Large Scalp Defect Reconstruction With Tissue Expansion, Orticochea Flap, and Acellular Dermal Matrix for Soft Tissue Augmentation: A Case Report.

Content Provider	Europe PMC
Author	Tran, Tru Le, Jeanne Royce, Jacqueline
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2022
Abstract	Reconstruction of a large scalp defect following oncologic surgical resection is a challenging task. The defect size, location, and elasticity of the soft tissue overlying the calvarium are important factors to be considered when exploring available reconstructive options. When primary closure is not feasible with a large defect, a skin flap or graft is utilized. Skin flap is advantageous as it produces a similar color and texture as the surrounding areas, thus being the favorable method. Wounds involving exposed bone, tendon, and cartilage cannot support grafts due to poor vascularity and thus require a skin flap. One of the multi-flap closure modalities, the Orticochea flap, is an excellent choice for scalp reconstruction on large defects greater than 50 cm2. We present an interesting case of a patient with a large scalp defect following Mohs surgery of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) that was successfully reconstructed with tissue expansion utilizing Orticochea flap, with the addition of an acellular dermal matrix as an adjunct in such hostile scalp reconstruction.
Journal	Cureus
Volume Number	14
DOI	10.7759/cureus.27723
PubMed Central reference number	PMC9441781
Issue Number	8
PubMed reference number	36106243
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2022-08-05
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	scalp reconstruction large scalp defect acellular dermal matrix orticochea flap tissue expansion
Content Type	Text
Resource Type	Case study
Subject	Medicine