Double-Opposing Unilobar Rotation Flaps in the Reconstruction of Moderate-to-Large Defects of the Scalp. Issue 6 (September 2015)

• Record Type: Journal Article
• Authors: Moulton-Barrett, Rex; Vanderschelden, Benjamin
• Is Part Of: Journal of craniofacial surgery. Volume 26:Issue 6(2015)
• Publication Date: 2015-09
• Subjects: Scalp reconstruction -- large defects -- rotation flaps -- resection closure; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002029
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: 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.