{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:55:06Z","timestamp":1790564106681,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scalp defects after malignant tumor excision often require free tissue transfer for durable coverage. The thoracodorsal artery perforator (TDAP) flap remains underused despite its suitability for thin elevation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fourteen patients (6 men, 8 women; mean age 62\u2009years) treated with a thin TDAP free flap for scalp resurfacing after malignant tumor excision between 2016 and 2026 were retrospectively reviewed. All flaps were performed by a single surgeon at two institutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      TDAP elevation was completed in 14 of 16 attempts (87.5%); in 2 patients no reliable perforator was found at exploration and a latissimus dorsi flap was raised instead. Diagnoses included squamous cell carcinoma (6), basal cell carcinoma (3), basosquamous carcinoma (2), and single cases of eccrine porocarcinoma, angiosarcoma, and melanoma. Mean flap area was 97\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      and pedicle length 9.7\u2009cm; superficial temporal vessels served as recipients, with single\u2010artery, single\u2010vein anastomosis per flap. Mean operative time, including excision, was 134\u2009min. One venous thrombosis was salvaged by re\u2010exploration, one flap showed transient venous congestion that resolved spontaneously, and all 14 flaps survived. Over a mean follow\u2010up of 17\u2009months, one patient with angiosarcoma developed regional and distant recurrence without local recurrence at the reconstructed site.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The thin TDAP free flap is a reliable, efficient, and versatile option for oncologic scalp reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70490","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T01:59:52Z","timestamp":1790560792000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thin Thoracodorsal Artery Perforator Free Flap for Scalp Resurfacing After Malignant Skin Tumor Excision"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3517-5532","authenticated-orcid":false,"given":"Daihun","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ewha Womans University Seoul Hospital  Seoul Republic of Korea"},{"name":"Department of Plastic and Reconstructive Surgery Ewha Womans University College of Medicine  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4458-5981","authenticated-orcid":false,"given":"Suein","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Hanyang University Seoul Hospital  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6925-6114","authenticated-orcid":false,"given":"Seung Eun","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ewha Womans University Seoul Hospital  Seoul Republic of Korea"},{"name":"Department of Plastic and Reconstructive Surgery Ewha Womans University College of Medicine  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-1232","authenticated-orcid":false,"given":"Youn Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Hanyang University Seoul Hospital  Seoul Republic of Korea"},{"name":"Department of Plastic and Reconstructive Surgery Hanyang University College of Medicine  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1001\/jamafacial.2014.889","article-title":"Scalp Reconstruction: An Algorithmic Approach and Systematic Review","volume":"17","author":"Desai S. C.","year":"2015","journal-title":"JAMA Facial Plast Surg"},{"issue":"4","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"54e","DOI":"10.1097\/01.prs.0000179188.25019.6c","article-title":"Reconstruction of Acquired Scalp Defects: An Algorithmic Approach","volume":"116","author":"Leedy J. E.","year":"2005","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"6","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"2506","DOI":"10.1097\/PRS.0b013e3182131abd","article-title":"An Algorithm for Oncologic Scalp Reconstruction","volume":"127","author":"Corradino B.","year":"2011","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"5","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1097\/01.sap.0000123346.58418.e6","article-title":"Scalp Reconstruction: A 15\u2010Year Experience","volume":"52","author":"Newman M. I.","year":"2004","journal-title":"Annals of Plastic Surgery"},{"issue":"4","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1097\/01.PRS.0000154210.60284.C6","article-title":"Artificial Dermis as an Alternative for Coverage of Complex Scalp Defects Following Excision of Malignant Tumors","volume":"115","author":"Komorowska\u2010Timek E.","year":"2005","journal-title":"Plastic and Reconstructive Surgery"},{"issue":"8","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.3390\/jcm12082953","article-title":"Scalp Reconstruction Using the Latissimus Dorsi Free Flap: A 12\u2010Year Experience","volume":"12","author":"Str\u00fcbing F.","year":"2023","journal-title":"Journal of Clinical Medicine"},{"issue":"7","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1055\/s-0041-1740131","article-title":"Microsurgical Scalp Reconstruction: An Overview of the Contemporary Approach","volume":"38","author":"Song P.","year":"2022","journal-title":"Journal of Reconstructive Microsurgery"},{"key":"e_1_2_9_9_1","volume-title":"Seminars in Plastic Surgery","author":"Sokoya M.","year":"2018"},{"issue":"1","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/SCS.0b013e318272db28","article-title":"Complex Scalp, Skull, and Dural Defect Reconstruction Using a Turnover \u201cTournedos\u201d Myocutaneous Free Flap","volume":"24","author":"Lessard L.","year":"2013","journal-title":"Journal of Craniofacial Surgery"},{"issue":"8","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1055\/s-2005-922433","article-title":"Rationale for Reconstruction of Large Scalp Defects Using the Anterolateral Thigh Flap: Structural and Aesthetic Outcomes","volume":"21","author":"\u00d6zkan \u00d6.","year":"2005","journal-title":"Journal of Reconstructive Microsurgery"},{"issue":"4","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0007-1226(03)00125-5","article-title":"Effects of Thinning the Anterolateral Thigh Flap on the Blood Supply to the Skin","volume":"56","author":"Alkureishi L.","year":"2003","journal-title":"British Journal of Plastic Surgery"},{"issue":"6","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"2130","DOI":"10.1097\/SCS.0000000000001093","article-title":"Thin Superficial Circumflex Iliac Artery Perforator Flap and Supermicrosurgery Technique for Face Reconstruction","volume":"25","author":"Choi D. H.","year":"2014","journal-title":"Journal of Craniofacial Surgery"},{"issue":"3","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1002\/micr.30345","article-title":"Reconstruction of Cranioplasty Using the Thoracodorsal Artery Perforator (TDAP) Flap: A Case Series","volume":"39","author":"Scaglioni M. F.","year":"2019","journal-title":"Microsurgery"},{"issue":"4","key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.12790\/ahm.23.0025","article-title":"Reconstruction of Extensive Scalp Defects of Oncologic Origin Using Thoracodorsal Artery Perforator Free Flaps","volume":"28","author":"Lee S.\u2010H.","year":"2023","journal-title":"Archives of Hand and Microsurgery"},{"issue":"2","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1055\/s-0035-1563398","article-title":"Modification of the Elevation Plane and Defatting Technique to Create a Thin Thoracodorsal Artery Perforator Flap","volume":"32","author":"Kim K. 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L.","year":"2007","journal-title":"Plastic and Reconstructive Surgery"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hed.70490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.70490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T01:59:54Z","timestamp":1790560794000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.70490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,27]]},"references-count":17,"alternative-id":["10.1002\/hed.70490"],"URL":"https:\/\/doi.org\/10.1002\/hed.70490","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,27]]},"assertion":[{"value":"2026-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hed.70490"}}