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Omega (Ω) Advancement Flap: A Circular Flap Design for the Aesthetic Closure of Circular Skin Defect

  • Original Article
  • Face and Neck Surgery
  • Published:
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Abstract

Background

Most skin defects that require reconstruction with a local skin flap have a circular- or oval-shaped pattern. The majority of the skin flaps are planned in an angled shape. Therefore, it may be necessary to modify the shape of the defect or the distal flap border to minimize tissue distortion. We have designed a circular-shaped advancement flap to be compatible with the circular defect.

Methods

Eighteen cases of reconstruction of skin defects in the face, chest wall, hand and buttock area were performed using the omega advancement flap between 2010 and 2014. In this technique, a circular-shaped flap that has an equal diameter with the defect is planned adjacent to the defect. To facilitate the advancement of the flap and to avoid standing cones, deepithelialized equilateral triangular flaps are designed on both sides of the main circular flap. The circular flap is easily moved to the defect by pulling of the triangular flaps with minimal tension.

Results

All flaps survived without complication such as infection, hematoma or flap necrosis. No secondary surgery was required to correct contour deformities such as standing cones and trap-door deformities. The results were satisfactory aesthetically and functionally.

Conclusions

The omega advancement flap is an easy and reliable procedure for reconstruction of circular skin defects located on various anatomical regions.

Level of Evidence IV

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Acknowledgement

For this retrospective study, formal consent is not required.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, School of Medicine, Baskent University, Hocacihan Mah. Saray Cad. No:1, Selçuklu, Konya, Turkey

    Enver Arpaci, Nilgün Markal Ertas & Ahmet Cagri Uysal

  2. Department of Plastic and Reconstructive Surgery, Firat University School of Medicine, Elazig, Turkey

    Serdar Altun

  3. Department of Plastic and Reconstructive Surgery, Ankara Yıldırm Beyazıt Training and Research Hospital, Ankara, Turkey

    Emre Inozu

Authors
  1. Enver Arpaci
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  2. Serdar Altun
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  3. Nilgün Markal Ertas
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  4. Ahmet Cagri Uysal
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  5. Emre Inozu
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Corresponding author

Correspondence to Enver Arpaci.

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We declared that this study has no conflict of interest.

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Arpaci, E., Altun, S., Ertas, N.M. et al. Omega (Ω) Advancement Flap: A Circular Flap Design for the Aesthetic Closure of Circular Skin Defect. Aesth Plast Surg 41, 327–334 (2017). https://doi.org/10.1007/s00266-016-0751-5

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  • DOI: https://doi.org/10.1007/s00266-016-0751-5

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