Reconstruction of Chin Defects Using an O to Z Bilateral Rotation Flap


Reconstruction of defects on the chin represents a challenge given the functional, multidirectional movement of the chin subunit. In this article, we describe the surgical technique of a bilateral O to Z rotation flap on the chin, as well as complications, cosmetic outcome, and patient satisfaction. A retrospective chart review from January 2009-June 2011 identified twelve patients where an O to Z flap was used to repair a surgical defect. Of the twelve patients identified, one patient had a presumed post-operative infection, and one patient required additional corrections. There were no complications of hematomas or flap necrosis. Overall patient cosmetic outcome was excellent. An O to Z closure is an option for chin reconstruction of small to medium defects that offers a satisfactory cosmetic outcome, high patient satisfaction and low complication rate.

Share and Cite:

S. Jenkins and K. G. Lequeux-Nalovic, "Reconstruction of Chin Defects Using an O to Z Bilateral Rotation Flap," Journal of Cosmetics, Dermatological Sciences and Applications, Vol. 2 No. 2, 2012, pp. 41-44. doi: 10.4236/jcdsa.2012.22010.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] J. A. Zitelli, “Wound Healing by Secondary Intention—A Cosmetic Appraisal,” Journal of the American Academy of Dermatology, Vol. 9, No. 3, 1983, pp. 407-415. doi:10.1016/S0190-9622(83)70150-7
[2] H. A. Khan, N. S. Niranjan, “Four V-Y Islanded Flap Reconstruction of Full Thickness Defect of Chin and Labial Sulcus,” British Journal of Plastic Surgery, Vol. 57, No. 3, 2004, pp. 278-281. doi:10.1016/j.bjps.2003.11.025
[3] J. Thornton and M. Reece, “Submental Pedicles Perforator Flap: V-Y Advancement for Chin Reconstruction,” Journal of Oral and Maxillofacial Surgery, Vol. 66, No. 12, 2008, pp. 2633-2637. doi:10.1016/j.joms.2008.01.028
[4] F. Moschella and A. Cordova, “Platysma Muscle Cutaneous Flap for Large Defects of the Lower Lip and Mental Region,” Plastic and Reconstructive Surgery, Vol. 101, No. 7, 1998, pp. 1803-1809. doi:10.1097/00006534-199806000-00005
[5] J. C. Posnick and J. B. McGraw, “Reconstruction of the Chin-Lower Cheek Complex with a Platysma Myocutaneous Flap,” Journal of Oral and Maxillofacial Surgery, Vol. 46, No. 2, 1988, pp. 152-155. doi:10.1016/0278-2391(88)90270-4
[6] J. Ratz, “Textbook of Dermatologic Surgery,” Lippincott Raven, Philadelphia, 1998.
[7] K. Mott, D. Clark and L. Stelljes, “Regional Variation in Wound Contraction of Mohs Surgery Defects Allowed to Heal by Second Intention,” Dermatologic Surgery, Vol. 29, No. 7, 2003, pp. 712-722. doi:10.1046/j.1524-4725.2003.29180.x
[8] S. Soliman, D. Hatef, L. Hollier and J. Thornton, “The Rationale for Direct Linear Closure of Facial Moh’s Defects,” Plastic and Reconstructive Surgery, Vol. 127, No. 1, 2011, pp. 142-149. doi:10.1097/PRS.0b013e3181f95978

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.