Double-Opposing Unilobar Rotation Flaps in the Reconstruction of Moderate-to-Large Defects of the Scalp.
Closure of medium-to-large-size defects of the scalp are often associated with unacceptable aesthetic results, wound break down, alopecia, and excessive scarring. The authors present 2 cases of double-opposing unilobar rotation flaps for the reconstruction of large, that is, at least 7 cm diameter, full thickness defects of the scalp. Unlike previously described double flap closures of scalp defects, the double-opposing unilobar rotation flap design are true rotation flaps, which require a Burow triangle excisions and which have a versatility in both width and length of design to accommodate closure of large defects of the scalp. Some of the advantages of this technique are the retention of hair-bearing skin without distortion of the follicle position, an aesthetically pleasing scar, minimal tension at the wound closure site, and the versatility as well as simplicity of the technique.
*University of California, Berkeley, CA.
Rex
R
Moulton-Barrett
Benjamin
B
Vanderschelden
D000368:Aged; D000505:Alopecia / Q000517:prevention & control; D016063:Blood Loss, Surgical; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002648:Child; D002921:Cicatrix / Q000517:prevention & control; D005260:Female; D006085:Graft Survival; D006197:Hair / Q000033:anatomy & histology; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D054000:Nevus, Sebaceous of Jadassohn / Q000601:surgery; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D012399:Rotation; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000601:surgery*