The triple rotation scalp flap revisited: a case of reconstruction of cicatricial pressure alopecia

Michaelidis, Ioannis George-Akrivos; Stefanopoulos, Panagiotis K.; Papadimitriou, G.A.

doi:10.1016/j.ijom.2006.05.005

Cited by 15 publications

(12 citation statements)

References 8 publications

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“…The main advantages of this method 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. 8 The forehead and scalp constitutes a single anatomic unit differentiated only by the location of the hairline. Preservation of this hairline in a normal configuration is of primary consideration because it creates the frame of the upper face in the frontal and temporal areas.…”

Section: Other Methodsmentioning

confidence: 99%

Multiple Pin Wheel Flaps and Its Modification in Special Areas of the Scalp

Singh¹,

Shetty²

2012

International Journal of Head and Neck Surgery

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Closure of the defects in special areas of the scalp, such as forehead, above the ear and occipital protuberance produces distortion of the hairline, lifting of the eyebrow, lengthy scars and distortion of the ear. The treatment of this distortion presents a challenge, for which we had a very favorable response with modification of the original four flap closure in a pinwheel fashion as described by TR Vecchione.In our series of eight cases, five flaps were marked at various convenient degrees instead of four flaps as originally described. In scalp defects in and around the hairline the length of the five flaps results in a smaller scar, without changing the hairline, lifting the eyebrow or distorting the position of the pinna.

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Section: Other Methodsmentioning

confidence: 99%

Multiple Pin Wheel Flaps and Its Modification in Special Areas of the Scalp

Singh¹,

Shetty²

2012

International Journal of Head and Neck Surgery

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“…[22] PA has also been documented in five intubated burns patients aged 27 to 71 years who were ventilated for eleven to forty-two days; the alopecia was permanent in some of the patients. [23]…”

Section: Traumamentioning

confidence: 99%

Pressure alopecia

Davies

Yesudian

2012

Int J Trichol

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Postoperative or pressure alopecia (PA) is an infrequently reported group of scarring and non-scarring alopecias. It has been reported after immobilization of the head during surgery and following prolonged stays on intensive care units, and may be analogous to a healed pressure ulcer. This review presents a summary of cases published in pediatrics and after cardiac, gynecological, abdominal and facial surgeries. PA may manifest as swelling, tenderness, and ulceration of the scalp in the first few postoperative days; in other cases, the alopecia may be the presenting feature with a history of scalp immobilization in the previous four weeks. The condition may cause considerable psychological distress in the long term. Regular head turning schedules and vigilance for the condition should be used as prophylaxis to prevent permanent alopecia. A multi-center study in high-risk patients would be beneficial to shed further light on the etiology of the condition.

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“…The correct design of such flaps includes incorporation of large vascular pedicles and wound closure without excessive tension (9,12,13,16).…”

Section: Introductionmentioning

confidence: 99%

“…The skin layers of the scalp are easy to remember: SCALP (S: skin; C: subcutaneous tissue; A: aponeurotic layer; L: loose areolar tissue; P: pericranium). The skin of the scalp is the thickest in the body and the subcutaneous tissue contains the blood vessels, nerves and hair follicles (9,13). The only exception of this is the superficial temporal artery lying in the temporoparietal fascia.…”

Section: Introductionmentioning

confidence: 99%

Use of scalp flaps as a salvage procedure in reconstruction of the large defects of head and neck region

Egemen

Bingöl²,

Özkaya³

et al. 2012

Turkish Neurosurgery

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ABSTRACTaIM: Large defects of the scalp, head and neck region are often encountered by plastic surgeons. The repair of such defects is dependent upon their location, size and depth. This study describes the use of large scalp flaps as a salvage procedure in the reconstruction of large scalp, head and neck region defects in elderly patients with poor general condition or advanced malignancy. MaterIaL and MetHOds:The presented study includes 22 patients operated between 2007 and 2011 for the reconstruction of large defects of the hair-bearing skin and head/neck region with large scalp flaps. A defect exceeding 25 cm 2 area was classified as "large" as defined in the previous studies. The patients' medical records were analyzed. resuLts: Scalp flaps provided a satisfactory and durable reconstruction in the late follow-up term. All flaps were completely survived except in one case in which a partial necrosis in the distal margin occurred. Major complications were recorded in 4.5% of patients while minor complications were recorded in 13.5% of them. cOncLusIOn:In conclusion, large scalp flaps should be considered as a salvage procedure for reconstruction of large scalp, head and neck defects especially for palliative situations in elderly patients with significant comorbidities and advanced malignancies. sOnuÇ: Sonuç olarak, geniş skalp flepleri, ciddi komorbiditesi olan veya ileri kanser olgularında, yaşlı hastalarda özellikle palyatif durumlarda, geniş skalp ve baş boyun bölgesi defektlerinin rekonstrüksiyonunda, kurtarıcı bir posedür olarak dikkate alınmalıdır.anaHtar sÖZcÜkLer: Skalp defekti, Geniş skalp flebi, Baş ve boyun defekti, Skalp rekonstrüksiyonu, Baş ve boyun rekonstrüksiyonu, Saçlı deri defekti

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The triple rotation scalp flap revisited: a case of reconstruction of cicatricial pressure alopecia

Cited by 15 publications

References 8 publications

Multiple Pin Wheel Flaps and Its Modification in Special Areas of the Scalp

Multiple Pin Wheel Flaps and Its Modification in Special Areas of the Scalp

Pressure alopecia

Use of scalp flaps as a salvage procedure in reconstruction of the large defects of head and neck region

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