{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:24:59Z","timestamp":1781713499368,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>After R0 resection of extensive cutaneous squamous cell carcinoma of the scalp with indication for postoperative radiotherapy, closure techniques should be chosen that allow rapid initiation of radiotherapy. The aim of this retrospective analysis is to evaluate defect coverage by transverse transposition flap and split skin grafting of the donor site in such a scenario with regard to oncologic safety (recurrence rate) and permanence of wound closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>Eleven patients were identified who had histologic cutaneous squamous cell carcinoma treated by microscopically controlled excision and defect coverage using a transverse transposition flap and split skin grafting of the donor site and who received postoperative radiotherapy. Patients were evaluated for recurrence, wound healing disorders and side effects of radiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 81 years. Follow\u2010up time averaged 1.4 years after the last radiotherapy session. Wound healing disorders of the transposition flap or graft necrosis were not detected. All therapy\u2010associated side effects had resolved at follow\u2010up. Local recurrence or metastasis did not occur.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Combined transverse transposition flap plasty with split\u2010skin grafting of the donor site is a safe treatment concept with few side effects for large scalp defects with exposed calvaria requiring postoperative radiotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.14687","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T03:49:56Z","timestamp":1649735396000},"page":"611-616","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Covering of large scalp defects prior to postoperative irradiation"],"prefix":"10.1111","volume":"20","author":[{"given":"Till","family":"Mittank\u2010Weidner","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Dermatologie Venerologie und Allergologie Universit\u00e4tsklinik Leipzig A\u00f6R Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Voth","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Dermatologie Venerologie und Allergologie Universit\u00e4tsklinik Leipzig A\u00f6R Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan\u2010Christoph","family":"Simon","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Dermatologie Venerologie und Allergologie Universit\u00e4tsklinik Leipzig A\u00f6R Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Grunewald","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Dermatologie Venerologie und Allergologie Universit\u00e4tsklinik Leipzig A\u00f6R Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-010-2089-2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/ddg.12422","article-title":"The transverse parietooccipital transposition flap for the closure of extensive frontoparietal scalp defects","volume":"13","author":"Valesky EM","year":"2015","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_8_4_1","first-page":"E666","article-title":"Local flap reconstruction of large scalp defects","volume":"13","author":"Garcia del Campo JA","year":"2008","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1111\/ddg.13624","article-title":"Optimal placement of Burow's triangles for aesthetically pleasing repair of multiple defects using local flaps after tumor excision","volume":"16","author":"Volz A","year":"2018","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_8_6_1","unstructured":"Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft Deutsche Krebshilfe AWMF): S3\u2010Leitlinie Aktinische Keratose und Plattenepithelkarzinom der Haut Langversion 1.1 AWMF Registernummer: 032\/022OL. 2020. 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