Revisiting the Pericranial Flap for Scalp Reconstruction

Kriya Gishen, Jason Yoo, Ethan Plotsker, Seth R. Thaller

Research output: Contribution to journalReview articlepeer-review


ABSTRACT: Soft tissue deficits of the scalp due to trauma, infection, or tumor resection present a unique challenge to the reconstructive surgeon whose goal is to achieve excellent cosmesis in a hair bearing area without compromising coverage. While extensive undermining for large rotation flaps or free tissue transfer can provide necessary coverage, the pericranial flap is an excellent alternative for less ideal surgical candidates who cannot tolerate more extensive interventions or for patients who require long-term cancer surveillance. Elevation of the pericranial flap limits the need for back cuts through the skin and uses blunt dissection to preserve overlying hair follicles. Here we present a review of the anatomy and historical use of the pericranial flap for scalp coverage and we present 4 cases to demonstrate its current utility.

Original languageEnglish (US)
Pages (from-to)1275-1280
Number of pages6
JournalThe Journal of craniofacial surgery
StatePublished - May 1 2021

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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