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The Thirty Degree Transposition Flap
Author(s) -
Webster Richard C.,
Davidson Terence M.,
Smith Richard C.
Publication year - 1978
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.1978.88.1.85
Subject(s) - rhomboid , transposition (logic) , closure (psychology) , medicine , surgery , computer science , biology , artificial intelligence , biochemistry , economics , market economy , enzyme , proteases
The rhomboid and other 60° transposition flaps have theoretical and practical disadvantages for many applications. A better flap for these is one having an angulation of 30° at its distal end. When this 30° flap is combined with the M‐plasty, a versatile and cosmetically favorable repair is provided for many surface defects. In fact, over the years, it has become our most useful method of closure with flaps. Fundamentally, it allows sharing of tensions of closure better than does the rhomboid flap, produces less level disparities or protrusions than does any 60° flap, and its resulting scar length is only fractionally longer than that of the rhomboid flap. Rhomboid and other 60° angle flaps have been exceedingly valuable tools to many surgeons; the 30° flap combined with M‐plasty should be significantly more useful.