Double helix flap to close a massive circular soft-tissue defect.


The closure of a circular defect resulting from excision of large soft-tissue tumours may pose a considerable surgical challenge. We have described a successful result from the use of modified double helix rotation flaps following resection of a fungating 15-cm interscapular basal cell carcinoma. Our technique necessitated a single operation only. Alternatives considered were split skin grafting, Keystone flap repair or a myocutaneous flap. All modes of repair carry the risk of tension with resultant necrosis and infection. In our case, wound infection did occur, largely due to a heavy pre-operative microbiological burden. This was treated with intra- and postoperative antibiotics and there was no need for subsequent debridement. We propose the double helix flaps as an alternate means to successful local closure of large circular soft-tissue defects.

DOI: 10.1016/j.bjps.2010.10.023

Cite this paper

@article{Preda2011DoubleHF, title={Double helix flap to close a massive circular soft-tissue defect.}, author={Tamara C. Preda and Bruce G Ashford}, journal={Journal of plastic, reconstructive & aesthetic surgery : JPRAS}, year={2011}, volume={64 7}, pages={955-7} }