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The mental rotation flap
1Department of Plastic Surgery, St Georges Hospital, Blackshaw Road, Tooting, London SW17 0BY, UK.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 27, 2010
Summary
Random pattern rotation flaps effectively close lateral chin defects from skin cancer excision. This technique offers good cosmetic outcomes with minimal complications for elderly patients.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Surgical closure of lateral chin defects after skin cancer removal presents challenges.
- Small to moderate defects require reliable reconstructive techniques.
- Random pattern rotation flaps offer a potential solution for these defects.
Observation:
- Three patients (mean age 74) underwent excision of basal cell carcinomas (BCC) on the lateral chin.
- Defect sizes ranged from 2.0x1.9 cm to 1.9x2.9 cm.
- Flaps were raised at a 1:3 defect-to-flap ratio at the adipose-muscle interface.
Findings:
- Two types of random pattern rotation flaps were utilized for defect closure.
- Direct closure was achieved in all cases, with no flap loss reported.
- One case of superficial infection occurred; no mention of mental nerve involvement.
Implications:
- Random pattern rotation flaps are a viable and safe option for reconstructing lateral chin defects.
- The technique yields good cosmetic results with a low complication rate.
- This method may be particularly beneficial for elderly patients undergoing skin cancer treatment.
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