MOHS MICROGRAPHIC SURGERY DESIGN AND EXECUTION OF ROTATION FLAPS

Course overview

MOHS MICROGRAPHIC SURGERY CREATES DEFECTS REQUIRING VARIOUS CLOSURE TECHNIQUES TO OPTIMIZE FUNCTION AND COSMESIS IN THE COSMETIC UNITS OF THE FACE. SURGICAL ROTATIONAL FLAPS ARE A SUBTYPE OF RANDOM PATTERN CUTANEOUS FLAPS THAT PIVOT INTO THEIR FINAL POSITION, DIFFERING FROM TRADITIONAL ADVANCEMENT FLAPS. A ROTATIONAL FLAP MAY BE INDICATED FOR TRIANGULAR-SHAPED DEFECTS OR THOSE WHERE THE TENSION VECTOR OF THE PRIMARY WOUND REQUIRES ALTERATION. THIS ACTIVITY REVIEWS THE INDICATIONS, CONTRAINDICATIONS, COMPLICATIONS, AND SURGICAL TECHNIQUE OF DESIGNING AND EMPLOYING A SURGICAL ROTATIONAL FLAP IN PATIENTS UNDERGOING MOHS MICROGRAPHIC SURGERY AND HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN CARING FOR PATIENTS TREATED WITH THIS CLOSURE METHOD.