Jan 24, 2020 · If it is less than 5 mm, a snail flap is raised, as shown in the video, with a “flap:defect” ratio of 2:1. The tip of the flap is folded onto itself and advanced into the primary defect first. The secondary defect is then closed by spreading the tension across the entire arc.

More specifically, we have used the “snail flap” for the reconstruction of scalp defects during a 2-year period in 18 patients (10 women and 8 men) with age ranging from 45 to 85 years and a postoperative follow-up from 5 to 12 months.

The snail flap is easy to perform with high reliability and allows for hair preservation. The morbidity and need for hospitalization are minimal, making it an ideal reconstructive option for elderly or frail patients with moderate-sized scalp defects.

Jan 24, 2020 · Results The Fibonacci ‘snail’ flap was found to heal significantly faster than the full-thickness skin graft group and with lower complication rates overall, compared to skin grafts, but the...

The scalp rotation flap is still the flap of choice for scalp defects as it provides hair-bearing skin, replacing “like with like,” and can be designed to respect hairlines

Jan 24, 2020 · The "Snail Flap": A Rotation Flap in Scalp Reconstruction Plast Reconstr Surg Glob Open. 2020 Jan 24;8(1):e2599. doi: 10.1097/GOX.0000000000002599. eCollection 2020 Jan. Authors Georgios Christopoulos 1 , Vybhav Deraje 1 , Zacharia Mbaidjol 1 , Ruben Yap Kannan 1 Affiliation 1 Department of Plastic Surgery, Queen ...

Feb 11, 2020 · This video displays the snail flap technique demonstrated in the article. From “The "Snail Flap": A Rotation Flap in Scalp Reconstruction”

Conclusions: The snail flap is easy to perform with high reliability and allows for hair preservation. The morbidity and need for hospitalization are minimal, making it an ideal reconstructive option for elderly or frail patients with moderate-sized scalp defects.

Feb 24, 2021 · The ‘snail’ flap, a Fibonacci sequence flap, represents a variant of the conventional scalp rotation flap with reduced ‘flap:defect’ ratio, thereby allowing it to capture greater amounts of scalp for less mostly under local anaesthetic.

Jan 1, 2020 · A small change in the design and closure technique of the snail rotation flap presented by Christopoulos is introduced resulting in improvement in advancement travelling distance of the flap with less rotation leading to reduction on suture points and more stable and durable coverage.