Reconstruction of large defects on the scalp and forehead as an interdisciplinary challenge: experience in the management of 39 cases.
Eur J Surg Oncol
; 32(9): 1006-14, 2006 Nov.
Article
in En
| MEDLINE
| ID: mdl-16806795
ABSTRACT
AIMS:
To describe options and indications for different surgical reconstruction techniques after resection of large skin tumours on the scalp taking into account an interdisciplinary approach of cranio-maxillofacial surgeon, dermatologist, and neurosurgeon, and to evaluate complications and postoperative outcome. PATIENTS ANDMETHODS:
From a total of 39 patients with large skin tumour resections on the scalp and/or the forehead, treated between January 01, 1995 and June 30, 2005, a number of 42 surgical reconstructions were performed. The medical histories, the surgical treatment, postoperative complications, follow-up and outcome were evaluated.RESULTS:
The excision defects measured 146 cm(2) (range 80.6-546 cm(2)) on average. The most common methods for defect closure were multiple rotation-advancement flaps (n=19). Six patients were treated with split-thickness skin grafts after bone drilling for inducing granulation tissue to grow. Free latissimus dorsi muscle flaps were used in 8 patients and radial forearm flaps in 4 cases. Postoperative complications were rare. An algorithm for the surgical approach to large scalp defects was developed.CONCLUSION:
For reconstruction of large defects on the scalp and forehead, various reliable methods may be used with regard to individual patient-specific parameters in cooperation with different medical specialties involved.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Scalp
/
Skin Neoplasms
/
Plastic Surgery Procedures
/
Forehead
Type of study:
Observational_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Eur J Surg Oncol
Journal subject:
NEOPLASIAS
Year:
2006
Type:
Article