Skin Cancer Research Today is a free monthly online journal that collates and summarizes the latest research about Skin Cancer, including details on identification, causes, prevention, treatment.

Triple Z flap technique for reconstruction of triangular defects in problem areas.

Sen C, Isken T, Agir H, Unal C, Ozkeskin B, Iscen D

Department of Plastic and Reconstructive Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey. scenksen@yahoo.com

BACKGROUND: Reconstruction of defects close to important structures where standard flaps cannot easily be used may sometimes challenge surgeons. Classic reconstructive options for such defects close to problem areas may not always yield the best result. METHODS: The authors used the triple Z flap technique for triangular defects close to problem areas in 18 patients. The defects were triangular or close to triangular in shape, and three Z flaps were planned on each side of the defect. Flaps were transposed and the defects were reconstructed without any complications. RESULTS: The results were quite satisfying for both the patient and the surgeon. Neither retraction nor any distortion was observed. CONCLUSION: The triple Z flap technique can be used in selected cases where local flap choices are scarce and it is difficult to achieve good anatomical and aesthetic results.

Published 21 February 2007 in Plast Reconstr Surg, 119(3): 880-4.
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