What is a scalp flap?

What is a scalp flap?

Scalp flap surgery moves hair-bearing scalp to the bald area providing instantaneous hair coverage. Narrow gaps between transferred flaps may require some “touch-up” by hair transplantation or scalp reduction later.

What is a rhombic flap?

Rhombic flaps are geometric local transposition flaps and offer significant versatility within reconstructive surgery. This flap is most commonly used to fill skin cancer defects of the head and neck region.

What is a rhomboid flap closure?

The rhomboid (Limberg) flap can be used to close defects almost anywhere on the body. It is versatile in that a random pattern flap can be raised from any one or all corners of the rhomboid. The defect is filled with tissue of the same thickness and colour, and with good vascularity.

How do you make a rhomboid flap?

Rhomboid Flap Design with Pictures

1. Draw a rhomboid shape around the lesion. A rhomboid is a symmetrical shape made up of two angles of 120° and two of 60°.
2. Draw the Flap. The rhomboid flap has a “leg” to stand on, which is bent at the knee.
3. Excise the Lesion and Connect the Letters.
4. Flap Closure.

How long does a scalp flap take to heal?

Wounds that extend into only the dermis can heal in 2-3 weeks, whereas wounds that extend into the subcutaneous fat can require an additional 1-3 weeks to heal. Wounds that extend into deeper layers of the scalp, including the aponeurosis, loose areolar tissue, and periosteum, can require 6-8 weeks to heal.

How long do skin flaps take to heal?

Keeping the site moist with the above procedures will hasten healing and provide you with the nicest scar possible. Do not wear make up over the incisions or flap until the sutures are removed (or have dissolved), and a thin layer of new skin covers the area. This usually takes 7 to 10 days.

What is a VY flap?

A V-Y flap is a modified advancement flap that is used for the repair of small and medium size cutaneous defects. It has the advantage of a robust vascular supply and a reliable healing pattern.

What is an interpolated flap?

An interpolated flap is a two-stage technique in which the base of the flap is not directly adjacent to the recipient defect. These flaps are used when insufficient tissue or mobility in nearby skin prevents the coverage of a surgical defect with primary closure or an adjacent flap.

When do you use a rhomboid flap?

Rhomboid flaps can be used anywhere, without any limitations that are due to defect etiology, age or other patient factors. Tumor resection is the primary etiologic factor for this flap, and its use for skin cancers is most often in the head and neck regions.

What is Dufourmentel flap?

Dufourmentel flap (1962) is used to close a rhombus defect composed of two isosceles triangles. For practical purposes, the flap takes off at an angle of 150⁰ to one side of the defect. Limberg flap is simpler. Dufourmentel flap has a wider base and theoretically better blood.

Can a skin flap reattach?

If the skin tear is large and there is a flap, your healthcare provider can sometimes maneuver the flap back into place, at least partially. The flap itself will shrink when it is torn so it will always look smaller.

What is an advancement flap?

Advancement flaps are random-pattern flaps frequently used in the reconstruction of surgical defects on the face after the removal of skin cancer. Proper design and meticulous execution is crucial in achieving reproducible esthetic results.