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A rotation flap is a semicircular skin flap that is rotated into the defect on a fulcrum point. Rotation flaps provide the ability to mobilize large areas of tissue with a wide vascular base for reconstruction. The flap must be adequately large, and a large base is necessary if a back-cut will be needed to lengthen the flap.
The subgroup of pedicled perforator flaps, transferred in the defect by rotation is the so-called "propeller flap". Confusion concerning definition, nomenclature and classification of propeller flaps led to a consensus meeting similar to the "gent consensus meeting”. The consensus that was reached is named "the tokyo consensus".
Flap surgery is a technique essential to plastic and reconstructive surgery.A flap is defined as tissue that can be moved to another site and has its own blood supply.This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
Becker flap: Fasciocutaneous: Interpolation: Hand reconstruction Deep inferior epigastric perforator (DIEP) flap [3] Cutaneous: Free flap: Free flap breast reconstruction: Dufourmental flap: Cutaneous: Rotation/Transposition: Estlander flap: Cutaneous: Transposition: Labial commissure of mouth defects Fibular flap: Osteocutaneous: Free flap ...
In humans, reference may take origin from superficial anatomy, made to anatomical landmarks that are on the skin or visible underneath. As with planes, lines and points are imaginary. Examples include: The midaxillary line, a line running vertically down the surface of the body passing through the apex of the axilla (armpit).
The transposition of two triangular flaps. The incisions are designed to create a Z shape with the central limb aligned with the part of the scar that needs lengthening or re-aligning. The traditional 60° angle Z-plasty will give a theoretical lengthening of the central limb of 75%. [1] Single or multiple z-plasties can be used.
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The flap is incised and elevated over the periosteum from distal to proximal. [1] The flap consists of skin, subcutaneous tissue, fat and frontalis muscle and is not thinned. When reaching the brow, all of the skin borders are incised and the flap is carefully released. [1] The full-thickness flap is then sutured into the defect without tension.