Workhorse Reconstructions: Transposition Flaps

The presentation discusses transposition flaps, surgical techniques where tissue is moved from a reservoir area to cover a defect, resulting in a secondary defect. Emphasizing their versatility, the speaker notes the flap's efficiency in redirecting tension away from free margins and its applicability across various body locations, particularly in complex areas such as the nose, forehead, and cheeks. Variations of transposition flaps, like the classic rhombic flap, defrimental modification, and Webster modification, are detailed, highlighting their design and advantages for different surgical circumstances. The speaker also discusses the nasal labial transposition flap and Z-plasty as methods for scar revision and enhances movement. Videos showcasing different flap designs and movements illustrate the practical techniques involved. The conclusion reinforces the value of transposition flaps in dermatologic surgery, noting that mastering their mechanics can lead to effective, consistent outcomes. Citing resources from Ortiz and Jang's