Free perforating branch flap for primary repairing the huge soft-tissue defects on the scalp and face
| Autor: | Gang Yu, Ming-Gang Wang, Kai Wang, Yan-Jun Chu, Hong-Yuan Wang, Jing-Wu Sun, Xiang-Pin Wei |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Soft Tissue Injuries Intracranial tumor Dermatology Roentgen ulcer Surgical Flaps Cicatrix 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans Aged Wound Healing Scalp business.industry Soft tissue Skin Transplantation Middle Aged Plastic Surgery Procedures Skin transplantation Tissue defect Surgery medicine.anatomical_structure Face 030220 oncology & carcinogenesis Female business Perforator flaps |
| Zdroj: | Journal of Dermatological Treatment. 27:505-509 |
| ISSN: | 1471-1753 0954-6634 |
| Popis: | This study aimed to explore the effect of free perforating branch flap on the reconstruction of huge soft-tissue defects on the scalp and face.Sixteen cases of huge soft-tissue defects on the scalp and face were reconstructed by nine latissimus dorsi-free perforator flaps and seven anterolateral thigh-free perforator flaps. The defects area was from 12 cm× 7 cm to 20 cm × 11 cm, while the flaps area was from 14 cm × 8 cm to 23 cm × 12 cm. The survival, planeness, chromatic aberration, radiotherapy toleration of flap and the function, scar of donor site were observed postoperatively.All of the flaps were survived completely, and 15 cases presented for primary reconstruction; one underwent secondary reconstruction. One of the patients died one-year postoperatively due to intracranial tumor recurrence and the others had no recurrence. All of the flaps showed perfect shape and appropriate thickness. No roentgen ulcer was observed except for some extent of chromatic aberration. The donor-site scar was larvaceous and the function was good.This study indicated that the latissimus dorsi-free perforator flap or anterolateral thigh-free perforator flap was an ideal choice for the reconstruction of defects on the scalp and face. |
| Databáze: | OpenAIRE |
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