Use of Pericranial Flaps with Dermal Substitute for Scalp Reconstruction: A Case Series
| Autor: | Tracey Bastiaans, Mitchell Lyons, Christopher Lumley, Scott A. Kreitzberg, Neil S. Sachanandani, Lauren N. Oliver, Stephen M. Lu, Kongkrit Chaiyasate, Joshua J. Goldman |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
integumentary system business.industry medicine.medical_treatment lcsh:Surgery lcsh:RD1-811 030230 surgery Reconstructive Surgery 03 medical and health sciences Scalp reconstruction 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Scalp Mohs surgery medicine Forehead Original Article business Scalp defect |
| Zdroj: | Plastic and Reconstructive Surgery Global Open Plastic and Reconstructive Surgery, Global Open, Vol 8, Iss 8, p e3011 (2020) |
| ISSN: | 2169-7574 |
| Popis: | Background:. Skin cancer incidence has been rapidly increasing over the past 2 decades, and the resulting defects from excision have significant aesthetic and functional implications. In particular, wound coverage for large scalp and forehead defects with calvarial exposure can lead to hairline distortion, contour irregularities, and alopecia. We describe a 2-stage technique for scalp reconstruction, which preserves the normal hairline, covers exposed bone with vascularized tissue, and restores an aesthetic soft-tissue contour. Methods:. This is a retrospective case series of 13 adults with ages ranging from 50 to 89 years. All patients underwent Mohs surgery on the forehead or scalp between July 2014 and April 2017. Patients underwent a 2-staged reconstruction with an initial pericranial flap and dermal substitute placement followed by the placement of a split-thickness skin graft within 4–6 weeks. Results:. Over a 3-year period, 13 patients had successful reconstruction of the scalp defect without alteration of the hairline or contour irregularity. Two patients had minor complications after the first-stage procedure with successful aesthetic reconstruction. Conclusions:. Full-thickness defects of the scalp and forehead with bone exposure provide a reconstructive challenge for plastic surgeons. Reconstructive algorithms continue to evolve and should be tailored to best suit patients’ needs and medial comorbidities. Two-staged reconstruction with local pericranial flap provides a safe and efficacious reconstruction that minimizes hairline distortion, contour irregularity, and donor site morbidity. |
| Databáze: | OpenAIRE |
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