Question Mark Reconstruction Method for Synchronous Multiple Tumor Defects in the Scalp.

Area of Science:

• Dermatologic Surgery
• Plastic and Reconstructive Surgery

Background:

• Synchronous scalp tumors present a reconstructive challenge requiring integrated treatment approaches.
• The "question mark" reconstruction method, utilizing a rotation flap and Burow triangle, is proposed for multiple scalp defects.

Purpose of the Study:

• To evaluate the efficacy of the question mark reconstruction method for synchronous scalp defects.
• To assess the cosmetic and oncologic outcomes of this technique.

Main Methods:

• The question mark reconstruction method was applied to 8 patients with synchronous scalp defects between September 2022 and June 2023.
• Tumor excision with sufficient negative margins and subsequent defect reconstruction were performed.

Main Results:

• All tumors were successfully excised with clear margins.
• The reconstruction preserved hair-bearing skin, resulting in minimal alopecic areas.
• The mean patient age was 74.1 years.

Conclusions:

• The question mark reconstruction method offers excellent results for synchronous scalp defects.
• This technique minimizes dog-ear deformities and unnecessary tissue excision.
• It provides a "like-with-like" reconstruction, preserving aesthetic appearance.