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Bilateral Transposition Flaps With Split-Thickness Skin Grafting of Secondary Defects After a Large Mohs Micrographic
S Caleb Freeman1, Brett Neill2,3, Christopher Garvey1
1Dermatology, Oregon Health & Science University, Portland, USA.
Cureus
|August 21, 2023
Summary
Reconstructing large scalp defects after Mohs surgery is challenging. Bilateral transposition flaps followed by split-thickness skin grafts offer an effective same-day solution for full coverage and good functional outcomes.
Area of Science:
- Plastic Surgery
- Dermatology
- Surgical Reconstruction
Background:
- Large, full-thickness scalp defects pose a significant reconstructive challenge, particularly after Mohs micrographic surgery.
- Defects involving exposed calvarium require specialized approaches to ensure adequate coverage and functional restoration.
Observation:
- This study presents a case of a large scalp defect reconstruction following Mohs surgery.
- The defect involved exposed calvarium, necessitating a robust reconstructive strategy.
Findings:
- The reconstruction utilized bilateral transposition flaps to cover the primary defect.
- Secondary defects were addressed with split-thickness skin grafts.
- This combined approach allowed for same-day repair and complete defect coverage.
Implications:
- This method provides a reliable and effective solution for complex scalp defects.
- It ensures good functional outcomes and cosmetic results for patients.
- This technique highlights the utility of flap and graft combinations in reconstructive surgery.
