Posterior scalping flap revisited

Objective: To report our experience in a case series of 5 posterior scalping flaps. Design: Retrospective review of a case series. Setting: A tertiary academic care otolaryngology-head and neck surgery referral center. Patients: Five patients having undergone posterior scalping flap reconstruction of cutaneous midface defects. Methods: Reconstruction was performed for 4 cheek defects, 1 of which included the lateral third of the upper and lower lips, and 1 combined midfacial and lateral nasal wall defect. Results: All 5 patients had excellent cosmetic and functional results. The only complication was a single case of partial-thickness distal flap necrosis. Conclusion: The posterior scalping flap offers a reliable source of skin with appropriate color and texture and minimal donor-site morbidity.