Stellate purse-string closure.
BACKGROUND
There are fundamental concepts we use in managing surgical defects. Whether planning a primary closure or a local flap, we frequently modify the basic design to maximize aesthetic outcomes, taking into consideration a number of factors including the location of the defect and tissue availability.


OBJECTIVE
We describe the stellate modified purse-string closure, a novel flap modification.


METHODS
Report of an illustrated case.


RESULTS
A patient with vertex scalp defect was reconstructed using the stellate purse-string flap.


CONCLUSIONS
Certain modifications of commonly used reconstructive techniques can be utilized in specific situations to enhance cosmesis. Advantages of this modification are discussed.
Dang
M
M
Skin and Laser Surgery Center of Pennsylvania, Philadelphia, Pennsylvania, USA.
Greenbaum
S S
SS
D000368:Aged; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery*; D012536:Scalp Dermatoses / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps