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Rotation Advancement Flap
for Neck Reconstruction
in a Patient With Basal Cell Carcinoma (Skin Cancer)
This flap can be used to close
large and small defects. As a general rule the length of the flap's
arc should be twice the width of the flap's base. It is often
used on the scalp where there tissues have little stretch and a
large flap is required to close even a relatively small defect.
A small back cut at the end of the flap is sometimes used to extend
the flaps rotation. This is useful when reconstructing
scalp defects, since there is little stretch of the flap.
However, any back cut will narrow the base and care must be tank not
to compromise the blood flow in the flap.
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Base of flap was 7 cm across and the arc was 15 cm.
The skin had ample stretch for closure.
