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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.
Local flaps are created by freeing a layer of tissue and then stretching the freed layer to fill a defect. This is the least complex type of flap and includes advancement flaps, rotation flaps, and transposition flaps, in order from least to most complex.
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 ...
The length and angle of each flap are usually the same to avoid mismatched flaps that may be difficult to close. Some possible complications of Z-plasty include flap necrosis, haematoma (blood clot) formation under the flaps, wound infection, trapdoor effect and sloughing (necrosis) of the flap caused by wound tension and inadequate blood supply.
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".
All these transpositions generate tension of the skin and may distort hair lines. A combination of the Orticochea and rotation flaps is illustrated by the pictures about the forehead defect. Another option is secondary healing, but this is aesthetically inferior to primary closure in hair bearing areas because of the resulting alopecia.
Steilacoom resident Tiffanie Majors, 40, said she has been plunging every Sunday for the last four years with her own group at Owen Beach. Majors said she always loved to take cold showers, so the ...
This flap receives its blood supply primarily from branches of the a. occipitalis. Venous drainage is the v. jugularis interna. The arc of rotation is suitable for reconstruction of the lower lip, floor of mouth, ventral tongue, and lower one third of the face. For the proper arc of rotation an adequate exposure of the muscle is necessary.