Scalp reconstruction: A 10-year retrospective study

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• 作者：D. Steiner ; A. Hubertus ; A. Arkudas ; C.D. Taeger ; I. Ludolph ; A.M. Boos ; M. Schmitz ; R.E. Horch ; J.P. Beier ; ^{justus.beier@uk-erlangen.de}
• 关键词：Scalp reconstruction ; Free tissue transfer ; Microsurgery ; Composite scalp defects
• 刊名：Journal of Cranio-Maxillofacial Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：45
• 期：2
• 页码：319-324
• 全文大小：374 K
• 卷排序：45

文摘

Scalp reconstruction is a challenging task for the reconstructive surgeon. In consideration of the anatomical and cosmetic characteristics, the defect depth and size, an armamentarium of reconstructive procedures ranging from skin grafts over local flaps to free tissue transfer has been described. In this 10-year retrospective study, 85 operative procedures for scalp reconstruction were performed at our department. The underlying entity, defect size/depth, reconstructive procedure, complications, and mean hospital stay were analyzed. In most cases, scalp reconstruction was necessary after oncologic resection (67%) or radiation therapy (16%). A total of 85 operative procedures were performed for scalp reconstruction including local flaps (n = 50), free tissue transfer (n = 18), and skin grafts (n = 17). Regarding the complication rate, we could detect an overall major complication rate of 16.5% with one free flap loss. Briefly, local flaps are an adequate and safe procedure for limited scalp defects. In the case of extensive scalp defects affecting the calvarium, prior multiple surgical interventions and/or radiation, we prefer free tissue transfer.