Revisiting the Pericranial Flap for Scalp Reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Surgical Anatomy

Background:

• Soft tissue defects of the scalp pose reconstructive challenges, particularly in hair-bearing areas.
• Traditional methods like extensive undermining or free tissue transfer may not suit all patients.

Purpose of the Study:

• To review the anatomy and historical applications of the pericranial flap for scalp coverage.
• To demonstrate the current utility of the pericranial flap through case examples.

Main Methods:

• Review of anatomical structures relevant to pericranial flap elevation.
• Analysis of historical surgical techniques utilizing the pericranial flap.
• Presentation and discussion of four clinical cases employing the pericranial flap for scalp reconstruction.

Main Results:

• The pericranial flap allows for scalp coverage with limited skin undermining.
• Blunt dissection during flap elevation helps preserve overlying hair follicles.
• The flap is a viable alternative for patients with comorbidities or those needing long-term surveillance.

Conclusions:

• The pericranial flap is an effective reconstructive option for scalp soft tissue deficits.
• It offers advantages in hair preservation and suitability for specific patient populations.
• This technique provides a less invasive approach compared to larger reconstructive methods.