Skip to main content

Scalp Rotation and Advancement Flap

  • Chapter
  • First Online:
Operative Dictations in Plastic and Reconstructive Surgery

Abstract

Scalp defects occur secondary to acute trauma, tumor extirpation, burns, radiation necrosis, or excision of traumatic alopecia. Scalp rotational/advancement flaps are utilized in scalp defect reconstructions over 3 cm in diameter when exposed calvarium is devoid of periosteum (epicranium). The flap design is determined by the vascular pedicle based on one or two of the named scalp arteries that originate from their general vicinity. This chapter discusses the indications and intraoperative details for operative dictation. Pearls and pitfalls associated with the procedure and variants to the flaps are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Wexler A, Harris M, Lesavoy MA. Conservative treatment of Cutis Aplasia. Plast Reconstr Surg. 1990;86(6):1066–71.

    Article  CAS  PubMed  Google Scholar 

  2. Lesavoy MA, Dubrow TJ, Schwartz RJ, Wckym PA, Eisenhauer DM, McGuire M. Management of large scalp defects with local pedicle flaps. Plast Reconstr Surg. 1993;91(5):783–90.

    Google Scholar 

  3. Lesavoy MA, Lee GK, Fan K, Dickenson B. Split temporalis muscle flap for repair of recalcitrant cerebral spinal fluid leaks of the anterior cranial fossa. J Craniofac Surg. 2012;23(2):539–42.

    Article  PubMed  Google Scholar 

  4. Leedy JE, Janis JE, Rohrich RJ. Reconstruction of acquired scalp defects: an algorithmic approach. Plast Reconstr Surg. 2005;116:54e.

    Article  PubMed  Google Scholar 

  5. Ahuja RB. Geometric considerations in the design of rotation flaps in the scalp and forehead region. Plast Reconstr Surg. 1988;81:900.

    Article  CAS  PubMed  Google Scholar 

  6. Orticochea M. Four-flap scalp reconstruction technique. Br J Plast Surg. 1967;20:159.

    Article  CAS  PubMed  Google Scholar 

  7. Orticochea M. New three-flap reconstruction technique. Br J Plast Surg. 1971;24:184.

    Article  CAS  PubMed  Google Scholar 

  8. Juri J. Temporoparieto-occipital and temporoparietooccipitoparietal scalp flaps. In: Strauch B, Vasconez LO, Hall-Findlay EJ, Grabb WC, editors. Grabb’s encyclopedia of flaps. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 19–22.

    Google Scholar 

  9. Seline PC, Siegle RJ. Scalp reconstruction. Dermatol Clin. 2005;23(1):13–21.

    Article  CAS  PubMed  Google Scholar 

  10. Ioannides C, Fossion E, McGrouther AD. Reconstruction for large defects of the scalp and cranium. J Craniomaxillofac Surg. 1999;27:145.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Malcolm A. Lesavoy M.D., F.A.C.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pereira, C.T., Lesavoy, M.A. (2017). Scalp Rotation and Advancement Flap. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40631-2_67

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-40631-2_67

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40629-9

  • Online ISBN: 978-3-319-40631-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics