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David L. Mandell, MD; Eric M. Genden, MD; Hugh F. Biller, MD; Mark L. Urken, MD

Arch Otolaryngol Head Neck Surg. 2000;126:303-307.

Objective  To report our experience in a case series of 5 posterior scalping flaps.

Design  Retrospective review of a case series.

Setting  A tertiary academic care otolaryngology–head and neck surgery referral center.

Patients  Five patients having undergone posterior scalping flap reconstruction of cutaneous midface defects.

Methods  Reconstruction was performed for 4 cheek defects, 1 of which included the lateral third of the upper and lower lips, and 1 combined midfacial and lateral nasal wall defect.

Results  All 5 patients had excellent cosmetic and functional results. The only complication was a single case of partial-thickness distal flap necrosis.

Conclusion  The posterior scalping flap offers a reliable source of skin with appropriate color and texture and minimal donor-site morbidity.

From the Department of Otolaryngology–Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.