Abstract：
BACKGROUND: The Pacman flap is a modified V-Y advancement flap that showed to be versatile in repairing surgical and non-surgical wounds. Indeed, this flap has been used in any anatomical localization, except for the scalp, where its use has not been reported. Moreover, the versatility of the Pacman flap can be enhanced by applying simple modifications to its original design.
METHODS: A case-series of 23 patients whose surgical breaches were repaired using standard or modified Pacman flap were included in this retrospective study.
RESULTS: Most patients were male (65.2%) with a median age of 75.7 years. Squamous cell carcinoma was the tumor most commonly removed (60.9%), while scalp and face were the most frequent localizations (30.4%). Although 18 flaps were sculpted in the traditional Pacman shape, 5 were modified to fit the defect and localization. Complications occurred in 30% of flaps, but all of them were minor except for 1 extended necrosis.
CONCLUSIONS: The Pacman flap can be used to repair surgical wounds localized in any body area, including the scalp. Three modifications can enhance the versatility of the flap and offer new repair options to dermatologic surgeons.
METHODS: A case-series of 23 patients whose surgical breaches were repaired using standard or modified Pacman flap were included in this retrospective study.
RESULTS: Most patients were male (65.2%) with a median age of 75.7 years. Squamous cell carcinoma was the tumor most commonly removed (60.9%), while scalp and face were the most frequent localizations (30.4%). Although 18 flaps were sculpted in the traditional Pacman shape, 5 were modified to fit the defect and localization. Complications occurred in 30% of flaps, but all of them were minor except for 1 extended necrosis.
CONCLUSIONS: The Pacman flap can be used to repair surgical wounds localized in any body area, including the scalp. Three modifications can enhance the versatility of the flap and offer new repair options to dermatologic surgeons.
摘要：
背景：Pacman皮瓣是一种改良的V-Y推进皮瓣，在修复手术和非手术伤口方面表现出通用性。的确,该皮瓣已用于任何解剖定位，除了头皮,它的使用尚未报告。此外，Pacman皮瓣的多功能性可以通过对其原始设计进行简单的修改来增强。
方法：本回顾性研究包括23例采用标准或改良Pacman皮瓣修复手术裂口的患者。
结果：大多数患者为男性（65.2%），中位年龄为75.7岁。鳞状细胞癌是最常见的切除肿瘤（60.9%），而头皮和面部是最常见的局部化(30.4%)。尽管有18个襟翼被雕刻成传统的Pacman形状，5被修改以适合缺陷和定位。并发症发生在30%的皮瓣，但所有的人都是轻微的，除了1个扩展的坏死。
结论：Pacman皮瓣可用于修复任何部位的手术伤口，包括头皮.三个修改可以增强皮瓣的多功能性，并为皮肤科外科医生提供新的修复选择。
方法：本回顾性研究包括23例采用标准或改良Pacman皮瓣修复手术裂口的患者。
结果：大多数患者为男性（65.2%），中位年龄为75.7岁。鳞状细胞癌是最常见的切除肿瘤（60.9%），而头皮和面部是最常见的局部化(30.4%)。尽管有18个襟翼被雕刻成传统的Pacman形状，5被修改以适合缺陷和定位。并发症发生在30%的皮瓣，但所有的人都是轻微的，除了1个扩展的坏死。
结论：Pacman皮瓣可用于修复任何部位的手术伤口，包括头皮.三个修改可以增强皮瓣的多功能性，并为皮肤科外科医生提供新的修复选择。
