Transposition flaps: a valid option for reconstruction of soft tissue defects of scalp

Background: The scalp wounds are becoming increasingly common as a result of high-speed automobile accidents, fall from heights and others. Scalp reconstruction is a challenge for plastic surgeons. Minor wounds heal of themselves, but some wounds need some type of intervention in the form of reconstruction. Authors have raised flaps in unconventional measurements.Methods: Authors have incorporated 19 patients in this study over a period of one year. Extensive surgical procedures like burring of the skull bones and patients with comorbid conditions were not included. Authors simply rely on local flaps preferably transposition flaps to cover mainly the exposed skull bones. All the flaps were raised leaving the galea intact. The secondary defects were always skin grafted with split skin graft taken from thigh. Authors have raised random flaps in unconventional dimensions showing that a large random flap can be raised on a single vessel with good results.Results: All the wounds healed well without significant complications. So, this method of reconstruction can be applied to even large defects where very sophisticated services are not available.Conclusions: This method of reconstruction can be applied to even very large defects where very sophisticated microvascular services and expertise are not available with appreciably good results.