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Sciegienka et al. Plast Aesthet Res 2022;9:1 Plastic and
DOI: 10.20517/2347-9264.2021.76
Aesthetic Research

Review Open Access

Rotation and transposition flaps in facial plastic and
reconstructive surgery

1
1
Sebastian Sciegienka , Andrea Hanick , Gregory Branham 2
1
Department of Otolaryngology - Head and Neck Surgery, Washington University in Saint Louis, St. Louis, MO 63110, USA.
2
Department of Facial Plastic and Reconstructive Surgery, Otolaryngology - Head and Neck Surgery, Washington University in
Saint Louis, St. Louis, MO 63110, USA.
Correspondence to: Dr. Gregory Branham, Department of Facial Plastic and Reconstructive Surgery, Otolaryngology - Head and
Neck Surgery, Washington University in Saint Louis, 660 South Euclid Ave., Campus Box 8115, St. Louis, MO 63110, USA.
E-mail: branhamg@wustl.edu

How to cite this article: Sciegienka S, Hanick A, Branham G. Rotation and transposition flaps in facial plastic and reconstructive
surgery. Plast Aesthet Res 2022;9:1. https://dx.doi.org/10.20517/2347-9264.2021.76

Received: 25 Jun 2021 First Decision: 28 Sep 2021 Revised: 20 Nov 2021 Accepted: 26 Nov 2021 Published: 7 Jan 2022

Academic Editor: Wen-Guo Cui Copy Editor: Yue-Yue Zhang Production Editor: Yue-Yue Zhang

Abstract
Reconstructive defects of the human face pose unique challenges to even the most experienced surgeon given their
myriad of presentations and the individuality of each patient’s anatomy, clinical presentation, and perspective or
preferences. A robust armamentarium of reconstructive options must be cultivated for each facial subunit so that
experience and artistry can be best utilized to rebuild the patient’s structure and function. This review will outline a
subset of local rotation and transposition flaps that are most useful for facial reconstruction, organized by facial
subunit.

Keywords: Rotation, transposition, reconstruction, local flap

INTRODUCTION
Soft tissue defects of the face, whether post-ablative or traumatic, must be reconstructed with attention to
the uniqueness of each defect and each surgical patient. However, understanding the variety of surgical
approaches to wound closure can assist the surgeon in choosing the best approach when faced with this
challenge.

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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