Double Opposing Triangular Flaps for Circular Skin Defects: Clinical Considerations.

Area of Science:

• Dermatologic Surgery
• Plastic Surgery
• Wound Healing

Background:

• Circular skin lesions present significant surgical challenges.
• Key objectives include minimizing adjacent tissue distortion and preserving healthy tissue.
• Existing techniques often struggle to balance these competing goals.

Purpose of the Study:

• To introduce and evaluate a new surgical technique for excising circular skin lesions.
• To assess the efficacy of double opposing triangular flaps in managing skin defects.
• To determine if this method reduces tissue distortion and scarring.

Main Methods:

• A prospective study involving six patients with circular skin defects up to 5 cm in diameter.
• The technique involves rotating two opposing triangular flaps from the circular defect margins.
• Triangular flap design aims to prevent margin compression and reduce the need for tissue regularization.

Main Results:

• All six patients experienced technically uneventful surgical outcomes.
• Follow-up assessments indicated subjectively satisfying results for all participants.
• The technique successfully addressed circular defects without significant complications.

Conclusions:

• Double opposing triangular flaps represent a reliable and effective method for treating circular skin lesions.
• The technique is suitable for defects up to 5 cm in diameter.
• This approach offers a promising solution for achieving optimal aesthetic and functional results in skin lesion excision.