Pivot point and secondary defect problems with rotation flaps

Michael F. Zide, Dan Topper

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Purpose Our goal was to evaluate 2 design properties, pivot point and secondary defect, that affect the results of rotation flaps used to treat skin cancer defects of the head and neck. Materials and methods We conducted a retrospective review of the last 50 patients who underwent rotation flaps for closure of skin cancer defects on the head and neck with regard to postoperative complications. Results Four patients experienced complications, all of which were managed to an acceptable conclusion. These complications included tip necrosis and ectropion. Conclusion Rotation flaps, although simple in design, are often modified during their execution. Understanding the basic design and possible modifications of pivot point and secondary defect will yield a successful outcome.

Original languageEnglish (US)
Pages (from-to)1069-1075
Number of pages7
JournalJournal of Oral and Maxillofacial Surgery
Issue number9
StatePublished - Sep 2004

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology


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