Double hatchet flap as adequate dermatosurgical approach for tumours of the occipital scalp zone: Presentation of two cases
Open Access
- 17 March 2022
- journal article
- Published by PAGEPress Publications in Dermatology Reports
- Vol. 14 (3), 9487
- https://doi.org/10.4081/dr.2022.9487
Abstract
Tumors of the scalp remain a serious challenge for clinicians since poor locoregional skin elasticity hinders the ability to utilise certain flaps, limiting the choice of reconstructive techniques available. As a result, surgical restoration of medium to large-sized defects are left to the discretion of the surgeon, who with a comprehensive knowledge of restorative techniques, along with the advantages, limitations as well as a sound understanding of the locoregional anatomy, can make thorough decisions on the choice of which flap is best suited for the defect. Here we present two cases where the double hatchet flap was employed as a dermatosurgical approach in order to provide exceptional cosmetic results. On dermatological examination, both patients presented with a medium to large- sized tumour formation but were otherwise in good health. Both underwent radical, widelocal excision, followed by reconstructive manipulation in the form of a double hatchet flap to close the defect. Postoperative follow-up reported positive signs of wound healing with aesthetically pleasing results. Finally, we discuss the use of various flaps in such conditions while providing evidence for the double hatchet flap as a possible alternative that provides perfect aesthetic results as seen in our cases. Such a complex surgical intervention requires the expertise of a multidisciplinary team in order to achieve an overall successful outcome.Keywords
This publication has 11 references indexed in Scilit:
- Reverdin skin grafting as adequate approach for squamous cell carcinoma of the temporal regionDermatologic Therapy, 2020
- Reconstruction of Moderate-Sized Scalp Defects: A 1–2–3 RuleActas Dermo-Sifiliográficas (English Edition), 2019
- Regla «1-2-3» para la reconstrucción de defectos de mediano tamaño del cuero cabelludoActas Dermo-Sifiliograficas, 2019
- Updates on the Management of Non-Melanoma Skin Cancer (NMSC)Healthcare, 2017
- Double Hatchet Flap For The Reconstruction Of Scalp DefectsActas Dermo-Sifiliográficas (English Edition), 2017
- Reconstrucción de defecto en cuero cabelludo mediante doble colgajo en hachaActas Dermo-Sifiliograficas, 2017
- The double hatchet flap as a potential alternative closure technique for scalp defectsJDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2015
- Versatilidad de colgajos en hacha en defectos del cuero cabelludoActas Dermo-Sifiliograficas, 2012
- Versatility of Hatchet Flaps for the Repair of Scalp DefectsActas Dermo-Sifiliográficas (English Edition), 2012
- Effects of Preoperative Biopsies on Recurrence in Head and Neck Skin CancerArchives of Plastic Surgery, 2012