Repair of Scalp Defects Using an H-Plasty Type of Bilateral Advancement Flap

Ibrahimi, Omar A.; Jih, Ming H.; Aluma-Tenorio, Maria S.; Goldberg, Leonard Harry; Kimyai‐Asadi, Arash

doi:10.1111/j.1524-4725.2010.01806.x

Cited by 13 publications

(8 citation statements)

References 13 publications

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“…Primary closure is an ideal solution for defects less than 3 cm in size [ 8 ]. Bilateral advancement flap (H-plasty) was described for coverage of small- to medium-sized defects [ 9 ]. In this patient, the defect was too large to be closed with H-plasty technique.…”

Section: Discussionmentioning

confidence: 99%

Usage of a rotational flap for coverage of a large central forehead defect

El-Sabbagh

2017

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 6:Doc02

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Section: Discussionmentioning

confidence: 99%

Usage of a rotational flap for coverage of a large central forehead defect

El-Sabbagh

2017

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 6:Doc02

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“…H-plasty procedure is a bilateral advancement flap for closure of small- to medium-sized forehead defects that cannot be closed primarily [13]. In both cases presented here, tumor size plus the required healthy tissue margins left a half forehead defect too large to be reconstructed with a simple H-plasty technique.…”

Section: Discussionmentioning

confidence: 99%

Half forehead reconstruction with a single rotational scalp flap for dermatofibrosarcoma protuberans treatment

et al. 2012

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BackgroundDermatofibrosarcoma protuberans (DFSP) is a soft tissue neoplasm of intermediate to low-grade malignancy. Although metastasis rarely occurs, DFSP has a locally aggressive behavior with a high recurrence rate. In the head and neck area, resection involving a wide margin of healthy tissue can be difficult because of functional and cosmetic considerations. We describe a novel reconstructive method for half forehead defects with an innovative single local wide scalp flap following excision of DFSP with a 3 cm margin of healthy tissue.MethodsTwo patients underwent wide resection of forehead DFSP and reconstruction with a single rotational scalp flap. The scalp flap blood supply was provided from three main vessels: the superficial temporal artery, occipital artery and posterior auricular artery.ResultsNo early or late complications were observed in either patient with no local recurrence after 18 months of follow-up. The donor area could be closed primarily in both cases and the flaps survived completely.ConclusionThis innovative technique allowed a radical excision of forehead DFSP with sufficient healthy margins, thus potentially decreasing tumor recurrence rate. Reconstruction was achieved avoiding microsurgery, skin expanders and large skin grafts. Moreover, all main reconstructive criteria, such as functional and cosmetic tissue characteristics, were completely fulfilled.

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“…The larger incisions of rotation flaps combined with their sweeping nature comes with more reported numbness compared to H-plasty. Nonetheless, both remain great options [ 10 ].…”

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

Mahmood,

Eisen

2024

Arch Dermatol Res

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Background: Scalp reconstruction requires knowledge of scalp anatomy and reconstructive options. Advances in the field have led to numerous procedures being at the disposal of the reconstructive surgeon, expanding treatment options for patients. Objective: To provide an algorithmic approach and general guidelines to consider when deciding on which scalp surgery will optimize cosmetic and functional outcomes. Methods & materials: Previous literature was searched for the last 20 years to provide an updated guide. Results: Taking into consideration the location, size and local scalp anatomy of a presenting defect will lead to optimal surgical outcomes. Other confounding factors such as bone exposure and extremely large defects will affect decision making. An algorithmic approach has been provided in this review. Conclusion: While many reconstructive surgical options are available, the best ones will depend on individual presentation of scalp defects. Location and size are first line considerations while local scalp anatomy will allow for tailoring of reconstructive options. This will help to maximize cosmetic and aesthetic considerations.

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Repair of Scalp Defects Using an H-Plasty Type of Bilateral Advancement Flap

Cited by 13 publications

References 13 publications

Usage of a rotational flap for coverage of a large central forehead defect

Usage of a rotational flap for coverage of a large central forehead defect

Half forehead reconstruction with a single rotational scalp flap for dermatofibrosarcoma protuberans treatment

An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

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