Figure 4: Surgical procedure diagram of muscle division and rotation to the defect. (a) The muscle was mobilized starting from distal portion into a U-shaped flap leaving approximately 5 to 6 cm attached proximally. (b) After rotation, the mobilized muscle flap was sutured to the muscle fascia on the opposite side or remnant around anchoring. (c) Then, the previously elevated fasciocutaneous flap was slid to the medial side and inset in a V-Y advancement manner.