Triple Dufourmentel hexagonal flap for scalp reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Transposition flaps, particularly the Limberg and Dufourmentel flaps, are standard for scalp defect reconstruction.
• The Dufourmentel flap, an enhancement of the Limberg flap, improves vascularization by widening the flap base.
• While effective for various reconstructive needs, specific applications like reconstructing hexagonal defects remain less explored.

Purpose of the Study:

• To describe a novel modification of the triple Limberg flap using three Dufourmentel flaps.
• To present the successful reconstruction of a hexagonal scalp defect using this modified triple Dufourmentel flap technique.
• To highlight the flap's utility for large, complex defects requiring significant tissue transfer.

Main Methods:

• A hexagonal scalp defect was surgically removed.
• Three Dufourmentel flaps were designed and mobilized.
• The defect was reconstructed using the combined triple Dufourmentel flap.

Main Results:

• The triple Dufourmentel flap successfully reconstructed the hexagonal scalp defect.
• The flap demonstrated high viability and provided ample skin tissue for coverage.
• The technique proved effective for a large-scale scalp reconstruction.

Conclusions:

• The modified triple Dufourmentel flap is a viable and effective method for reconstructing large hexagonal scalp defects.
• This technique offers a versatile solution for complex reconstructive challenges in plastic surgery.
• The flap's high viability makes it suitable for extensive tissue replacement in various anatomical locations.