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Scalp Rotation Flap for Reconstruction of Complex Soft Tissue Defects.
Dary J Costa1, Scott Walen2, Mark Varvares2
1Department of Otolaryngology, Saint Louis University School of Medicine, St. Louis, Missouri, United States; Department of Otolaryngology, Cardinal Glennon Children's Medical Center, St. Louis, Missouri, United States.
The scalp rotation flap offers an effective method for reconstructing complex scalp defects, providing good cosmetic results. This technique is suitable for patients with comorbidities who require shorter procedures.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Scalp reconstructions are necessary after tumor resection or trauma.
- Scalp anatomy presents unique challenges for reconstructive surgery.
Purpose of the Study:
- To describe and evaluate the scalp rotation flap for complex soft tissue defect reconstruction.
Main Methods:
- Retrospective case series of 22 patients with large scalp defects.
- Flap designed adjacent to defect, elevated in subgaleal plane, rotated into defect.
- Split-thickness skin graft used for donor site.
Main Results:
- Mean defect size was 41 cm², 19/22 defects from tumor resection.
- Mean operative time was 181 minutes; mean hospital stay was 2.4 days.
- 95% of patients reported acceptable cosmetic outcomes; 3 cases had flap necrosis post-radiation.
Conclusions:
- Scalp rotation flap is an efficient and reliable reconstructive option.
- Beneficial for patients with comorbidities needing shorter operative times.
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