Use of transposition and rotation scalp flaps in neurosurgical practice: clinical series

Aim. To evaluate efficacy and clinical prospects of using transposition and rotation scalp flaps with a pedicle in regional neurosurgical practice for reconstruction of postoperative defects of the soft tissues of the skull roof. Materials and methods. Results of surgical treatment of 4 patients with defects of the skin on the head of different etiology (after radiosurgery, of traumatic and postoperative origin) are presented. In 2 patients flap transposition technique was used, in 2 – flap rotation. Results. In all of the presented clinical cases successful primary healing was achieved. Cosmetic results are satisfactory, the patients report significant improvement of psycho-emotional status and quality of life. Conclusion. Techniques of transposition and rotation of skin flaps proved their efficacy and safety for reconstruction of small and intermediatesized defects of the soft tissues of the head. Recommendations on preoperative planning are presented.