{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T14:05:11Z","timestamp":1773929111809,"version":"3.50.1"},"reference-count":17,"publisher":"Pensoft Publishers","issue":"2","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                  <\/jats:p>\n                  <jats:p>Surgical reconstructive techniques continue to evolve as dermatosurgeons combine clinical expertise, technical skill, and innovation. In some cases, such innovation can result in better outcomes in terms of tension management, vascular supply preservation, and esthetic appearance.<\/jats:p>\n                  <jats:p>The double-opposing rotation advancement flap, also known as the Ying-Yang flap due to its yin-yang mode of action, is often applied in the scalp region, where it provides excellent results with minimal complications. However, data supporting its application in less conventional anatomical sites remains limited.<\/jats:p>\n                  <jats:p>We present two independent cases involving primary defects resulting from skin tumor excisions, successfully reconstructed with the Ying-Yang flap in atypical locations: the medial foot ankle and preauricular regions. Tension-free closure was achieved in both cases, and follow-up at two months demonstrated great wound healing.<\/jats:p>\n                  <jats:p>While surgical excision remains the gold standard for treating skin cancer, these cases highlight the double-opposing rotation advancement flap as a versatile and effective reconstructive option beyond its standard indications.<\/jats:p>","DOI":"10.3897\/folmed.68.e168322","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:53:22Z","timestamp":1773917602000},"source":"Crossref","is-referenced-by-count":0,"title":["Dermatosurgical rounds: double opposing rotational advancement (Ying-Yang) flap for reconstruction of primary defects following skin cancer excisions in the medial foot ankle and preauricular regions"],"prefix":"10.3897","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1768-8601","authenticated-orcid":true,"given":"Simona","family":"Kordeva","sequence":"first","affiliation":[{"name":"Onkoderma- Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantin Georgiev","family":"Tchernev Jr","sequence":"additional","affiliation":[{"name":"Onkoderma- Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0365-3504","authenticated-orcid":true,"given":"Georgi","family":"Tchernev","sequence":"additional","affiliation":[{"name":"Onkoderma- Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria"},{"name":"Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"168322_B1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-82552-1_30"},{"key":"168322_B2","unstructured":"Prohaska J, Sequeira Campos MB, Cook C. Rotation Flaps. [Updated 2023 Aug 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482371\/"},{"key":"168322_B3"},{"key":"168322_B4","unstructured":"Su\u00e1rez OHM, Ortega LJJ, Mendoza AJI, et al. Scalp spinal cell carcinoma managed with resection and Ying-Yang Flap. Int J Med Sci Clin Res Stud 2024; 4:807\u20139."},{"key":"168322_B5"},{"key":"168322_B6"},{"key":"168322_B7","doi-asserted-by":"crossref","unstructured":"Ortega HMS, Landeros JJO, Arg\u00e1ez JIM, et al. Scalp spinal cell carcinoma managed with resection and Ying Yang flap. Int J Med Sci Clin Res Stud 2024; 4:807\u20139.","DOI":"10.47191\/ijmscrs\/v4-i05-03"},{"key":"168322_B8","unstructured":"Steven Dayan. Scalp reconstruction [Internet]. Plastic Surgery Key; [cited 2025 Sep 29]. Available from: https:\/\/plasticsurgerykey.com\/scalp-reconstruction-5"},{"key":"168322_B9"},{"key":"168322_B10"},{"key":"168322_B11","unstructured":"Marku L, Climov M, Gelman J. Elbow wound closed with two opposing rotational flaps (Ying-Yang). Best Wound Practice [Internet]. Available from: https:\/\/bestwoundpractice.com\/two-opposing-rotational-flaps-ying-yang-for-elbow-wound-closure\/."},{"key":"168322_B12"},{"key":"168322_B13","unstructured":"Mole RJ, Hohman MH, Sebes N. Bilobed flaps. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470355\/."},{"key":"168322_B14"},{"key":"168322_B15"},{"key":"168322_B16"},{"key":"168322_B17","unstructured":"Anastasova VN, Georgiev AA, Zanzov EI, et al. High-intensity focused ultrasound thermotherapy for scar treatment. Ann Burns Fire Disasters 2023; 36(1):63\u20137. PMID: 38680902; PMCID: PMC11044736."}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/168322\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/168322\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=168322&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:53:24Z","timestamp":1773917604000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/168322\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,3,19]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.68.e168322","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,19]]},"article-number":"e168322"}}