To the Editor In a recent issue of JAMA Facial Plastic Surgery, Rosko et al1 provided an excellent patient presentation of their treatment of a large scalp defect measuring 8 × 7.5 cm, which they treated with a double-rotation flap described as an O-Z repair. An excellent result was obtained in this patient.
The authors1 discussed other possible treatment modalities for scalp flaps, including full- or split-thickness skin grafts, primary closure (in smaller defects), and closure following tissue expansion.
Thomas JR. Healing by Secondary Intention. JAMA Facial Plast Surg. 2016;18(3):232-233. doi:10.1001/jamafacial.2016.0057