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Abstract

BACKGROUND:Round or oval defects are common in plastic and reconstructive surgery. The functional and cosmetic reconstruction of the defect in surgical process is critical for the patient. Various flaps have been introduced, each of which has its advantages and disadvantages.OBJECTIVE:To assess the efficacy of using modified O-T advancement flap in reconstruction of circular and oval soft tissue defects.PATIENTS AND METHODS:In this study, twenty five patients (15 males and 10 females), with different skin lesions in different parts of the body were enrolled during the period from September 2018 to March 2020. The most common lesion was basal cell carcinoma (7 cases) followed by melanocytic nevus (3 cases). The most common site was in the neck (5 cases) followed by arm (4 cases). All the cases were reconstructed using modified O-T advancement flap. All patients were followed up for  six months.RESULTS:All soft tissue defects were surgically reconstructed using modified O-T advancement flap.  No significant complications were noticed during 6 months follow up period except 1 case of dehiscence which was managed conservatively.CONCLUSION:Modified O-T advancement flap is a reliable, practical and effective reconstructive option for  the closure of the circular and oval tissue defects with less scarification of normal tissue, although there are certain limitations in using this technique in some parts of the face. 

DOI

10.52573/ipmj.2024.183747

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