Bucket-handle bipedicled scalp flaps for coverage of cranial constructs in cranioplasty

Chris Devulapalli, Orion Paul Mercaitis, Maria Orbe, Christopher J. Salgado

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, ‘‘bucket handle’’) flap, thus obviating the need for free tissue transfer. All 4 patients demonstrated complete wound healing by final follow-up, without need for further reoperations or ulcer recurrence. In face of composite frontal scalp defects in less than ideal candidates for lengthy microsurgical flap procedures, the bucket-handle flap can provide a simple and reliable reconstructive option.

Original languageEnglish (US)
Pages (from-to)2182-2185
Number of pages4
JournalJournal of Craniofacial Surgery
Issue number8
StatePublished - 2018


  • Bipedicled flaps
  • Cranioplasty
  • Scalp reconstruction

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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