Version 1
: Received: 28 September 2023 / Approved: 28 September 2023 / Online: 29 September 2023 (08:41:04 CEST)
How to cite:
Jeon, D. Scalp Reconstruction Using O-Z Flap: An Alternative Approach for Melanoma Patients with Surgical Challenges. Preprints2023, 2023092040. https://doi.org/10.20944/preprints202309.2040.v1
Jeon, D. Scalp Reconstruction Using O-Z Flap: An Alternative Approach for Melanoma Patients with Surgical Challenges. Preprints 2023, 2023092040. https://doi.org/10.20944/preprints202309.2040.v1
Jeon, D. Scalp Reconstruction Using O-Z Flap: An Alternative Approach for Melanoma Patients with Surgical Challenges. Preprints2023, 2023092040. https://doi.org/10.20944/preprints202309.2040.v1
APA Style
Jeon, D. (2023). Scalp Reconstruction Using O-Z Flap: An Alternative Approach for Melanoma Patients with Surgical Challenges. Preprints. https://doi.org/10.20944/preprints202309.2040.v1
Chicago/Turabian Style
Jeon, D. 2023 "Scalp Reconstruction Using O-Z Flap: An Alternative Approach for Melanoma Patients with Surgical Challenges" Preprints. https://doi.org/10.20944/preprints202309.2040.v1
Abstract
The scalp is a unique anatomical region with distinct challenges for reconstruction, especially in cases of melanoma excision. This study explores the utilization of the O-Z flap technique as an alternative approach for patients with melanoma, where traditional free flap reconstruction may not be feasible due to age or underlying health conditions. However, in this case, the patient had a history of angina and was unwilling to undergo a long operation due to his advanced age. This study highlights the importance of following NCCN guidelines for melanoma resection margins based on tumor thickness and underscores the value of staged resection planning to minimize deficits. This requires an individualized approach as each patient may have different circumstances (general health condition, age, compliance, etc.). So we planned a staged excision first. In the first surgery, we would resect the tumor minimally and then determine the exact size of the tumor. Then, in the second surgery, we resected it with a safety margin according to the guidelines. The O-Z flap, a local flap with an "O"-shaped defect and "Z"-shaped incision line, is introduced as a reconstructive option. The surgical procedure, advantages, and limitations of this approach are discussed. This study provides valuable insights into achieving successful scalp reconstruction while considering aesthetic outcomes and patient-specific factors.
Keywords
O-Z flap; scalp reconstruction; malignant melanoma; skin cancer
Subject
Medicine and Pharmacology, Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
