Reconstruction by occipital V-Y flap of occipital squamous cell carcinoma.

Surgical excision of the scalp often produces many problems aesthetically and functionally in case the defect became large. Because of special characteristcs of this area; hairly, less elasticity of the skin, and easily injured, the reconstruction could be more difficult. We reported the reconstruction of squamous cell carcinoma (SCC) on the scalp with occipital V-Y flap. Two patients were shown with remarkable results.Occipital flap based on occipital artery has the advantages of short operation time, with one stage, excellent texture matching with hair because of local flap. Moreover the donor defect can be closed primarily by V-Y advancement flap. Both patients already recovered, went out without hat or wig and were enjoying their life.