Pivot point and secondary defect problems with rotation flaps.
PURPOSE: Our goal was to evaluate 2 design properties, pivot point and secondary defect, that affect the results of rotation flaps used to treat skin cancer defects of the head and neck. MATERIALS AND METHODS: We conducted a retrospective review of the last 50 patients who underwent rotation flaps for closure of skin cancer defects on the head and neck with regard to postoperative complications. RESULTS: Four patients experienced complications, all of which were managed to an acceptable conclusion. These complications included tip necrosis and ectropion. CONCLUSION: Rotation flaps, although simple in design, are often modified during their execution. Understanding the basic design and possible modifications of pivot point and secondary defect will yield a successful outcome.