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.