Abstract
Background: There are often situations that require the correction of facial defects. Local fasciocutaneous flaps provide a reasonable option for reconstruction of facial defects with good colour and texture match and good success rate. Among the various options of local flaps is the use of a rotation flap. Aim: The aim of this work is to demonstrate the reliability of the rotation flap in the correction of facial defects and its ability to achieve a good aesthetic outcome by applying the knowledge of facial aesthetic units. Case Presentation : This is a case report of a 28-year-old woman who suffered an avulsion injury to the face with loss of facial tissue resulting in exposure of the left zygomatic bone. The defect measured 5 cm × 6 cm. A rotation flap was used to cover the defect after the wound had been previously irrigated and debrided. Her wounds healed well. She suffered no facial nerve injury. The rotation flap resulted in a good colour match with no disruption of facial contour. Conclusion: The Rotation flap provides a reasonable option for reconstruction of facial defects with good colour and texture match.
Highlights
The reconstructive surgeon is often confronted with situations that require the correction of facial defects
Local fasciocutaneous flaps provide a reasonable option for reconstruction of facial defects with good colour and texture match and good success rate
Among the various options of local flaps is the use of a rotation flap
Summary
The reconstructive surgeon is often confronted with situations that require the correction of facial defects. Rotation flaps are useful when the proposed donor site of the flap is the lateral aspect of the face These flaps are advantageous because they have a wide base and have an excellent blood supply. Gonzales-Ulloa [10] first described the regional aesthetic units of the face (Figure 1) in an effort to emphasize the need for restoring facial skin units in complete regions as opposed to “patch” work. He believed that superior surgical results can be obtained in complex facial reconstruction by replacing lost skin with grafts or flaps of similar histology, thickness, and texture. The aim of this work is to demonstrate the reliability of the rotation flap in the correction of facial defects and its ability to achieve a good aesthetic outcome by applying the knowledge of facial aesthetic units
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