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[A simple and effective technique for reconstructive surgery of medium-sized scalp defects]
A Belmahi1, S Maazouz, A Belmahi
1Service de chirurgie plastique et chirurgie de la main, hôpital Avicenne, 9, rue Ghzaoua, Souissi, Rabat, Maroc.
Annales De Chirurgie Plastique Et Esthetique
|March 10, 2001
Summary
This study presents a less complicated, more efficient scalp reconstruction technique for electrical burn patients. The rotational flap method achieved excellent cosmetic and functional results without skin grafts.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Context:
- Scalp defects from high-voltage electrical burns pose significant reconstructive challenges.
- Previous methods like the Orticochéa technique can be complex and time-consuming.
Purpose:
- To describe a modified, less complicated, and more efficient scalp reconstruction technique.
- To evaluate the efficacy of a rotational flap approach for large scalp defects.
Summary:
- Eight patients (16-30 years) with 9-11 cm scalp defects underwent reconstruction using four local flaps (temporal, frontal, occipital).
- A novel rotational approach with three backcuts, hidden by hair growth, was employed.
- The technique avoided skin grafts and dura mater exposure, achieving complete defect coverage.
Impact:
- The rotational flap technique proved highly efficient and effective for scalp reconstruction.
- All patients reported high satisfaction with cosmetic outcomes, hair regrowth, and scalp sensitivity.
- This method offers a simpler, more successful alternative for managing severe scalp injuries.