Novel Scalp Flap Elevation With Balloon Trocar Dissection Device.

BACKGROUND: Balloon trocar devices have been utilized in several surgical cases to reach a difficult-to-access location, achieve hemostasis, and obtain safe, efficient surgery. OBJECTIVE: Highlight the balloon trocar dissection device in a novel technique of scalp flap elevation for tissue expander placement. METHODS: The pocket for the tissue expander was determined at the scalp. A 2 cm vertical incision was made. A 12 mm balloon trocar is then introduced and insufflated. Through the trocar, endoscopic light is then inserted. Scalp flap elevation was performed with the device. The exact location of the pocket was seen with the lumination of endoscopic light. RESULTS: The balloon trocar dissection device provides easy scalp flap elevation and bleeding control. With the help of endoscopic light, the pocket for the expander was created precisely. CONCLUSION: The balloon trocar device is simple, effective, low-cost equipment for tissue expander placement in the scalp.