Free Flap Reconstruction for Complex Scalp and Forehead Defects with Associated Full-Thickness Calvarial Bone Resections
Abstract
:Materials and Methods
Results
Patient and Defect Details
Reconstructive Procedures
Complications
Discussion
Case Reports
Case 1
Case 2
Case 3
Case 4
Conclusions
References
- Lutz, B.S.; Wei, F.C.; Chen, H.C.; Lin, C.H.; Wei, C.Y. Reconstruction of scalp defects with free flaps in 30 cases. Br J Plast Surg 1998, 51, 186–190. [Google Scholar] [CrossRef] [PubMed]
- Lee, B.; Bickel, K.; Levin, S. Microsurgical reconstruction of extensive scalp defects. J Reconstr Microsurg 1999, 15, 255–262; discussion 263–264. [Google Scholar] [CrossRef] [PubMed]
- TerKonda, R.P.; Sykes, J.M. Concepts in scalp and forehead reconstruction. Otolaryngol Clin N Am 1997, 30, 519–539. [Google Scholar] [CrossRef]
- Afifi, A.; Djohan, R.S.; Hammert, W.; Papay, F.A.; Barnett, A.E.; Zins, J.E. Lessons learned reconstructing complex scalp defects using free flaps and a cranioplasty in one stage. J Craniofac Surg 2010, 21, 1205–1209. [Google Scholar] [CrossRef]
- van Driel, A.A.; Mureau, M.A.; Goldstein, D.P.; et al. Aesthetic and oncologic outcome after microsurgical reconstruction of complex scalp and forehead defects after malignant tumor resection: An algorithm for treatment. Plast Reconstr Surg 2010, 126, 460–470. [Google Scholar] [CrossRef]
- Iblher, N.; Ziegler, M.C.; Penna, V.; Eisenhardt, S.U.; Stark, G.B.; Bannasch, H. An algorithm for oncologic scalp reconstruction. Plast Reconstr Surg 2010, 126, 450–459. [Google Scholar] [CrossRef]
- Komorowska-Timek, E.; Gabriel, A.; Bennett, D.C.; et al. Artificial dermis as an alternative for coverage of complex scalp defects following excision of malignant tumors. Plast Reconstr Surg 2005, 115, 1010–1017. [Google Scholar] [CrossRef] [PubMed]
- Chang, K.P.; Lai, C.H.; Chang, C.H.; Lin, C.L.; Lai, C.S.; Lin, S.D. Free flap options for reconstruction of complicated scalp and calvarial defects: Report of a series of cases and literature review. Microsurgery 2010, 30, 13–18. [Google Scholar] [CrossRef]
- Beasley, N.J.; Gilbert, R.W.; Gullane, P.J.; Brown, D.H.; Irish, J.C.; Neligan, P.C. Scalp and forehead reconstruction using free revascularized tissue transfer. Arch Facial Plast Surg 2004, 6, 16–20. [Google Scholar] [CrossRef]
- Orticochea, M. Four flap scalp reconstruction technique. Br J Plast Surg 1967, 20, 159–171. [Google Scholar] [CrossRef]
- Antonyshyn, O.; Gruss, J.S.; Mackinnon, S.E.; Zuker, R. Complications of soft tissue expansion. Br J Plast Surg 1988, 41, 239–250. [Google Scholar] [PubMed]
- Newman, M.I.; Hanasono, M.M.; Disa, J.J.; Cordeiro, P.G.; Mehrara, B.J. Scalp reconstruction: A 15-year experience. Ann Plast Surg 2004, 52, 501–506; discussion 506. [Google Scholar] [PubMed]
- Liu, R.; Gullane, P.; Brown, D.; Irish, J. Pectoralis major myocutaneous pedicled flap in head and neck reconstruction: Retrospective review of indications and results in 244 consecutive cases at the Toronto General Hospital. J Otolaryngol 2001, 30, 34–40. [Google Scholar] [CrossRef]
- Virós Porcuna, D.; León Vintró, X.; López Vilas, M.; Pujol Olmo, A.; Masià Ayala, J.; Quer Agustí, M. [Pectoralis major flaps. Evolution of their use in the age of microvascularized flaps]. Acta Otorrinolaringol Esp 2008, 59, 263–268. [Google Scholar] [CrossRef]
- Hoffman, J.F. Management of scalp defects. Otolaryngol Clin N Am 2001, 34, 571–582. [Google Scholar]
