Surgical skill in a nutshell
Early Access
https://doi.org/10.4081/dr.2026.10814

Innovative reconstructive dermatosurgery: O-to-5 advancement rotation flap for circular cutaneous defect following basal cell carcinoma excision in the shoulder area

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 17 February 2026
92
Views
38
Downloads
Dermatologic surgery, reconstructive surgery, O-to-5 advancement rotation flap, basal cell carcinoma, skin cancer defect, shoulder area

Authors

Georgi Tchernev
Department of Dermatology and Venereology Medical Institute of Ministry of Interior, Sofia; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Konstantin Georgiev Tchernev Jr
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Simona Kordeva
simonakordeva97@gmail.com
Department of Dermatology and Venereology Medical Institute of Ministry of Interior, Sofia, Bulgaria.

A 69-year-old male presented with a pigmented, tumor-like lesion measuring 4×5 cm, located on the right shoulder between the regio deltoidea inferior and the pars proximalis musculi bicipitis brachii. The lesion had been present for approximately 10 years. The formation was clinically suspected for Morbus Bowen.

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
1. Griffin M, Hindocha S, Malahias M, et al. Flap decisions and options in soft tissue coverage of the upper limb. Open Orthop J 2014;8:409-14.
2. Climov M, Ueno CM, Thomay AA. Large Shoulder Wound. Best wound practice. December 10, 2025. Retrieved from: https://bestwoundpractice.com/closure-of-a-large-apex-shoulder-surgicaldefect-with-bilobed-fasciocutaneous-flap/
3. Marku L, Climov M, Gelman J. Elbow wound closed with two opposing rotational flaps (Ying-Yang). Best Wound Practice 2025. Retrieved from: https://bestwoundpractice.com/twoopposing-rotational-flaps-ying-yang-for-elbow-wound-closure/
4. Yahyaoui M, Abbassi N, Derfoufi A, et al. Giant squamous cell carcinomas of the shoulder. Pan Afr Med J 2020;36:215.

How to Cite



1.
Tchernev G, Tchernev Jr KG, Kordeva S. Innovative reconstructive dermatosurgery: O-to-5 advancement rotation flap for circular cutaneous defect following basal cell carcinoma excision in the shoulder area. Dermatol Reports [Internet]. 2026 Feb. 17 [cited 2026 Apr. 18];. Available from: https://journals.pagepress.net/dr/article/view/10814
Copyright (c) 2026 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.