Scalp Rotation Flap-Minor Changes Major Gains

Manjunath, KN; Venkatesh,; Vishwanath, Karthik

doi:10.4172/2161-1173.1000166

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…We noticed that dog-ears associated with rotation flaps uniformly flatten with time and needed no further correction. Even other studies [16][17][18] , as well agree; the "dog ear" plasty is barely needed. If required, delayed excision has to be performed after some time in an office setting without any difficulty.…”

Section: Discussionmentioning

confidence: 79%

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

Mahmoud

2021

wjps

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BACKGROUND We aimed to review the treatment and outcome of patients’ undergone reconstruction of large full thickness scalp defects with exposed calvarium after oncologic resection with the combined local flap and split-thickness skin graft (STSG) technique. METHODS A retrospective review of 45 patients with scalp defects secondary to tumor extirpation was performed at the Plastic Surgery Department, Tanta University Hospital, Tanta, Egypt from Nov 2016 to Nov 2019. Patients, with large (>50 cm2) and full-thickness (exposed calvarium) scalp defects, who underwent scalp reconstruction with the combined local flap and STSG technique and had completed their medical records were enrolled. RESULTS Only 38 met the inclusion criteria. Thirty-three were male (86.8). The mean age was 61.5 years. The lesions removed were BCC in 30 cases (78.9%) and SCC in 8 cases (21.1%). Defect sizes ranged from 55 to 196 cm2. There was complete survival of all flaps. Complications were noticed in 5 patients (13.2%);2 developed small hematomas, 2 suffered from partial graft losses and one had wound infection. The follow-up period ranged from 6 to 27 months. Overall, 34 patients were satisfied with the functional and cosmetic results (89.5%), while 4 female patients weren't satisfied with the esthetic results (10.5%). CONCLUSION The combination of local flap and skin graft technique is highly reliable, easy to perform and safe single-stage reconstructive modality of large skull exposed scalp defects, providing durable coverage and favorable esthetic outcome.

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Section: Discussionmentioning

confidence: 79%

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

Mahmoud

2021

wjps

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“…Despite simplicity in design, the nature of the scalp anatomy with tough inelastic aponeurosis over a concave vortex adds challenge to its usage. According to the remarkable work of Lo et al [13] and as discussed by Manjunath [14] triangulation of the flap is the basic concept during reconstruction flap design, but this study did not advocate that classical design and preferred the circle over triangle and the same did Paul. [15] In case of tumor excision as an example, one cm as a safety margin is selected, in this case we get a "circle of defect" with a radius that is one cm longer than the radius of the lesion.…”

Section: Discussionmentioning

confidence: 95%

“…Due to the width of the extended arm, undermining of the whole surrounding tissue and performing scoring parallel to blood vessels in the layer of galea aponeurotica which was also performed by Manjunath [14] , compensation of the defect can be done without tension.…”

Section: Discussionmentioning

confidence: 99%

A simple modification in snail rotation flap used for scalp reconstruction

Dakrory

Foad

2021

Egyptian Dental Journal

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The scalp is different, unlike any other site in the head and neck, it has the thickest skin in the human body and covers bone that protects the intracranial structures. Due to the special nature of scalp tissue, the reconstruction of defects is a challenging task. Many techniques have been used in scalp reconstruction from a simple approximation of the two edges of the scalp lesion, rotation flaps with their techniques as triple rotation, double-opposing rotation, pinwheel flaps up to utilization of regional flaps and tissue expanders. This study aims to introduce a small alteration in both the design and closure technique of the snail rotation flap used in scalp reconstruction to allow less rotation and easier approximation of the flap. This modified flap was used to manage seven cases three females and four males with scalp defects presented to the Oral and

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Scalp Rotation Flap-Minor Changes Major Gains

Cited by 2 publications

References 6 publications

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

A simple modification in snail rotation flap used for scalp reconstruction

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