Abstract
Scalping flap is usually applied for reconstruction of medium-sized defects of scalp after excision of malignant skin tumors. In this report, we described the usefulness of scalping flap which was vascularized with both superficial temporal and posterior auricular vessels of the same side as the tumor. In addition, sensory nerves were well preserved in this flap. Two patients were presented with malignant skin tumors on their temporal area. The size of their defects were about 5cm in diameter. This flap is considered to be superior to that designed on the opposite side of the temporal area in the following points; easily rotated to cover the defect due to better elasticity, well-preserved sensibility, and the hair stream similar to the surrounding skin. Therefore, this approach improves the overall effectiveness of reconstruction of medium-sized defects on the temporal area, compared with other scalping flaps.
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