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Double helix flap to close a massive circular soft-tissue defect.

Journal Article


Abstract


  • The closure of a circular defect resulting from excision of large soft-tissue tumours may pose a considerable surgical challenge. We have described a successful result from the use of modified double helix rotation flaps following resection of a fungating 15-cm interscapular basal cell carcinoma. Our technique necessitated a single operation only. Alternatives considered were split skin grafting, Keystone flap repair or a myocutaneous flap. All modes of repair carry the risk of tension with resultant necrosis and infection. In our case, wound infection did occur, largely due to a heavy pre-operative microbiological burden. This was treated with intra- and postoperative antibiotics and there was no need for subsequent debridement. We propose the double helix flaps as an alternate means to successful local closure of large circular soft-tissue defects.

Publication Date


  • 2010

Citation


  • Preda, T. C., & Ashford, B. G. (2011). Double helix flap to close a massive circular soft-tissue defect.. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 64(7), 955-957. doi:10.1016/j.bjps.2010.10.023

Web Of Science Accession Number


Start Page


  • 955

End Page


  • 957

Volume


  • 64

Issue


  • 7

Abstract


  • The closure of a circular defect resulting from excision of large soft-tissue tumours may pose a considerable surgical challenge. We have described a successful result from the use of modified double helix rotation flaps following resection of a fungating 15-cm interscapular basal cell carcinoma. Our technique necessitated a single operation only. Alternatives considered were split skin grafting, Keystone flap repair or a myocutaneous flap. All modes of repair carry the risk of tension with resultant necrosis and infection. In our case, wound infection did occur, largely due to a heavy pre-operative microbiological burden. This was treated with intra- and postoperative antibiotics and there was no need for subsequent debridement. We propose the double helix flaps as an alternate means to successful local closure of large circular soft-tissue defects.

Publication Date


  • 2010

Citation


  • Preda, T. C., & Ashford, B. G. (2011). Double helix flap to close a massive circular soft-tissue defect.. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 64(7), 955-957. doi:10.1016/j.bjps.2010.10.023

Web Of Science Accession Number


Start Page


  • 955

End Page


  • 957

Volume


  • 64

Issue


  • 7