Local flap reconstruction of large scalp defects.

Autor: García del Campo JA; Oral and Maxillofacial Surgery Department, La Paz University Hospital, Madrid, Spain. pepio2@hotmail.com, García de Marcos JA, del Castillo Pardo de Vera JL, García de Marcos MJ
Jazyk: angličtina
Zdroj: Medicina oral, patologia oral y cirugia bucal [Med Oral Patol Oral Cir Bucal] 2008 Oct 01; Vol. 13 (10), pp. E666-70. Date of Electronic Publication: 2008 Oct 01.
Abstrakt: Scalp defects can have a number of origins, and their repair is dependent upon their location, size and depth. In the case of the scalp, the repair of even small defects is complicated. Local flaps are the reference for the reconstruction of such defects. Knowledge of scalp anatomy is essential for preparing these flaps, which must be based on one or two vascular pedicles to afford a large rotation angle--thereby facilitating closure of the defect. The parietal zone is the location offering the greatest flap mobilization possibilities. We present a case involving the repair of a major pericranial frontoparietal scalp defect. A local transverse posterior transpositioning scalp flap was raised with the posterior auricular and occipital arteries as vascular pedicle. Following repositioning of the flap, a free partial-thickness skin graft from the thigh was used to cover the donor zone. A review is provided of the different techniques for the reconstruction of large scalp defects.
Databáze: MEDLINE