The Visor Flap: A Novel Design for Scalp Wound Closure

Lisa Hwang, Ni Ka Ford, Jamie Spitz, Marco Ellis*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Full-thickness scalp defects pose a reconstructive problem in the setting of infection, radiation, and underlying calvarial defects. Current options include dermal matrices, skin grafts, and local fasciocutaneous flaps. Free tissue transfer is frequently required when scalp-based flaps fail or the wound is significantly large or complex. The authors present 7 patients of complex scalp defect reconstruction using the novel visor flap. The visor flap is a bipedicled advancement flap with a triangular posterior extension. The flap was designed to redistribute tension over a large surface area that prioritizes tension-free closure of the wound over a relatively small remote donor site. This method achieved complete primary healing of the recipient site in all patients. This flap design is a durable adjunct to minimize donor site morbidity and avoid microsurgical reconstruction of hostile scalp wounds.

Original languageEnglish (US)
Pages (from-to)e146-e148
JournalJournal of Craniofacial Surgery
Issue number2
StatePublished - 2017


  • Bipedicled scalp advancement flap with posterior extension
  • full-thickness scalp defects
  • visor flap

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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