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Mercedes Flap With Releasing Incisions for Scalp Defects

Russo, Francisco MD

doi: 10.1097/SAP.0000000000001053
Head and Neck Surgery
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Introduction The reconstruction of scalp defects is surgically challenging due to the limited distensibility in the area.

Objectives To describe a new variant of the Mercedes flap with releasing incisions for the reconstruction of medium-sized scalp defects.

Materials and Methods Pigs' feet were used as the experimental model for the design of this new variant. Different designs were created, and the best result was achieved by measuring the tension of the edges using tensiometers. Later, this design was applied to 3 patients with medium-sized scalp defects.

Results The 3 patients achieved complete closure of their scalp defects with this new flap variant in a single quick and simple operation. There were no complications, and the final aesthetic result was excellent.

Conclusions The Mercedes flap with releasing incisions is a good alternative for the closure of medium-sized scalp defects.

From the Department of Dermatology, Hospital Punta de Europa. Algeciras, Cádiz, Spain.

Received October 20, 2016, and accepted for publication, after revision January 2, 2017.

Conflicts of interest and sources of funding: none declared.

Reprints: Francisco Russo, MD, Department of Dermatology, Hospital Punta de Europa. Algeciras, Cádiz, Spain. E-mail: russo@aedv.es.

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.