RT Book, Section
A1 Goldman, Glenn D.
A1 Dzubow, Leonard M.
A1 Yelverton, Christopher B.
SR Print(0)
ID 1174770627
T1 Transposition Flaps
T2 Facial Flap Surgery
YR 2013
FD 2013
PB McGraw Hill LLC
PP New York, NY
SN 9780071749251
LK dermatology.mhmedical.com/content.aspx?aid=1174770627
RD 2024/10/03
AB A  transposition  flap  is  elevated  from  an  area  of  laxity,  lifted  over  an  adjacent  area  of  tissue,  and  transposed  into  an  operative  wound.  Even  more  so  than  with  rotation,  transposition  flaps  accomplish  tension  redirection  and  redistribution.1  Adjacent  laxity  is  tapped  into  to  mobilize  and  transfer  tissue  from  an  area  of  laxity  to  an  area  of  “need.”  Transposition  flaps  are  able  to  redirect  tension  vectors  completely  perpendicular  to  the  needed  primary  motion  of  the  repair,  and  as  such  can  literally  push  tissue  into  a  wound  in  order  to  avoid  tension  on  a  crucial  structure  or  free  margin.  The  prototype  of  this  flap  group  is  termed  the  rhombic  design.2–7  Other  commonly  utilized  transposition  flaps  include  the  banner  or  unilobed  flaps  such  as  the  single-staged  nasolabial  flap,  the  bilobed  flap,  the  trilobed  flap,  and  the  30°  angle  flap.