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BASICS IN DERMATOLOGIC SURGERY
Double hatchet flap for SCC of the scalp: a severe dermatosurgery with a lot of risks and possible complications.
However , managed good in this case. Procedure performed under local anesthesia.
A double hatchet flap is a surgical technique used to reconstruct scalp defects, often following the removal of skin cancer. It is a versatile method for closing moderate to large defects by using a combination of rotational and advancement flaps, providing a good cosmetic result with minimal tension on the reconstructed area. The flap is an effective option for areas where skin elasticity is limited and is a valuable tool for dermatologic surgeons.

How it works
Design: The “hatchet” shape is created by designing two triangular flaps at the edges of the defect. These flaps are then rotated and advanced to meet in the center, effectively closing the wound.
Reconstruction: The flap is designed to be a local flap, meaning the tissue comes from the surrounding area. This method can be used in a single surgical session.
Advantages: It provides a reliable way to close defects and maintain a good cosmetic appearance, particularly for the hairline. It can also be modified for other areas of the head and neck.
Skin Cancer Specifics: The double hatchet flap is particularly useful for reconstructing defects after cancerous tumors of the scalp have been surgically excised.
Recovery: Full recovery after flap surgery can take several weeks to months, and it’s important to follow the surgeon’s instructions for healing and resuming normal activities.