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The particular anatomy of the scalp largely dictates utilization of its parts and adjacent attached integument for reconstructive purposes. Unusually large movements of scalp skin are generally required with a variety of basic techniques and ancillary procedures. Rotation flaps are considered the prime “work‐horses” for scalp flap reconstructions. Anatomic factors will be interspersed with clinical applications, and a series of photographs and commentary will highlight these considerations.
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