Scalp rotation and advancement flap

Clifford Pereira, Malcolm A. Lesavoy

Research output: Chapter in Book/Report/Conference proceedingChapter


Scalp defects occur secondary to acute trauma, tumor extirpation, burns, radiation necrosis, or excision of traumatic alopecia. Scalp rotational/advancement flaps are utilized in scalp defect reconstructions over 3 cm in diameter when exposed calvarium is devoid of periosteum (epicranium). The flap design is determined by the vascular pedicle based on one or two of the named scalp arteries that originate from their general vicinity. This chapter discusses the indications and intraoperative details for operative dictation. Pearls and pitfalls associated with the procedure and variants to the flaps are also discussed.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Number of pages3
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
StatePublished - Jan 1 2016


  • Post-burn reconstruction
  • Radiation necrosis
  • Scalp defects
  • Scalp rotational advancement flap
  • Trauma
  • Tumor extirpation

ASJC Scopus subject areas

  • Medicine(all)


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