Lateral Rotation Flap Research Articles

Advancement-Rotation–Modified Z-plasty Technique to Prevent Notching in Congenital Cleft Earlobe Repair

The surgical correction of congenital cleft earlobes poses a unique set of challenges in achieving optimal aesthetic outcomes. While various surgical techniques have been proposed, most of them result in the appearance of irregularity and asymmetry of the earlobe. This paper presents a modification to the traditional Z-plasty technique that prevents the postoperative appearance of notching of the earlobe. Our technique achieves this by creating 2 flaps, a medial-advancement flap and a lateral-rotation flap, that are surgically constructed in a manner that ensures the posterior earlobe is directly attached to the mandibular cheek subcutaneous tissue as opposed to adjacent to it to render the appearance of a more natural-looking and volume-sufficient earlobe. The exact technique involved is discussed further in this paper, with supporting case-based examples to demonstrate its efficacy in enhancing overall aesthetic outcomes.

Glabellar rotation flap technique in patient with squamous cell carcinoma in right upper eyelid: case reports

Introduction : Squamous cell carcinoma (SCC) is the second most common skin malignancy after basal cell carcinoma, with an increasing incidence worldwide. Found in various parts of the body, in the eye and periocular area, it may affect the skin of the conjunctiva, cornea, and eyelid. Surgical excision is the preferred mode of SCC treatment. After excision, reconstructive surgery is often required for the best functional and cosmetic results. Early diagnosis and treatment of tumors and follow up care for at least 5 years have a significant impact on patient survival.
 Case Illustration: Description of two cases squamous cell carcinoma that had undergone reconstructive biopsy and blepharoplasty procedure with glabellar rotation flap technique alone in one case and together with a cheek advancement flap in the second one. In both cases, conjunctival replacement by using lower labial mucosa.
 Discussion : In both cases tumor affects the margin of the upper eyelid, therefore flap reconstruction is necessary to maintain eyelid function and esthetics. The glabellar flap has the advantages of being a fast surgery, having a good vascular supply, and being able to fill deep abnormalities because it is a thick flap. A cheek lateral rotation flap was designed to avoid unnecessary facial distortion in second case.
 Conclusion : Glabellar rotation flap alone or together with cheek advancement flap was done to maintain function and physical aesthetic of eyelid. Additional cheek lateral rotation flap could reduce skin tension.

Trauma facial por arma de fuego

La constante evolución de las armas de fuego, junto al incremento paulatino de violencia durante riñas, peleas y asaltos en nuestro medio, han dado como resultado un sinnúmero de traumas faciales debido a estas dos variables antes enunciados. Es así como este caso ilustra de manera puntual la resolución de un caso recibido en nuestra casa de salud en donde demuestra un manejo sincronizado por parte del grupo de médicos del Área de Cirugía Plástica y Craneofacial de nuestra institución. Como resultados encontramos el manejo en dos tiempos quirúrgicos en donde como prioridad se da el restablecimiento inicial de la parte funcional y limpieza del área cruenta tratando de conservar el mayor tejido sano posible para que en el segundo tiempo quirúrgico se realice la colocación de material de osteosíntesis y una rotación de colgajo lateral a nivel nasal con el fin de dar cobertura al orificio de salida del proyectil, logrando de este modo una armonía facial y un grado de satisfacción bueno por parte del paciente y de sus familiares

O86. Hemi tongue lateral rotation flap for oral tongue reconstruction following resection of squamous cell carcinoma

O86. Hemi tongue lateral rotation flap for oral tongue reconstruction following resection of squamous cell carcinoma

Congenital Eyelid Colobomas in 51 Patients

To review the clinical observations in the management of congenital eyelid coloboma. Fifty-one cases of congenital eyelid colobomas including the functional and cosmetic rehabilitation of patients who were treated over a period of 18 years with an average follow-up of 4.7 years were retrospectively reviewed. Thirty-eight patients had an upper eyelid coloboma and 13 patients had a lower eyelid coloboma. Systemic associations included Goldenhar syndrome and Treacher-Collins-Franceschetti syndrome. Twenty-two patients with upper eyelid colobomas underwent surgery by direct apposition, eyelid sharing procedures, or a lateral rotation flap. Lower eyelid colobomas were repaired in 4 patients. Gratifying cosmetic and functional results could be achieved in all 26 patients who underwent surgery.

The use of lateral rotation flap in limbs especially fingers

We present the experiences of 30 operations in 12 patients in the use of lateral rotation flap. We find some merits during the performance of lateral rotation flap.(1) The joint can be covered by the flap.(2) Through the flap, arthroplasty and tendon suture can be performed later.(3) The elasticity of the joint can be gained.(4) The flap is also in good result in gross appearance.For the excellent result of the lateral rotation flap, we apply it not only in the dorsal digital surface but also to reconstruct the joint of knee and axillary area.