What is the role of rotation flaps in reconstructive surgery for angiosarcoma of the scalp?

Updated: Jan 03, 2020
  • Author: Jonathan S Zager, MD, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Answer

Local rotation flaps derived from the patient's scalp are the standard when flaps are used to reconstruct the wound. The authors strongly prefer to take large scalp flaps based on single areas, rotate them into the defect, and then graft the donor site. This allows trimming of the skin flap to be placed, while providing the patient with a healed wound for adjuvant radiotherapy. The Crane principle, whereby the flap is used only temporally on the tumor defect, is never used in sarcoma reconstructions because of the potential spread of the tumor. The use of multiple skin flaps is uncommon because they open large areas of scalp to tumor spread.


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