[Local Rotating Flaps in Oculoplastic Surgery]

Area of Science:

• Ophthalmology
• Plastic Surgery
• Dermatology

Background:

• Early closure of body surface defects is crucial for healing but risks infection.
• Large defects may require advanced closure techniques beyond direct suture.
• Rotating flap plastic surgery offers a solution for extensive wound closure.

Purpose of the Study:

• To evaluate the outcomes of rotating flap plastic surgery in patients with eyelid defects.
• To assess the efficacy of this technique for tumor removal and ectropion correction.
• To analyze the recurrence rates of eyelid tumors treated with this method.

Main Methods:

• Retrospective review of 56 patients undergoing rotating flap plastic surgery between 2011-2012.
• Analysis of surgical indications, including eyelid basalioma (46 patients) and ectropion (10 patients).
• Documentation included surgical photographs and tables detailing tumor size and flap dimensions.

Main Results:

• Successful eyelid defect closure was achieved in all patients.
• Ectropion correction was successful in all treated cases.
• Tumor excision with a 2 mm safety margin showed a low recurrence rate of 4.34%, comparable to literature (4.0%).

Conclusions:

• Rotating flap plastic surgery is a reliable method for eyelid reconstruction.
• The technique effectively addresses defects caused by basalioma and ectropion.
• Wide tumor excision with adequate margins ensures favorable oncological outcomes.