D.C Floyd, F.S Ali, S Ilyas, M.D Brough

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Presentation transcript:

The pedicled occipital artery scalp flap for salvage surgery of the neck D.C Floyd, F.S Ali, S Ilyas, M.D Brough British Journal of Plastic Surgery Volume 56, Issue 5, Pages 471-477 (July 2003) DOI: 10.1016/S0007-1226(03)00185-1

Fig. 1 Anatomy of the occipital artery. The occipital artery enters the scalp at a point between the middle and medial thirds of the line joining the mastoid process and the external occipital protuberance before dividing into its three main branches. British Journal of Plastic Surgery 2003 56, 471-477DOI: (10.1016/S0007-1226(03)00185-1)

Fig. 2 Case 1. (A) At presentation to our unit, showing exposed mandible. (B) The flap is marked on the scalp showing the anterior limit within the anterior hairline. (C) The defect following debridement and the flap, which has been raised prior to insetting. (D) The immediate postoperative result following insetting of the flap. British Journal of Plastic Surgery 2003 56, 471-477DOI: (10.1016/S0007-1226(03)00185-1)

Fig. 3 Case 1. At 3 years follow-up. The view from the front (A) shows an excellent cosmetic appearance. In (B), the donor site and resultant dog-ear can be seen. British Journal of Plastic Surgery 2003 56, 471-477DOI: (10.1016/S0007-1226(03)00185-1)

Fig. 4 Case 2. The patient at presentation, (A), in which the necrotic pectoralis major and delto-pectoral flaps can be clearly seen and (B) at 2 years after reconstruction with an occipital scalp flap. British Journal of Plastic Surgery 2003 56, 471-477DOI: (10.1016/S0007-1226(03)00185-1)

Fig. 5 Case 3. At presentation (A), the right hemi-mandible is shifted across the midline, with the resulting deformity leading to inability to tolerate dentures. (B)–(D) The results at 6 weeks after mandibular reconstruction and reconstruction of the neck defect with an occipital scalp flap. The area covered by the flap can be seen to extend from the mid-cheek area to the midline of the neck. The dog-ear is shown in (D). British Journal of Plastic Surgery 2003 56, 471-477DOI: (10.1016/S0007-1226(03)00185-1)