LE LAMBEAU DORTICOCHEA REVISITE : A PROPOS DE 11 CAS. REVISITED ORTICOCHEA FLAP : ABOUT 11 CASES

Introduction :Several loss of substance are located in the scalp and their treatment is subject to two requirements: reconstruction and a satisfactory aesthetic results Material and method: From March 2016 to March 2019, 11 patients aged between 24 and 45, with a loss of substance of the scalp of 8 to 14 cm, caused by electric burns by high voltage and by accidents, were treated with a revisited Orticochea flap. Discussion : The reconstruction use a technique inspired by the Orticochea flap but the design and the implementation are simpler. It takes off the scalp very far and then fragments it into several flaps. The rotation, originality of our technique, is achieved by the help of back cuts on the temporal flap and the second flap and if necessary on the occipital flap. This technique has the advantage of leaving a minimum area of alopecia and can close a wide loss of substance. No skin graft were necessary and there were no complications in our cases. Conclusion: This technique is satisfying, with good aesthetic results and a good sensitivity of the scalp.