Abstract
After tumor resection, skin defects generally form circular shapes. However, closure of circular skin defect cannot be achieved satisfactorily by direct suture. Local flaps or skin grafts can be used to cover such defects. However, performing a graft or flap can require additional tissue resection to convert the flap’s shape to the defect’s shape. Reconstruction of these defects may cause problems such as distortion of anatomic points and extra normal skin resection. To solve those problems, a new local flap is reported; this is a combination of transposition, rotation, and subcutaneous flap techniques. This flap has been performed with success on various body surfaces for defects of a size ranging from 1.5 to 9 cm in diameter. In this paper, technical details and some clinical cases are presented.
References
Limberg AA (1966) Design of local flaps. In: Gibson T (ed) Modern trends in plastic surgery. 2nd edn. Butterworth, London, pp 38–61
Yabe T, Takemura H, Muraoka M (1999) Circle-to-W flap. Plast Reconstr Surg 104:1430 doi:10.1097/00006534-199910000-00030
Humphreys TR (2001) Use of the “spiral” flap for closure of small defects of the nasal ala. Dermatol Surg 27:409 doi:10.1046/j.1524-4725.2001.00197.x
Keser A, Sensoz O, Mengi AS (1998) Double opposing semicircular flap: a modification of opposing Z-plasty for closing circular defects. Plast Reconstr Surg 102:1001 doi:10.1097/00006534-199809040-00011
Golomb FM (1984) Closure of the circular defect with double rotation flaps and Z-plasties. Plast Reconstr Surg 74:813 doi:10.1097/00006534-198412000-00015
Argamaso RV (1974) V-Y-S plasty for closure of a round defect. Plast Reconstr Surg 53:99–101 doi:10.1097/00006534-197401000-00025
Peled IJ, Wexler MR, Kaplan H (1983) Subcutaneous-pedicle triangular skin flap for closure of circular defects. Ann Plast Surg 10:290 doi:10.1097/00000637-198304000-00005
Jose RM (2003) How many rhomboids? Plast Reconstr Surg 112:339 doi:10.1097/01.PRS.0000063106.01792.E6
Turan T, Kuran I, Ozcan H, Bas L (1999) Geometric limit of multiple local Limberg flaps: a flap design. Plast Reconstr Surg 104:1675 doi:10.1097/00006534-199911000-00010
Karacalar A (2000) Combined use of V-Y advancement flap and rotation flap. Plast Reconstr Surg 106:1223 doi:10.1097/00006534-200010000-00059
Cuono CB (1983) Double Z-plasty repair of large and small rhombic defects: the double-Z rhomboid. Plast Reconstr Surg 71:658
Jackson IT (1985) General considerations. In: Jackson IT (ed) Local flaps in head and neck reconstruction. Mosby, St. Louis, pp 1–34
Wexler DB, Gilbertson LG, Goel VK (1992) Biomechanics of the rotation, advancement skin flap: Experimental and theoretical studies. In: Bardach J (ed) Local flaps and free skin grafts. Mosby, St. Louis, pp 53–68
Becker H (1979) The rhomboid-to-W technique for excision of some skin lesions and closure. Plast Reconstr Surg 64:444
Teitelbaum S (1998) The purse-string suture. Plast Reconstr Surg 101:1748 doi:10.1097/00006534-199805000-00081
Borges AF (1982) Pitfalls in flap design. Ann Plast Surg 9:201 doi:10.1097/00000637-198209000-00002
Benedetto GD, Pierangeli M, Zura G et al (2003) Reconstruction of the external auditory canal with laterocervical twisted flap (snail flap): an update. Plast Reconstr Surg 111:825 doi:10.1097/01.PRS.0000039399.58795.97
Kilic A (2002) Presutured purse-string suture and second purse-string suture for both reduction and closure of skin defects. Plast Reconstr Surg 109:1758 doi:10.1097/00006534-200204150-00063
Tremolada C, Blandini D, Beretta M, Mascetti M (1997) The “round block” purse-string suture: a simple method to close skin defects. Clinical and experimental studies. Plast Reconstr Surg 100:126 doi:10.1097/00006534-199707000-00023
Stephens DR (1995) Scars and scar revision. In: Grotting JC (ed) Reoperative aesthetic reconstructive plastic surgery. Quality Medical, St. Louis, pp 73–110
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Turkaslan, T., Ozsoy, Z. & Dayıcıoglu, D. The helix flap for circular skin defects: case reports. Eur J Plast Surg 32, 195–198 (2009). https://doi.org/10.1007/s00238-008-0305-4
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DOI: https://doi.org/10.1007/s00238-008-0305-4