Scalp Reconstruction by Microvascular Free Tissue Transfer

Furnas, Heather; Lineaweaver, William C.; Alpert, Bernard S.; Buncke, Harry J.

doi:10.1097/00000637-199005000-00007

Cited by 80 publications

(57 citation statements)

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“…[5] The latissimus dorsi muscle can serve as a musculocutaneous or muscular flap in scalp reconstruction, given its large surface area and long vascular pedicle. [6,7] However, it has certain disadvantages that include the requirement of repositioning the patient intraoperatively to harvest the flap, an unnatural appearance of a skin island in the scalp, difficulty in clinical flap monitoring particularly for the muscle-only flaps, a lack of durability in split-thickness grafts, potential complications such as seroma and wound dehiscence in the donor area, and, finally, sacrification of a functional muscle. [8] The serratus anterior flap is another option for scalp reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Extensive Scalp Defects With Anterolateral Thigh Flap

Altinkaya

Yazar²,

Sağlam³

et al. 2018

Ulus Travma Acil Cerrahi Derg

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Section: Introductionmentioning

confidence: 99%

Reconstruction of Extensive Scalp Defects With Anterolateral Thigh Flap

Altinkaya

Yazar²,

Sağlam³

et al. 2018

Ulus Travma Acil Cerrahi Derg

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“…Although their use has longer operative time, more anesthetic exposure, a greater possibility of donor and recipient sites morbidities with bulky non hairy coverage [10-12], they have the best cosmetic and functional outcome [13]…”

Section: Introductionmentioning

confidence: 99%

Can we put a simplified algorithm for reconstruction of large scalp defects following tumor resection?

et al. 2011

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BackgroundReconstruction of large scalp defects after tumor resection is a challenging problem. We aimed at putting an algorithm for reconstruction of those defects.MethodsForty-two patients with scalp malignancies were enrolled in this study. Tumors were resected to a 1 cm negative margin and defects were reconstructed according to their size and to patient general condition.ResultsNo peri-operative mortality was encountered. Usage of free flaps was superior in cosmoses and function with an acceptable rate of complications.Conclusionfor scalp defects wider than100 cm2, the best tool of reconstruction is free flaps. Pedicled distant flaps are reserved if free flaps are not feasible or failed. Split thickness skin grafts are cosmetically inferior and not suitable for recurrent and irradiated tumours and better reserved for patients who cannot tolerate major operations.

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“…The combined flaps still do not cover the opposite temporal defect. Probably the only other flap that could be used to reconstruct the entire defect is the omental flap (1,13,14). Had the deficiency of the latissimus in covering the defect been appreciated in patient 1 we would likely have opted for that flap in the first place.…”

Section: Discussionmentioning

confidence: 99%

Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects

Zhong¹,

Pj²

2003

J Plast Surg

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BACKGROUND: The reconstruction of large scalp defects is occasionally required. Several methods of scalp reconstruction have previously been described. This paper presents the authors' experience with two patients in whom traditional methods were not sufficient and in whom bilateral latissimus dorsi free flaps were required. OBJECTIVES: To evaluate the effectiveness of a new technique in reconstructing extensive scalp defects. METHODS: Two case histories are presented. These include the rationale for the choice of reconstruction used as well as a discussion on the technical features of the surgery. RESULTS: Reconstruction was effective in both cases. However, one patient died in the early postoperative period from a pulmonary embolus. CONCLUSIONS: Bilateral latissimus flaps can be safely and effectively used in closing massive scalp defects in selected cases.

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Scalp Reconstruction by Microvascular Free Tissue Transfer

Cited by 80 publications

References 0 publications

Reconstruction of Extensive Scalp Defects With Anterolateral Thigh Flap

Reconstruction of Extensive Scalp Defects With Anterolateral Thigh Flap

Can we put a simplified algorithm for reconstruction of large scalp defects following tumor resection?

Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects

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