Lemperle G, Kostka K H, Exner K
Klinik für Plastische- und Wiederherstellungschirurgie am St. Markus-Krankenhaus Frankfurt.
Handchir Mikrochir Plast Chir. 1991 Nov;23(6):283-92.
This is a report on thirty six patients with male pattern baldness, surgically treated with one or two parieto-occipital flaps according to Juri. In six patients with isolated occipital baldness, specially designed flaps were used. Since male baldness usually is genetically determined and hairroots of the temporo-occipital scalp remain active throughout life, one can expect that they continue growing within the transposed flaps. There are three indications for parieto-occipital flaps: 1. psychological burden of the patient, 2. genetic background in the family of young patients, and 3. prior punch hair grafts whose roots have atrophied.