Double-Opposing Unilobar Rotation Flaps in the Reconstruction of Moderate-to-Large Defects of the Scalp

Moulton-Barrett, Rex; Vanderschelden, Benjamin

doi:10.1097/scs.0000000000002029

Cited by 12 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This technique appears to be better suited for older patients with more laxity of their tissues compared with young patients with tight skin and a low-lying hairline. 2,3,16,17…”

Section: Discussionmentioning

confidence: 99%

Triple-Plane Dissection of Combined Forehead and Scalp Flaps for Large Posttraumatic Forehead Defects

Saha

2020

International Journal of Recent Surgical and Medical Sciences

View full text Add to dashboard Cite

Introduction Reconstruction of large (>20 cm2) posttraumatic forehead defects, with esthetically pleasing results and without distorting the surrounding anatomical landmarks like eyebrow and hairline, is a significant surgical challenge. This study was aimed to determine the effectiveness of a triple-plane dissection technique of significantly-sized flaps, combining forehead, and scalp to cover large forehead defects. Materials and Methods A retrospective review from January 2009 to December 2019 revealed that 12 patients with large defects over the forehead were operated on. Significantly-sized rotation and advancement flaps, combining both the forehead and scalp tissues, were performed. Triple-plane dissection and careful galeal scoring recruited more tissues and increased the reach of these flaps while maintaining adequate flap vascularity. Results Large forehead posttraumatic defects in all 12 patients were covered in a single surgery with this combined flap. Eight patients were men and four were women (mean age, 58 years). Size of the defects ranged from 21 to 40 cm2 (mean, 27 cm2). Complications included deep marginal necrosis in one patient (8%), superficial necrosis in one patient (8%), and mild venous stasis in four patients (33%). Superficial necrosis and venous stasis resolved by itself. Good color and contour match, minimal alopecia, maintained positions of eyebrow, and hairline positions were found in most patients. Six months postoperatively, patient satisfaction measured on a visual analogue scale ranged between 3 and 9 out of 10 (mean, 7). Conclusion Primary forehead reconstruction with significant-sized flaps combining forehead and scalp tissues, with triple-plane dissection and galeal scoring, appears to be an effective option for covering large forehead defects.

show abstract

“…This technique appears to be better suited for older patients with more laxity of their tissues compared with young patients with tight skin and a low-lying hairline. 2,3,16,17…”

Section: Discussionmentioning

confidence: 99%

Triple-Plane Dissection of Combined Forehead and Scalp Flaps for Large Posttraumatic Forehead Defects

Saha

2020

International Journal of Recent Surgical and Medical Sciences

View full text Add to dashboard Cite

show abstract

“…The main advantages of this double and triple rotation techniques are the natural appearance of the final result due to preservation of hair orientation, and the uniform distribution of the wound-closure tension over a wide peripheral area of the scalp, although extensive undermining is generally required. [ 3 5 ]…”

Section: Discussionmentioning

confidence: 99%

Scalp defect reconstruction with triple rotation flap: A case report

Shilpa

Gorur

Budamakuntla

et al. 2018

J Cutan Aesthet Surg

View full text Add to dashboard Cite

Scalp surgeries are some of the surgeries frequently performed in dermatosurgery department. These surgical procedures may leave large defects, especially when performed for malignant condition in which wide margin has to be excised. Such large defects are difficult to close primarily when reconstruction with local flap is essential. Here we report a case of epithelioid angiosarcoma of the scalp in a 24-year-old man where excision and reconstruction were performed using triple rotation flap.

show abstract

“…Nonetheless, because of the convexity of the flaps’ extremities, it seems unavoidable that there is a “dog ears” appearance; after the site they come from is closed, this usually prompts the Burow’s triangle excisions. 12…”

Section: Discussionmentioning

confidence: 99%

Double Opposing Triangular Flaps for Circular Skin Defects: Clinical Considerations

Borgognone

2018

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background:Dealing with circular lesions turns out to be a difficult task. Several techniques are aimed at working out the issue, and there are two main goals to achieve: less distortion of the adjacent tissue and sparing as much healthy tissue as possible.Methods:Six patients have been selected in a period of 6 months, the skin lesions or reoperations entailed a residual round gap up to 5 cm as a diameter. The anatomical distribution is representative of the usual experience seen in the clinical setting. The technique introduced is based on the rotation of two opposing triangular flaps facing each other from the circular skin gap. The triangular landmarks of the flaps prevent both the pinch cushioning of the margins, the resection of wedge healthy tissue needed to regularize the surface and a longer scar.Results:The six patients’ follow-up has been technically uneventful and subjectively satisfying.Conclusion:Double opposing triangular flaps are proposed as a reliable method to deal with circular skin lesions up to 5 cm of diameter.

show abstract

Double-Opposing Unilobar Rotation Flaps in the Reconstruction of Moderate-to-Large Defects of the Scalp

Cited by 12 publications

References 7 publications

Triple-Plane Dissection of Combined Forehead and Scalp Flaps for Large Posttraumatic Forehead Defects

Triple-Plane Dissection of Combined Forehead and Scalp Flaps for Large Posttraumatic Forehead Defects

Scalp defect reconstruction with triple rotation flap: A case report

Double Opposing Triangular Flaps for Circular Skin Defects: Clinical Considerations

Contact Info

Product

Resources

About