Reconstruction of Scalp Defect by Rotation Flap

Scalp defect can have a number of origins and their repair is depends upon their location, size and depth. Knowledge of scalp anatomy is essential for preparing these flaps. Repair of scalp defects using local hair bearing scalp is technically challenging. Local transposition or rotation flaps are the most common reconstruction methods for moderate or large anterior scalp defects. We present two cases of scalp burn due to electric shock. One over vertex and parietal region the size was 15 x 5.5 cm, other on left temporoparietal region exposing mastoid bone it is of 7 cm diameter circular shape. Reconstruction of the defect was done by rotation flap which has got excellent result without complications. It was primary closure without skin grafting. The peri-cranium bones were even exposed due to electric burns. Based on our experience, we suggest the large scalp defects located especially temporoparietal area can be reconstructed with rotational flaps in one stage without the need for multiple surgeries.