头皮缺损的直径大于3厘米作一期缝合是相当困难的,常常需要作周围组织的广泛松弛或转瓣缝合。文献中曾报导有关这类缺损应用各种旋转皮瓣封闭的方法。作者设计的多个轮状皮瓣封闭头皮缺损是一种实用改良的方法。病例报告病例一,男孩5岁,因头皮三度烧伤一年而入院。检查发现在左侧头顶前份有约4.0×3.5厘米之长椭园形、凹陷瘢痕,局麻下,彻底切除全部瘢痕,松弛创周头皮后,如果采取直线拉拢缝合,不仅张力大,而且为了消除切口折角(狗耳朵),就得延长头皮切口的25％,损失一些正常的头皮组织。为了避免这些弊病,作者采用四个轮状瓣的手 Scalp defects larger than 3 cm in diameter for a suture is quite difficult, often need to make extensive relaxation of the surrounding tissue or rotary suture. The literature has reported on the application of such defects in a variety of rotating flap closure method. A number of wheel flaps designed by the author to seal scalp defects are a practical and improved method. Case Report Case 1, a boy 5 years old, admitted to hospital for a year due to a third-degree scalp burn. Check found in the left front of the head about 4.0 × 3.5 cm long oval, depression scars, under local anesthesia, complete removal of all scars, relaxation of the wounds of the scalp, if taken straight stretch suture, not only tension, but also for Elimination of incision (dog's ear), you have to extend the scalp incision 25%, loss of some normal scalp tissue. To avoid these drawbacks, the author uses four round-shaped hands