Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model
SUMMARY: The O-Z flap is the most commonly used local flap technique to repair round and oval scalp defects in clinical practice. Preoperative flap marking is one of the major technical issues of this reconstructive method and it is essential to achieve an optimal outcome. Nevertheless, the absence...
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| Language: | English |
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Elsevier
2024-12-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S235258782400130X |
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| author | Davide Talevi Matteo Torresetti Vania Recchi Giovanni Di Benedetto |
| author_facet | Davide Talevi Matteo Torresetti Vania Recchi Giovanni Di Benedetto |
| author_sort | Davide Talevi |
| collection | DOAJ |
| description | SUMMARY: The O-Z flap is the most commonly used local flap technique to repair round and oval scalp defects in clinical practice. Preoperative flap marking is one of the major technical issues of this reconstructive method and it is essential to achieve an optimal outcome. Nevertheless, the absence of a unified arc design scheme could significantly limit the use of this useful and reliable technique, and flap drawing is sometimes based more on the surgeon's experience than on a real geometrical model. Our aim was to describe an intuitive and standardizable method for O-Z flap marking, that we called “O-S flap,” based on a simple and easily replicable geometrical pattern.We reported our experience in this case series of eight patients with skin tumors of the scalp who underwent scalp reconstruction with the “O-S flap” technique at our university hospital. Most patients had defects located on the vertex or parieto-occipital regions of the scalp. The area of the defects ranged from 7 to 78.5 cm2. There were no cases of flap necrosis, wound infection, or positive margins, and no patients required revision surgery.We believe that our technical refinement represents a safe, easy, and reproducible method for O-Z flap marking. It follows a simple geometrical model which could be customized according to different clinical needs. |
| format | Article |
| id | doaj-art-10e33f2b55cc4b0db6494f60db4cec97 |
| institution | OA Journals |
| issn | 2352-5878 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-10e33f2b55cc4b0db6494f60db4cec972025-08-20T02:20:58ZengElsevierJPRAS Open2352-58782024-12-014217818510.1016/j.jpra.2024.08.008Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical modelDavide Talevi0Matteo Torresetti1Vania Recchi2Giovanni Di Benedetto3Clinic of Plastic and Reconstructive Surgery, Università Politecnica delle Marche, Ancona, ItalyCorresponding author. Matteo Torresetti, Via Conca 71, 60126, Ancona, Italy. Phone number: +390715964634; Fax number: +390715963453.; Clinic of Plastic and Reconstructive Surgery, Università Politecnica delle Marche, Ancona, ItalyClinic of Plastic and Reconstructive Surgery, Università Politecnica delle Marche, Ancona, ItalyClinic of Plastic and Reconstructive Surgery, Università Politecnica delle Marche, Ancona, ItalySUMMARY: The O-Z flap is the most commonly used local flap technique to repair round and oval scalp defects in clinical practice. Preoperative flap marking is one of the major technical issues of this reconstructive method and it is essential to achieve an optimal outcome. Nevertheless, the absence of a unified arc design scheme could significantly limit the use of this useful and reliable technique, and flap drawing is sometimes based more on the surgeon's experience than on a real geometrical model. Our aim was to describe an intuitive and standardizable method for O-Z flap marking, that we called “O-S flap,” based on a simple and easily replicable geometrical pattern.We reported our experience in this case series of eight patients with skin tumors of the scalp who underwent scalp reconstruction with the “O-S flap” technique at our university hospital. Most patients had defects located on the vertex or parieto-occipital regions of the scalp. The area of the defects ranged from 7 to 78.5 cm2. There were no cases of flap necrosis, wound infection, or positive margins, and no patients required revision surgery.We believe that our technical refinement represents a safe, easy, and reproducible method for O-Z flap marking. It follows a simple geometrical model which could be customized according to different clinical needs.http://www.sciencedirect.com/science/article/pii/S235258782400130XO-Z flapO-S flapScalp reconstructionFlap markingScalp defects |
| spellingShingle | Davide Talevi Matteo Torresetti Vania Recchi Giovanni Di Benedetto Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model JPRAS Open O-Z flap O-S flap Scalp reconstruction Flap marking Scalp defects |
| title | Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model |
| title_full | Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model |
| title_fullStr | Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model |
| title_full_unstemmed | Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model |
| title_short | Moving from the O-Z flap to the O-S flap for scalp reconstruction: A new geometrical model |
| title_sort | moving from the o z flap to the o s flap for scalp reconstruction a new geometrical model |
| topic | O-Z flap O-S flap Scalp reconstruction Flap marking Scalp defects |
| url | http://www.sciencedirect.com/science/article/pii/S235258782400130X |
| work_keys_str_mv | AT davidetalevi movingfromtheozflaptotheosflapforscalpreconstructionanewgeometricalmodel AT matteotorresetti movingfromtheozflaptotheosflapforscalpreconstructionanewgeometricalmodel AT vaniarecchi movingfromtheozflaptotheosflapforscalpreconstructionanewgeometricalmodel AT giovannidibenedetto movingfromtheozflaptotheosflapforscalpreconstructionanewgeometricalmodel |