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197316

A simple modification in snail rotation flap used for scalp reconstruction

Article

Last updated: 22 Jan 2023

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Abstract

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 Maxillofacial Surgery Department, College of Oral and Dental Surgery, Misr University for Science and Technology and Dermatology, Venereology, and Andrology unit in the Memorial Souad Kafafi University Hospital, Misr University for Science and Technology. Results: Healing was optimum for all the patients except for one case who showed minimum dehiscence, hair shaft orientation was not markedly affected. Conclusions: closure of scalp defects is a challenge to surgeons due to the nature of the scalp and its surrounding tissues. This simple modification can help in scalp reconstruction with minimum tension and accepted healing.

DOI

10.21608/edj.2021.86665.1716

Keywords

Scalp, Reconstruction, Rotation flap, Modified

Authors

First Name

Usama

Last Name

Dakrory

MiddleName

-

Affiliation

Assistant Professor, Oral and Maxillofacial Surgery, College of Oral and Dental Surgery, Misr University for Science and Technology., Cairo, Egypt

Email

usamadakrory@gmail.com

City

cairo

Orcid

0000-0002-9498-253X

First Name

Tamer

Last Name

Foad

MiddleName

-

Affiliation

Assistant Professor, Dermatology, Venereology and Andrology Faculty of Medicine, Misr University for Science & Technology. Cairo, Egypt

Email

tamermoh@hotmail.com

City

Cairo

Orcid

-

Volume

67

Article Issue

4

Related Issue

27924

Issue Date

2021-10-01

Receive Date

2021-07-16

Publish Date

2021-10-01

Page Start

3,035

Page End

3,041

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_197316.html

Detail API

https://edj.journals.ekb.eg/service?article_code=197316

Order

9

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023