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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2017; 07(02): 063-065
DOI: 10.1055/s-0040-1708714
Case Report

Use of Rotational Flap for Reconstruction of Scalp Avulsion Defect - A Case Report

Karthik Vishwanath
1   Assistant Professor, Department of Plastic Surgery Justice K. S. Hegde Charitable Hospital, Mangalore, Karnataka, India.
,
Nikhil Shetty
2   Assistant Professor, Department of Plastic Surgery Justice K. S. Hegde Charitable Hospital, Mangalore, Karnataka, India.
,
Satadru Roy
3   Post Graduate Student, Department of Oral & Maxillofacial Surgery Justice K. S. Hegde Charitable Hospital, Mangalore, Karnataka, India.
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Abstract

Reconstruction of scalp defects is required for acute trauma, tumor extirpation, radiation necrosis, and the repair of traumatic alopecia or cosmetically displeasing scars. The proper choice of a reconstructive technique is affected by several factors—the size and location of the defect, the presence or absence of periosteum, the quality of surrounding scalp tissue, the presence or absence of hair, location of the hairline, and patient comorbidities.Cosmetic scalpreconstruction requires restoration and preservation of normal hair patterns and hair lines.

The scalp vertex is an area of limited scalp mobility and requires extensive undermining and recruitment of tissue from the more mobile anterior, parietal, and occipital regions. The only 2 alternative for large defects (greater than 25 cm2 ) is large rotation-advancement flaps which require near complete scalp undermining.

This article presents a case of Acute scalp Avulsion in the Vertex and the subsequent reconstruction using a large posteriorly based Rotation-Advancement Flap.

Keywords

Scalp Avulsion - Scalp reconstruction - Rotation advancement flap


Publication History

Received: 19 April 2017

Accepted: 17 May 2017

Article published online:
22 April 2020

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