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Stellate purse-string closure
1Skin and Laser Surgery Center of Pennsylvania, Philadelphia, Pennsylvania, USA.
Background:
There are fundamental concepts we use in managing surgical defects. Whether planning a primary closure or a local flap, we frequently modify the basic design to maximize aesthetic outcomes, taking into consideration a number of factors including the location of the defect and tissue availability.
Objective:
We describe the stellate modified purse-string closure, a novel flap modification.
Method:
Report of an illustrated case.
Result:
A patient with vertex scalp defect was reconstructed using the stellate purse-string flap.
Conclusion:
Certain modifications of commonly used reconstructive techniques can be utilized in specific situations to enhance cosmesis. Advantages of this modification are discussed.