Unilobed rotational flap for traumatic scalp soft tissue loss

Soft tissue injuries of the head and neck are the most common injuries encountered in trauma emergency department, accounting for over 50% of injuries. Scalp soft tissue loss continues to pose a challenge for reconstruction due to limited skin mobility in the area. We present a case report involving two patients with traumatic soft tissue loss affecting the scalp who underwent rotational flap closure with favourable cosmetic results. Case 1: A male patient in his early 30s arrived at the emergency department with a history of road traffic accident, sustaining head injury. Soft tissue loss was noted on the left side of the fronto-parietal region, exposing the frontal bone. A rotational flap cover was performed using the unilobed technique. He was discharged on postoperative day 10. Case 2: A female patient in her late 40s presented to the emergency department with a history of a road traffic accident. Soft tissue loss was noted on the left side of the forehead, exposing the frontal bone. A unilobed rotational flap was successfully achieved with satisfactory cosmetic outcomes.