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Rotation Flaps in Series: Simple Innovation for Complex Scalp Defects
Ramesh K Sharma1, Raman Sharma
1Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
The Journal of Craniofacial Surgery
|April 14, 2020
Summary
A novel rotation flap technique successfully reconstructed two scalp defects in one stage. This innovative approach allowed for primary closure of donor sites, improving patient outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Scalp defects pose reconstructive challenges.
- Single-stage reconstruction is often desirable for efficiency and patient comfort.
Observation:
- A 42-year-old male presented with two full-thickness scalp defects.
- Defects were located in the left parieto-temporal and right temporo-occipital regions.
- Normal scalp tissue separated the two defects.
Findings:
- An innovative rotation flap design was employed.
- One flap was utilized for each of the two defects.
- The reconstruction was completed in a single surgical stage.
Implications:
- This technique offers a viable solution for managing discontinuous scalp defects.
- Single-stage reconstruction with primary donor site closure enhances surgical efficiency.
- The described flap design represents an advancement in reconstructive surgery for scalp defects.

