Surgical skill in a nutshell
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https://doi.org/10.4081/dr.2026.10670

Dermatosurgical pearls: the plesiosaurus flap for covering a primary defect of the scalp after surgical excision of a problematic lesion

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Published: 15 January 2026
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Dermatologic surgery, plesiosaurus flap, scalp region, occipital region

Authors

Georgi Tchernev
Department of Dermatology and Venereology Medical Institute of Ministry of Interior, Sofia; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Konstantin Georgiev Tchernev Jr
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Simona Kordeva
simonakordeva97@gmail.com
Department of Dermatology and Venereology Medical Institute of Ministry of Interior, Sofia, Bulgaria.

A 54-year-old male presented with a painful nodular, tumor-like lesion, in the right occipital region, present for approximately two years, clinically suspected of atheroma. Surgical excision of the lesion was recommended.

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Citations

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Europe PMC
1. Sokoya M, Inman J, Ducic Y. Scalp and Forehead Reconstruction. Semin Plast Surg 2018;32:90-4. DOI: https://doi.org/10.1055/s-0038-1642638
2. Seretis K, Bounas N, Lykoudis EG. Reconstruction of Scalp Defects with Rotational Flaps: Where Is the Limit? Surgeries 2025;6:18. DOI: https://doi.org/10.3390/surgeries6010018
3. Tchernev G, Kordeva S. Dermatologic surgery rounds: double rotation (Yin-Yang) flap for reconstruction of a circular skin defect after BCC removal in the scalp region. Dermatol Reports 2025. DOI: https://doi.org/10.4081/dr.2025.10420

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1.
Tchernev G, Tchernev Jr KG, Kordeva S. Dermatosurgical pearls: the plesiosaurus flap for covering a primary defect of the scalp after surgical excision of a problematic lesion. Dermatol Reports [Internet]. 2026 Jan. 15 [cited 2026 Aug. 10];. Available from: https://journals.pagepress.net/dr/article/view/10670
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