Variations of the transposition flap for facial reconstruction after Mohs micrographic surgery of the basal cell carcinoma

Abstract

Background: The transposition flap is one of the most useful methods of facial reconstruction after Mohs micrographic surgery of the basal cell carcinoma, but occasionally some variations are needed. Objective: We present our experience with several variations of the transposition flap to overcome the disadvantages of classic rhomboid flaps. Methods: We performed the Webster 30-degree angle flap on the lower eyelid, the double 30-degree angle flap on the temple area and the nasolabial flap on the ala nasi. Results: These variations of the transposition flap gave no complications such as ectropion, tissue distortion, protrusion, or trapdoor deformity. Conclusion: The variations of the transposition flap in our cases might be of help in selecting the ideal method in facial reconstruction.