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Erschienen in:
02.02.2018 | Short Communication
A rotation flap does not rotate
Erschienen in: European Journal of Plastic Surgery | Ausgabe 4/2018
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Plastic and reconstructive surgery is founded on clear conceptual thinking about the many possible ways that tissue can be transferred while securing its survival. In local skin flap surgery, one of the concepts used is the rotation flap. In 1844, J.E. Jäsche from Minsk described two curved flaps (Fig. 1) from the chin region for the reconstruction of a large triangular defect of the lower lip [1]. The procedure became known as the Bogenschnitt (curved incision) of Jäsche (Fig. 1) and was advanced, as concept by Julius Szymanowski, surgeon in Kiev, (Fig. 1; right), who introduced conceptual thinking in plastic and reconstructive surgery in his book Handbuch der operativen Chirurgie (1870) [2].
Fig. 1
Left and middle: Jäsche’s lip reconstruction with two rotation flaps. Right: Illustration of the concept of a rotation flap by Szymanowski. Source: Szymanowski’s Handbuch der operativen Chirurgie (1870)
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