Closure of Scalp Defects by Using Multiple Flaps in a Pinwheel Design

Vecchione, Thomas R.; Griffith, Lee D.

doi:10.1097/00006534-197807000-00009

Cited by 26 publications

(14 citation statements)

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“…Numbers of local flaps have been described for closing moderate‐sized skin defects on temporal region . These flaps are classically rotation, advancement and transposition flaps with the requirement of wide‐field dissection of the surrounding normal tissues.…”

Section: Discussionmentioning

confidence: 99%

“…11 Numbers of local flaps have been described for closing moderate-sized skin defects on temporal region. [12][13][14] These flaps are classically rotation, advancement and transposition flaps with the requirement of wide-field dissection of the surrounding normal tissues. This may cause distortion of the surrounding tissues, especially in the temporal hairline and eyebrow, imposing a degree of distortion on the anatomical subunits.…”

Section: Discussionmentioning

confidence: 99%

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Super‐microdissected local flaps for the coverage of temporal defects

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Super‐microdissected local flaps for the coverage of temporal defects

et al. 2014

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“…Techniques that did not differ significantly in the area of normal skin removed were assigned the same numerical score, wi-th the techniques removing the most skin receiving the lowest score (1) and techniques removing the least skin receiving the highest score (5). The mean suture line lengths were assigned scores in the same way.…”

Section: Methodsmentioning

confidence: 99%

Techniques for Reconstructing Circular Skin Defects in Dogs

1984

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“…Free tissue transfer is an excellent reconstructive option for large scalp defects, > 120 cm 2 , and complex defects that involve exposed vital structures. Both muscle and fasciocutaneous flaps have been described for scalp reconstruction including the latissimus dorsi, rectus abdominis, radial forearm flap, scapula, and anterolateral thigh flap.…”

Section: Commentmentioning

confidence: 99%

“…Several techniques to close a defect in the scalp using local tissue including the use of the so-called pinwheel flap or the O-Z closure have been described. 2,3 Free tissue transfer has the advantage of reliable vascularized tissue and excellent soft tissue bulk. Anterolateral thigh, radial forearm, and latissimus dorsi free flaps provide excellent soft tissue coverage for the scalp.…”

Section: Introductionmentioning

confidence: 99%

Scalp Rotation Flap for Reconstruction of Complex Soft Tissue Defects

et al. 2015

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Importance?Scalp reconstructions may be required after tumor resection or trauma. The inherent anatomy of the scalp presents challenges and may limit reconstructive options. Objective?To describe and investigate the scalp rotation flap as a reconstructive technique for complex soft tissue defects. Design?Retrospective case series with a mean follow-up of 13 months. Setting?Tertiary academic center. Participants?A total of 22 patients with large scalp soft tissue defects undergoing scalp rotation flap reconstruction. Interventions?The flap is designed adjacent to the defect and elevated in the subgaleal plane. The flap is rotated into the defect, and a split-thickness skin graft is placed over the donor site periosteum. Main Outcomes and Measure?Data points collected included defect size, operative time, hospital stay, and patient satisfaction with cosmetic outcome. Results?Mean patient age was 71 years. Mean American Society of Anesthesiologist classification was 2.8. Mean defect size was 41 cm2 (range: 7.8?120 cm2), and 19 of 22 defects resulted from a neoplasm resection. Mean operative time was 181 minutes, and mean hospital stay was 2.4 days. There were no intraoperative complications. Three patients with previous radiation therapy had distal flap necrosis. Twenty-one patients (95%) reported an acceptable cosmetic result. Conclusions and Relevance?The scalp rotation flap is an efficient and reliable option for reconstructing complex soft tissue defects. This can be particularly important in patients with significant medical comorbidities who cannot tolerate a lengthy operative procedure.

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Closure of Scalp Defects by Using Multiple Flaps in a Pinwheel Design

Cited by 26 publications

References 0 publications

Super‐microdissected local flaps for the coverage of temporal defects

Super‐microdissected local flaps for the coverage of temporal defects

Techniques for Reconstructing Circular Skin Defects in Dogs

Scalp Rotation Flap for Reconstruction of Complex Soft Tissue Defects

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