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Scalp Defect Reconstruction with Triple Rotation Flap: A Case Report.
Kanathur Shilpa1, Gorur Divya1, Leelavathy Budamakuntla1
1Department of Dermatology, BMCRI, Bangalore, Karnataka, India.
Journal of Cutaneous and Aesthetic Surgery
|May 8, 2018
Summary
Scalp surgery for malignant conditions can create large defects. This case demonstrates successful reconstruction of a large scalp defect using a triple rotation flap.
Area of Science:
- Dermatologic Surgery
- Surgical Oncology
- Reconstructive Surgery
Background:
- Scalp surgeries are common in dermatologic surgery.
- Malignant conditions often necessitate wide excisions, leading to large scalp defects.
- Primary closure or local flap reconstruction can be challenging for extensive defects.
Observation:
- A 24-year-old male presented with epithelioid angiosarcoma of the scalp.
- Surgical excision of the malignant tumor resulted in a significant scalp defect.
- Reconstruction of the large defect was required.
Findings:
- The epithelioid angiosarcoma of the scalp was successfully excised.
- A triple rotation flap technique was employed for reconstruction.
- The triple rotation flap effectively closed the large scalp defect.
Implications:
- The triple rotation flap is a viable reconstructive option for large scalp defects following oncologic surgery.
- This technique offers a solution for challenging reconstructions in dermatologic surgery.
- Successful reconstruction can improve patient outcomes after scalp tumor removal.
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