- Nordström, R.E.; Devine, J.W. Scalp stretching with a tissue expander for closure of scalp defects. Plast Reconstr Surg 1985, 75, 578–581. [Google Scholar]
- Wieslander, J.B. Repeated tissue expansion in reconstruction of a huge combined scalp-forehead avulsion injury. Ann Plast Surg 1988, 20, 381–385. [Google Scholar] [CrossRef] [PubMed]
- Fonseca, J.L. Use of pericranial flap in scalp wounds with exposed bone. Plast Reconstr Surg 1983, 72, 786–790. [Google Scholar]
- Terranova, W. The use of periosteal flaps in scalp and forehead reconstruction. Ann Plast Surg 1990, 25, 450–456. [Google Scholar] [CrossRef]
- Guerrissi, J.O. Reconstruction of large defects in the scalp with fasciocutaneous flaps. Scand J Plast Reconstr Surg Hand Surg 1999, 33, 217–224. [Google Scholar]
- Lesavoy, M.A.; Dubrow, T.J.; Schwartz, R.J.; Wackym, P.A.; Eisenhauer, D.M.; McGuire, M. Management of large scalp defects with local pedicle flaps. Plast Reconstr Surg 1993, 91, 783–790. [Google Scholar] [CrossRef] [PubMed]
- Orticochea, M. New three-flap reconstruction technique. Br J Plast Surg 1971, 24, 184–188. [Google Scholar] [CrossRef] [PubMed]
- Shonka, D.C., Jr.; Potash, A.E.; Jameson, M.J.; Funk, G.F. Successful reconstruction of scalp and skull defects: Lessons learned from a large series. Laryngoscope 2011, 121, 2305–2312. [Google Scholar] [CrossRef] [PubMed]
Sex and Age | Cause | Soft Tissue Defect (cm2) | BonyDefect (cm2) | Flap | Recipient Vessels | Cranioplasty | Complications |
---|---|---|---|---|---|---|---|
M 49 | SFT a | 4 | 25 | Vastus lateralis | TA/EJV | PEEK | No |
M 64 | DFS | 112 | 40 | ALT | PFV | PEEK | No |
M 31 | E | 225 | 100 | Latissimus dorsi | TV | PEEK | No |
F 41 | SP | 225 | 9 | Latissimus dorsi | TV | No | PE |
M 70 | SCC | 30 | 25 | ALT | TV | Titanium mesh | No |
M 70 | ORN | 9 | 12 | Radial forearm | TV | Titanium mesh | No |
Flaps | Pedicle Length | Thickness | Muscle Volume | Donor Site Morbidity |
---|---|---|---|---|
Radial forearm | +++ | ++ a | — | +++ |
Latissimus dorsi muscular | ++ | +++ | +++ | ++ |
Latissimus dorsi myocutaneous | ++ | + | +++ | ++ |
Anterolateral thigh | ++ | ++ b | ++ | +/— |
Vastus lateralis | + | + | ++ | + |
© 2012 by the author. The Author(s) 2012.
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Larrañaga, J.; Rios, A.; Franciosi, E.; Mazzaro, E.; Figari, M. Free Flap Reconstruction for Complex Scalp and Forehead Defects with Associated Full-Thickness Calvarial Bone Resections. Craniomaxillofac. Trauma Reconstr. 2012, 5, 205-211. https://doi.org/10.1055/s-0032-1322534
Larrañaga J, Rios A, Franciosi E, Mazzaro E, Figari M. Free Flap Reconstruction for Complex Scalp and Forehead Defects with Associated Full-Thickness Calvarial Bone Resections. Craniomaxillofacial Trauma & Reconstruction. 2012; 5(4):205-211. https://doi.org/10.1055/s-0032-1322534
Chicago/Turabian StyleLarrañaga, Juan, Alfredo Rios, Edgardo Franciosi, Eduardo Mazzaro, and Marcelo Figari. 2012. "Free Flap Reconstruction for Complex Scalp and Forehead Defects with Associated Full-Thickness Calvarial Bone Resections" Craniomaxillofacial Trauma & Reconstruction 5, no. 4: 205-211. https://doi.org/10.1055/s-0032-1322534
APA StyleLarrañaga, J., Rios, A., Franciosi, E., Mazzaro, E., & Figari, M. (2012). Free Flap Reconstruction for Complex Scalp and Forehead Defects with Associated Full-Thickness Calvarial Bone Resections. Craniomaxillofacial Trauma & Reconstruction, 5(4), 205-211. https://doi.org/10.1055/s-0032-1322534