Local lobes

Full-thickness local forehead flap ( nasal reconstruction)

These are flaps stemmed from surrounding area.

We distinguish:

1. axial flap – nutrition by anatomically defined vessels
2. random pattern flap – capillary supply of the dermal + subdermal plexus; length:width max. 2:1

Basic types and uses of local lobes:

• 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°

Links

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

References

• MEŠŘÁK, Jan, et al. Introduction to plastic surgery. 1st edition. Prague: Charles University in Prague - Karolinum Publishing House, 2005. 125 pp.  ISBN 80-246-1150-3 .