Local flap reconstruction of large scalp defects.
Scalp defects can have a number of origins, and their repair is dependent upon their location, size and depth. In the case of the scalp, the repair of even small defects is complicated. Local flaps are the reference for the reconstruction of such defects. Knowledge of scalp anatomy is essential for preparing these flaps, which must be based on one or two vascular pedicles to afford a large rotation angle--thereby facilitating closure of the defect. The parietal zone is the location offering the greatest flap mobilization possibilities. We present a case involving the repair of a major pericranial frontoparietal scalp defect. A local transverse posterior transpositioning scalp flap was raised with the posterior auricular and occipital arteries as vascular pedicle. Following repositioning of the flap, a free partial-thickness skin graft from the thigh was used to cover the donor zone. A review is provided of the different techniques for the reconstruction of large scalp defects.
García del Campo
José Antonio
JA
Oral and Maxillofacial Surgery Department, La Paz University Hospital, Madrid, Spain. pepio2@hotmail.com
García de Marcos
José Antonio
JA
del Castillo Pardo de Vera
José Luis
JL
García de Marcos
María Jesús
MJ
D000369:Aged, 80 and over; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps