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Intermediate Technical IVT

Rotation Flap

A local flap that moves tissue in a semicircular arc around a pivot point to close a defect.

Full Definition

A rotation flap is a type of local advancement flap used in reconstructive dermatologic surgery where tissue is rotated in a semicircular arc around a pivot point to close a surgical defect. The flap is designed as a semicircle with the defect positioned at one end, and the tissue is rotated to fill the defect. This technique is particularly useful for closing triangular or curved defects and is commonly employed in scalp reconstruction and other areas where local tissue availability allows for adequate closure without excessive tension.

Usage

Usage note: Specify the degree of rotation and pivot point location in operative reports.

In Context

  • "A large rotation flap was designed to close the scalp defect after tumor excision." — Operative report
  • "The rotation flap healed well with minimal distortion of the hairline." — Follow-up note

Also known as

semicircular flap

Contrasted with

advancement flap

Don't confuse with

transposition flap interpolation flap

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