Double transposition flap plastic

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Double opposing pivoting flap plastic

Definition
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Suture flap plasty of the skin, in which oppositely cut swivel flaps are swung into a round excision wound to cover the defect.

General information
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  • On both sides of a round defect, slightly rounded skin flaps are cut in opposite directions at the tip. In contrast to double rotation flap surgery according to Webster, the tips of the flaps do not merge into the circular arc, but first form a flap arc on both sides and in opposite directions next to the circular defect, in order to merge into the circle as the inner flap cut line. After sufficient mobilization, both lobes are swung into the defect.
  • Indications: For larger defects (approx. 5-6 cm diameter) in the dorsal region of the trunk, glutaea region and on the thigh.

Literature
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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. Schulz H, Altmeyer P, Stücker M, Hoffmann K (1997) Outpatient operations in dermatology. Hippocrates, Stuttgart

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Last updated on: 29.10.2020