ArticleJournal of neurological surgery. Part B, Skull base2016
Scalp Rotation Flap for Reconstruction of Complex Soft Tissue Defects.
Article in Journal of neurological surgery. Part B, Skull base, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Algorithmic Approach to Management of Complex Scalp and Calvarial Burn Injuries.Annals of plastic surgery · 2026Review
- Article
- The Use of Novosorb Biodegradable Temporizing Matrix for Reconstruction in Head and Neck Cancer: A Simple Answer to a Complex Problem.Plastic and reconstructive surgery. Global open · 2025Article
- Complex Scalp Reconstruction with Super Thin DIEP Free Flap.Plastic and reconstructive surgery. Global open · 2024Article
- An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes.Archives of dermatological research · 2024Review
- Article
- Reconstruction of Scalp with Local Axial Flaps.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Salvaging Exposed Cochlear Implants.Plastic and reconstructive surgery. Global open · 2021Article
- Minimalistic reconstruction of exposed skull in a complex craniovertebral polytrauma.Surgical neurology international · 2021Article
- Scalp injury management by a maxillofacial surgeon in a low-resource hospital.Maxillofacial plastic and reconstructive surgery · 2020Article
- Management of a complex scalp defect with cryopreserved placental membrane containing viable cells resulted in rapid wound closure.Clinical case reports · 2020Article
- The "Snail Flap": A Rotation Flap in Scalp Reconstruction.Plastic and reconstructive surgery. Global open · 2020Article
- A Rare Transformation of Epidermoid Cyst into Squamous Cell Carcinoma: A Case Report with Literature Review.The American journal of case reports · 2019Review
- Emergency microsurgery for patients with soft tissue, skull, and dura complex defects after trauma: a case report.Case reports in plastic surgery & hand surgery · 2019Article
- The Golden Spiral Flap: A New Flap Design that Allows for Closure of Larger Wounds under Reduced Tension - How Studying Nature's Own Design Led to the Development of a New Surgical Technique.Frontiers in surgery · 2016Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance Scalp reconstructions may be required after tumor resection or trauma. The inherent anatomy of the scalp presents challenges and may limit reconstructive options. Objective To describe and investigate the scalp rotation flap as a reconstructive technique for complex soft tissue defects. Design Retrospective case series with a mean follow-up of 13 months. Setting Tertiary academic center. Participants A total of 22 patients with large scalp soft tissue defects undergoing scalp rotation flap reconstruction. Interventions The flap is designed adjacent to the defect and elevated in the subgaleal plane. The flap is rotated into the defect, and a split-thickness skin graft is placed over the donor site periosteum. Main Outcomes and Measure Data points collected included defect size, operative time, hospital stay, and patient satisfaction with cosmetic outcome. Results Mean patient age was 71 years. Mean American Society of Anesthesiologist classification was 2.8. Mean defect size was 41 cm(2) (range: 7.8-120 cm(2)), and 19 of 22 defects resulted from a neoplasm resection. Mean operative time was 181 minutes, and mean hospital stay was 2.4 days. There were no intraoperative complications. Three patients with previous radiation therapy had distal flap necrosis. Twenty-one patients (95%) reported an acceptable cosmetic result. Conclusions and Relevance The scalp rotation flap is an efficient and reliable option for reconstructing complex soft tissue defects. This can be particularly important in patients with significant medical comorbidities who cannot tolerate a lengthy operative procedure.
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