedicled flap plasty. Aesth Med 12: 166-173


Last updated on: 29.10.2020