Scalp flap rotation with primary donor site closure.
A 57-year-old man with a 7-cm defect of the left temple underwent reconstruction with a large scalp rotation flap that shifted the donor defect to the back of the neck so that it could be closed primarily. This approach, also used successfully in 7 other patients with similar defects, avoided the need for an unsightly skin graft in the donor site while providing tissue with a color and texture that blended well with the surrounding forehead and facial skin. Primary closure of the donor site reduces scalp flap morbidity and improves the overall aesthetic outcome.
Kroll
S S
SS
Department of Reconstructive and Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030.
Margolis
R
R
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005153:Facial Neoplasms / Q000601:surgery*; D005546:Forehead; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D012535:Scalp; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*