Local lobes



These are flaps stemmed from surrounding area.

We distinguish: Basic types and uses of local lobes:
 * 1) axial flap – nutrition by anatomically defined vessels
 * 2) random pattern flap – capillary supply of the dermal + subdermal plexus; length:width max. 2:1
 * transposition flap – moved into the defect from its surroundings; dimensions given by the size of the defect, limited by the angle of rotation
 * rhomboid flap (Limberg's) – covering of rhomboid defects
 * sliding flap – extended to the site of the defect, the accumulated tissue at its distance (so-called "dog ears") is excised in a wedge-shaped fashion on both sides
 * insular flap– we push it into the defect with VY plastic, nourished only from the deep vessels of the substratum
 * rotary flap – created around the defect by an arc-shaped cut from its edge twice the size of the defect, ending with a cut towards the defect; to cover ∆ and other defects
 * Z-plasty –symmetrical transposition of tissue into the defect; displaced wedges of tissue elevated at an angle of 30–60°

Related articles

 * Flaps
 * Distant flaps
 * Loose flaps
 * Facial reconstruction
 * Nasal reconstruction
 * Facial soft tissue injuries
 * Reconstruction of the upper lip
 * Reconstruction of the upper lip
 * Skin transplantation