Reconstruction of Chin Defects Using an O to Z Bilateral Rotation Flap

作     者：Sasha Jenkins Katarina G. Lequeux-Nalovic 

作者机构：Department of Dermatology Emory University Atlanta USA 

出 版 物：《Journal of Cosmetics, Dermatological Sciences and Applications》 (化妆品、皮肤病及应用期刊（英文）)

年 卷 期：2012年第2卷第2期

页      面：41-44页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Skin Cancer Reconstruction Mohs Micrographic Surgery Cosmetic 

摘      要：Reconstruction of defects on the chin represents a challenge given the functional, multidirectional movement of the chin subunit. In this article, we describe the surgical technique of a bilateral O to Z rotation flap on the chin, as well as complications, cosmetic outcome, and patient satisfaction. A retrospective chart review from January 2009-June 2011 identified twelve patients where an O to Z flap was used to repair a surgical defect. Of the twelve patients identified, one patient had a presumed post-operative infection, and one patient required additional corrections. There were no complications of hematomas or flap necrosis. Overall patient cosmetic outcome was excellent. An O to Z closure is an option for chin reconstruction of small to medium defects that offers a satisfactory cosmetic outcome, high patient satisfaction and low complication rate.