Revisiting the Pericranial Flap for Scalp Reconstruction
Autor: | Seth R. Thaller, Ethan Plotsker, Kriya Gishen, Jason J. Yoo |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Reconstructive Surgeon Tumor resection Surgical Flaps 03 medical and health sciences Scalp reconstruction 0302 clinical medicine Blunt dissection Humans Medicine 030223 otorhinolaryngology Scalp business.industry Soft tissue Cosmesis 030206 dentistry General Medicine Plastic Surgery Procedures Surgery medicine.anatomical_structure Otorhinolaryngology business Hair |
Zdroj: | Journal of Craniofacial Surgery. 32:1275-1280 |
ISSN: | 1536-3732 1049-2275 |
Popis: | Soft tissue deficits of the scalp due to trauma, infection, or tumor resection present a unique challenge to the reconstructive surgeon whose goal is to achieve excellent cosmesis in a hair bearing area without compromising coverage. While extensive undermining for large rotation flaps or free tissue transfer can provide necessary coverage, the pericranial flap is an excellent alternative for less ideal surgical candidates who cannot tolerate more extensive interventions or for patients who require long-term cancer surveillance. Elevation of the pericranial flap limits the need for back cuts through the skin and uses blunt dissection to preserve overlying hair follicles. Here we present a review of the anatomy and historical use of the pericranial flap for scalp coverage and we present 4 cases to demonstrate its current utility. |
Databáze: | OpenAIRE |
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