Highlights • Total necrosis of a scalp flap based on the STA is rare.• Extensive exploration of the vascular supply of the scalp before pedicled flap is not a common… Click to show full abstract
Highlights • Total necrosis of a scalp flap based on the STA is rare.• Extensive exploration of the vascular supply of the scalp before pedicled flap is not a common rule.• Impact of anatomic variations on scalp flap surgery is not well documented.• Anatomical variation may impact negatively the outcome of single pedicled scalp flaps.
               
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