Abstract
In reconstruction following the resection of malignant skin tumors, the optimal treatment plan must be selected taking into account all factors with regard to both the human factor and the tumor factor. But, in the reconstructive factor, the principle of the defect coverage is, “The best tissue is the same tissue.” The coverage achieved by using the neighboring tissue is the best. Such a principle is especially suitable for the scalp area, except where we cannot locate a donor for the hairy region. Scalping flap is aggressively used for the reconstruction of the defects of the scalp after excision of malignant skin tumors, taking into consideration the human, tumor and reconstruction factors. Our scalping flap is a V-Y advancement and island fashioned flap that has a vascular network of superficial temporal, posterior auricle and occipital vessels. It is possible for this method to be used for reconstruction of large-sized defects on all areas in the scalp. We consider that our procedure is the first choice for reconstruction after excision of a malignant skin tumor in the scalp.[Skin Cancer (Japan) 2009 ; 24 : 403-408]
