DERMATOSURGERY ROUNDS: THE DOUBLE ROTATION (YIN-YANG) FLAP AS BASIC WEAPON IN THE FIGHT AGAINST KERATINOCYTE CANCER...

Area of Science:

• Dermatologic Surgery
• Reconstructive Surgery

Background:

• Reconstructive surgery requires careful consideration of defect location, size, tension, and aesthetic/functional outcomes.
• Classical reconstructive techniques are reliable and should be considered for optimal results.

Purpose of the Study:

• To present a case of successful scalp defect reconstruction using the Yin-Yang flap.
• To highlight the versatility and benefits of the Yin-Yang flap in specific reconstructive scenarios.

Main Methods:

• The study utilized the double (bilateral) opposing rotation (Yin-Yang) flap technique.
• This method was applied to reconstruct a small-to-medium-sized circular scalp defect post-squamous cell carcinoma excision.

Main Results:

• Successful reconstruction of a scalp defect was achieved using the Yin-Yang flap.
• The technique demonstrated effective tension distribution, maintenance of functional anatomy, and preservation of surrounding tissue.

Conclusions:

• The Yin-Yang flap is a versatile and preferred reconstructive option for small-to-medium scalp defects, particularly after cancer excision.
• While aesthetic outcomes may vary, the flap excels in managing tension and preserving tissue compared to other methods.