[Plastic-surgical coverage of an extended defect on the scalp using a bipedicled vascularised flap after removal of...

Covering huge scalp defects is often a great challenge. Different aspects play a major role in planing and performing the covering of vast defects. We present the case of a patient with a squamous cell carcinoma of the scalp, measuring 8 × 9 centimeters. After histopathological work-up confirmed the suspected diagnosis and measurements of the carcinom were taken via CT-scan, we operated the patient. The carcinoma already reached into the sinus sagittalis superior. The huge defect was covered by two vascularized bipedicled flaps which were moved into the defect from anterior and posterior. The presented surgical technique appears to be a sufficient way in covering huge defects of the scalp.