Sunday, June 24, 2012

Scalp Flaps to Close Forehead and Lateral Brow Wounds



Scalp flaps are commonly used to close defects on the scalp that result from tumors, trauma, radiation, etc.

Often these scalp flaps are used when tissue can be borrowed from one area and transferred to another, with the resulting donor site being easily skin grafted.

One of the more common scalp flaps that I use is the lateral scalp flap based on the superficial temporal artery to cover defects of the lateral aspect of the forehead or lateral brow region. It is important to draw the scalp flap extending more cephalad than would be expected as the flap tends to loose length as it is "arc'ed" anteriorly. Always remember to raise the flap in a supra-periosteal, or subgaleal plane at the location of the region to be skin grafted. This facilitates graft take.


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