PMC5282414_01
Scalp defect after excision of the tumour.
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fig1
Operatively the patient had wide local excision of the tumour resulting in a scalp defect that measured about 17 cm by 12 cm in size with exposed bone (Figure 1).
Scalp axial flap raised based on the supraorbital and supratrochlear vessel.
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The flap was raised in the loose areolar plane above the pericranium (Figure 2).
Temporoparietal fascial flap raised on the superficial temporal vessels.
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This was then transposed into the remaining part of the defect (Figures 3 and 4).
Temporoparietal flap and the axial scalp flap utilized to cover the exposed bone.
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fig4
This was then transposed into the remaining part of the defect (Figures 3 and 4).
Skin graft used to cover the temporoparietal flap and the temporalis muscle.
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fig5
Split thickness skin graft was then utilized to cover temporalis fascial flap and the donor site for the scalp flap (Figure 5).