title: Double scalping flap: a versatile technique in scalp reconstruction.
abstract: Scalp reconstruction is a challenging area in plastic surgery. The susceptibility of potentially exposed brain tissue is almost always a concern along with the provision of adequate soft tissue coverage in cases of full-thickness defects. The applied reconstructive strategy also affects efficiency in malignant disease treatment providing both local control of the disease and vigorous monitoring for recurrence or metastasis. The general condition of the patients presenting with malignant lesions of the scalp is often impaired because of old age or concomitant disease. Therefore, demanding, long-lasting, or multistage procedures may often be undesirable. The double scalping flap comprises a 1-stage procedure, which can be used in most full-thickness defects of the vertex of the scalp. Some of the primary advantages of the double scalping flap procedure are its versatility and arc of rotation, its minimal donor site morbidity, being relatively simple, and being a short technique. Disadvantages that may be considered are the loss of hair-bearing skin at the occipital region and the poor color and texture match between scalp skin and the split-thickness skin graft that is used on the donor site. We present 2 patients with exemplary case of neglected malignancy of the scalp and their successful treatment using the double scalping flap. Comparison and contrast of alternative reconstructive procedures are also included to further investigate scalp reconstruction.
authors.affiliation: Plastic Surgery Department, Andreas Syggros Hospital for Skin and Venereal Diseases, University of Athens, Athens, Greece.
authors.forename: Othon
authors.initials: O
authors.lastname: Papadopoulos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Karypidis
authors.forename: Margarita
authors.initials: M
authors.lastname: Moustaki
authors.forename: Chrisostomos
authors.initials: C
authors.lastname: Chrisostomidis
authors.forename: Champsas
authors.initials: C
authors.lastname: Grigorios
authors.forename: Kostopoulos
authors.initials: K
authors.lastname: Epaminondas
authors.forename: Marios
authors.initials: M
authors.lastname: Frangoulis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery; D004388:Dura Mater / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010307:Parotid Neoplasms / Q000556:secondary; D019651:Plastic Surgery Procedures / Q000379:methods*; D012509:Sarcoma / Q000601:surgery; D012535:Scalp / Q000601:surgery* / Q000637:transplantation; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D012888:Skull Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000145:classification*; D020858:Tissue and Organ Harvesting / Q000379:methods*