Abstract

The Orticochea flap, a multi-flap closure technique, is a recent addition to the field of reconstructive surgery. It is a safe and acceptable alternative for scalp reconstruction, as it can cover a skin and bone defect with local full-thickness skin, reducing the length of the procedure. The technique is particularly useful for rehabilitating cranium and frontal abnormalities, as it provides an appropriate blood supply and increases the surface area for closure. The orticochea flap is particularly suitable for significant frontal or vertex defects, no prior radiation exposure, and no hairline distortion.

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