title: [Scalp flap pedicled on the posterior auricular artery. Anatomical study and clinical application].
abstract: BACKGROUND
  Management of scalps defect is a common subject for reconstructive surgery. The use of local flap is better because of the hairy skin.
  
  
  OBJECTIVE
  The auricular posterior artery is often described as an accessory blood supply for the scalp.
  
  
  METHODS
  We present an original case of 16×6 cm scalp flap harvested almost in "vascular island" on the right retro-auricular pedicle to cover an occipital wound.
  
  
  RESULTS
  We have obtained an effective healing in 20 days. Despite its considerable length, no distal necrosis has occurred.
  
  
  CONCLUSIONS
  Rarely reported in the surgical literature, the posterior auricular vessels are a good blood supply to harvest scalp flap. This procedure adds to overall techniques of reconstructive surgery for scalps defects that plastic surgeons can use.
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: V
authors.initials: V
authors.lastname: Lescour
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: pierre.perrot@chu-nantes.fr.
authors.forename: P
authors.initials: P
authors.lastname: Perrot
authors.affiliation: Laboratoire d'anatomie, faculté de médecine de Nantes, 1, rue Gaston-Veil, 44035 Nantes cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Ruiz
authors.affiliation: Laboratoire d'anatomie, faculté de médecine de Nantes, 1, rue Gaston-Veil, 44035 Nantes cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Hamel
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: franck.duteille@chu-nantes.fr.
authors.forename: F
authors.initials: F
authors.lastname: Duteille
mesh_terms: D000369:Aged, 80 and over; D002342:Carotid Artery, External / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D008297:Male; D012535:Scalp / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*
keywords: Artère auriculaire postérieure; Auricular posterior artery; Cuir chevelu; Lambeau pédiculé; Pedicled flap; Perte de substance; Scalp; Tissular defect