{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:16Z","timestamp":1756307416304,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,23]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2024-261825","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T23:55:23Z","timestamp":1740441323000},"page":"e261825","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unilobed rotational flap for traumatic scalp soft tissue loss"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-1732","authenticated-orcid":false,"given":"Abdul","family":"Hakeem","sequence":"first","affiliation":[{"name":"Trauma Surgery and Critical Care, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8138-3695","authenticated-orcid":false,"given":"Vakil","family":"Khan","sequence":"additional","affiliation":[{"name":"Trauma Surgery and Critical Care, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4493-8514","authenticated-orcid":false,"given":"Rachith","family":"Sridhar","sequence":"additional","affiliation":[{"name":"Trauma Surgery and Critical Care, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4193-0805","authenticated-orcid":false,"given":"Majid","family":"Anwer","sequence":"additional","affiliation":[{"name":"Trauma Surgery and Critical Care, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"2025082707593805000_18.2.e261825.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70183-4"},{"key":"2025082707593805000_18.2.e261825.2","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.fsc.2017.06.010","article-title":"Emergent Soft Tissue Repair in Facial Trauma","volume":"25","author":"Marks","year":"2017","journal-title":"Fac Plast Surg Clin North Am"},{"key":"2025082707593805000_18.2.e261825.3","first-page":"227","article-title":"Reconstruction of large scalp and forehead defects in oncology: personal tactics and experience - analysis of 25 cases","volume":"27","author":"Souza","year":"2012","journal-title":"Braz J Plast Surg"},{"key":"2025082707593805000_18.2.e261825.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2004.09.011"},{"key":"2025082707593805000_18.2.e261825.5","doi-asserted-by":"crossref","first-page":"e523","DOI":"10.1097\/SCS.0000000000002029","article-title":"Double-Opposing Unilobar Rotation Flaps in the Reconstruction of Moderate-to-Large Defects of the Scalp","volume":"26","author":"Moulton-Barrett","year":"2015","journal-title":"J Craniofac Surg"},{"key":"2025082707593805000_18.2.e261825.6","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.ijom.2006.05.005","article-title":"The triple rotation scalp flap revisited: a case of reconstruction of cicatricial pressure alopecia","volume":"35","author":"Michaelidis","year":"2006","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082707593805000_18.2.e261825.7","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.hcl.2013.12.004","article-title":"Local flaps of the hand","volume":"30","author":"Rehim","year":"2014","journal-title":"Hand Clin"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261825","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:59:43Z","timestamp":1756306783000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/bcr-2024-261825"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261825","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}