The Use of the Juri Temporo-Parieto-Occipital Flap

ABSTRACT The temporo-parieto-occipital flap, introduced in 1969, was the first large monopedicled flap performed in the scalp for reconstructive and aesthetic purposes. Its versatility for correction of many areas of the scalp relies on its wide arch of rotation, based in the flap's pedicle, which is the superficial temporal artery and vein. The axial pattern of the flap is explained by the unique kind of vascularization present in the scalp, based on a profuse intraparietal blood flow with multiple anastomoses. This is confirmed by careful anatomic studies. In 1979, the free version of the flap was first accomplished. This flap allows for an excellent source of reconstruction of the anterior hairline as it provides hair growing in the appropriate direction. In this article we provide for precise and accurate information to successfully perform this flaps. We strongly believe this flap has very specific indications for which no other method can achieve the same result.