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2026, Number 2

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Cir Plast 2026; 36 (2)

Orticochea flap: a therapeutic alternative in traumatic scalp injuries

Luna-Guerrero CE, Villarreal-Salgado JL, Ramos-Gallardo GO, Zepeda-Torres JM, Hernández-Guzmán AK

Language: Spanish
References: 16
Page: 175-178
PDF size: 2056.56 Kb.


ABSTRACT

The treatment of scalp injuries presents challenges due to the low elasticity and thickness of tissues. These injuries are often the result of tumor resections or trauma. Reconstruction aims at providing durable and viable coverage, while preserving the hairline. The Orticochea flap technique, introduced in 1967, is based on preserving tissue perfusion and allows coverage of large defects. Various reconstructive options exist. We present the case of a 59-year-old male patient with a history of alcoholism and drug use, with a traumatic scalp wound causing a tissue loss of 12 × 8 cm. Surgical debridement was performed, and 15 days later, reconstruction was carried out using the Orticochea flap without complications. Clinical evolution was favorable. The main objectives of scalp repair were aesthetic and functional. The Orticochea flap, which is preferred for its ability to close large areas while preserving vascularity, is considered effective in reconstructing defects. Even though free flaps are standard in some repairs, local flaps are appropriate for large defects and offer benefits such as reduced surgical time and the possibility of similar tissue coverage. No common complications reported in the literature were observed in this case. The Orticochea flap is a safe and effective option for scalp reconstruction, highlighting its feasibility in a surgical procedure and has good aesthetic and functional outcomes.


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