Case series: variation of the Mercedes flap in the scalp

Reconstruction of the scalp after suspected skin lesions excision is a challenge. Tamir et al. described the three-point-advancement (Mercedes flap) to close circular wounds. These tissue advancements create triangles in the edges, which must be removed. However, extensive lesions do not allow the th...

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Main Authors: Murilo Augusto Ferreira, Luiz Gustavo Ferreira Fressatti, Luís Henrique Barbizan de Moura, Samira Yarak
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia (SBD) 2023-10-01
Series:Surgical & Cosmetic Dermatology
Subjects:
Online Access:http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v15/en_v15a247.pdf
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author Murilo Augusto Ferreira
Luiz Gustavo Ferreira Fressatti
Luís Henrique Barbizan de Moura
Samira Yarak
author_facet Murilo Augusto Ferreira
Luiz Gustavo Ferreira Fressatti
Luís Henrique Barbizan de Moura
Samira Yarak
author_sort Murilo Augusto Ferreira
collection DOAJ
description Reconstruction of the scalp after suspected skin lesions excision is a challenge. Tamir et al. described the three-point-advancement (Mercedes flap) to close circular wounds. These tissue advancements create triangles in the edges, which must be removed. However, extensive lesions do not allow the three points to join, preventing central closure. Valesky et al. described the central closure using total skin grafts made from the triangles. The literature lacks these case reports, making it difficult to incorporate them into surgical practice. We applied this modified technique to five patients with good aesthetic and functional results.
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spelling doaj.art-1457987659c842ea97b83715992f24342023-12-22T17:27:29ZengSociedade Brasileira de Dermatologia (SBD)Surgical & Cosmetic Dermatology1984-87732023-10-011510.5935/scd1984-8773.2022150247Case series: variation of the Mercedes flap in the scalpMurilo Augusto Ferreira0Luiz Gustavo Ferreira Fressatti1Luís Henrique Barbizan de Moura2Samira Yarak3Federal University of São Paulo, São Paulo (SP), BrazilFederal University of São Paulo, São Paulo (SP), BrazilFederal University of São Paulo, São Paulo (SP), BrazilFederal University of São Paulo, São Paulo (SP), BrazilReconstruction of the scalp after suspected skin lesions excision is a challenge. Tamir et al. described the three-point-advancement (Mercedes flap) to close circular wounds. These tissue advancements create triangles in the edges, which must be removed. However, extensive lesions do not allow the three points to join, preventing central closure. Valesky et al. described the central closure using total skin grafts made from the triangles. The literature lacks these case reports, making it difficult to incorporate them into surgical practice. We applied this modified technique to five patients with good aesthetic and functional results.http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v15/en_v15a247.pdfscalpsurgical flapsplastic surgery proceduresskin transplantationskin neoplasms
spellingShingle Murilo Augusto Ferreira
Luiz Gustavo Ferreira Fressatti
Luís Henrique Barbizan de Moura
Samira Yarak
Case series: variation of the Mercedes flap in the scalp
Surgical & Cosmetic Dermatology
scalp
surgical flaps
plastic surgery procedures
skin transplantation
skin neoplasms
title Case series: variation of the Mercedes flap in the scalp
title_full Case series: variation of the Mercedes flap in the scalp
title_fullStr Case series: variation of the Mercedes flap in the scalp
title_full_unstemmed Case series: variation of the Mercedes flap in the scalp
title_short Case series: variation of the Mercedes flap in the scalp
title_sort case series variation of the mercedes flap in the scalp
topic scalp
surgical flaps
plastic surgery procedures
skin transplantation
skin neoplasms
url http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v15/en_v15a247.pdf
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