Crane Principle Revisited

Kadry, Hamed; Taha, Ahmed

doi:10.1097/gox.0000000000002741

Cited by 4 publications

(14 citation statements)

References 11 publications

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“…2,3,7 In Millard model, an interval of 1 week was enough, but in a scalp and forehead crane technique, as in our case, one week may not be enough to supply the whole area by edge-to-edge circulation. 2,3,7 Hence, depending on the nutrient flap, it is logical to take a longer time interval in forehead cases. An interval of two weeks was sufficient concerning the safety of the flap vascularity and neovascularization process.…”

Section: Discussionmentioning

confidence: 68%

“…An interval of two weeks was sufficient concerning the safety of the flap vascularity and neovascularization process. 2,3,6…”

Section: Discussionmentioning

confidence: 99%

“…Among the aforementioned options, the crane principle is still one of the most straightforward options. 2,3…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The temporarily transferred flap stimulates granulation tissue formation at the original site of injury, leaving behind a healthy bed for graft take later, when the flap is returned to its original location. 2,3,7 In Millard model, an interval of 1 week was enough, but in a scalp and forehead crane technique, as in our case, one week may not be enough to supply the whole area by edge-to-edge circulation. 2,3,7 Hence, depending on the nutrient flap, it is logical to take a longer time interval in forehead cases.…”

Section: Reconstructive Case Reportmentioning

confidence: 99%

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A Rare Case of Microblading Complicated by Orbital Exenteration and Frontal Defect Reconstructed Using Crane Principle

Soltany

Alajieh

Aissami

2023

Plastic and Reconstructive Surgery - Global Open

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Summary: This is a case of a rare complication of microblading in a middle-aged woman in a developing country, resulting in a right orbital exenteration and a forehead defect associated with bone exposure reconstructed using the crane principle. To the best of our knowledge, this case is the first one to report such an entity. We are aiming to highlight the importance of proper hygiene in such cosmetic procedures and to shed light on the crane principle as a suitable reconstructive choice, especially in circumstances where other reconstructive options are not available, or in specific situations like mass causalities when shorter operation time is required.

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Section: Discussionmentioning

confidence: 68%

“…An interval of two weeks was sufficient concerning the safety of the flap vascularity and neovascularization process. 2,3,6…”

Section: Discussionmentioning

confidence: 99%

“…Among the aforementioned options, the crane principle is still one of the most straightforward options. 2,3…”

Section: Discussionmentioning

confidence: 99%

Section: Reconstructive Case Reportmentioning

confidence: 99%

See 2 more Smart Citations

A Rare Case of Microblading Complicated by Orbital Exenteration and Frontal Defect Reconstructed Using Crane Principle

Soltany

Alajieh

Aissami

2023

Plastic and Reconstructive Surgery - Global Open

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“…Dhar et al in Bengal reported a case of scalp degloving injury treated with the crane principle over an 8-month interval [ 14 ]. Kadry et al in Egypt presented a case series of twenty patients with scalp trauma or electric burn injuries [ 15 ]. Their interval between flap transferals was only two weeks.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a secondary scalp defect using the crane principle and a split-thickness skin graft

Lu¹,

Chang

Chang³

et al. 2021

BMC Surg

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Background Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The “crane principle” is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Decades ago, it was commonly used for forehead scalp defects, but this useful technique has been seldom reported on in recent years due to the improvement of microsurgical techniques. Previous reports mainly used the crane principle for the primary defects, and here we present a case with its coincidental application to deal with a complication of a secondary defect. Case report We present a case of a 75-year-old female patient with a temporoparietal scalp squamous cell carcinoma (SCC). After tumor excision, the primary defect was reconstructed using a transposition flap and the donor site was covered by a split-thickness skin graft (STSG). Postoperatively, the occipital skin graft was partially lost resulting in skull bone exposure. For this secondary defect, we applied the crane principle to the previously rotated flap as a salvage procedure and skin grafting to the original tumor location covered by a viable galea fascia in 1.5 months. Both the flap and skin graft healed uneventfully. Conclusions Currently, the crane principle is a little-used technique because of the familiarity of microsurgery. Nevertheless, the concept is still useful in selected cases, especially for the management of previous flap complications.

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Negative Pressure Wound Therapy (NPWT) after Hybrid Reconstruction of Occipital Pressure Sore Using Local Flap and Skin Graft

Baek

Park

2023

Medicina

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Background and objectives: Pressure sores are a common medical burden among patients, particularly those who are bedridden or frail. Surgical management of occipital pressure sores poses unique challenges due to limited elasticity and the spherical shape of the scalp. This study aims to evaluate the efficacy and safety of a novel reconstruction method utilizing a local transpositional flap and split-thickness skin graft with negative pressure wound therapy (NPWT) for occipital pressure sore treatment. Material and methods: A retrospective analysis was performed on patients with occipital pressure sores who underwent hybrid reconstructions using a local flap and split-thickness skin graft in conjunction with NPWT. Surgical outcomes, including flap survival rate, graft take percentage, and complications, were assessed. A comparative analysis was performed between the NPWT group and the conventional dressing group. Results: The NPWT group (n = 24) demonstrated a significantly higher mean graft take percentage at postoperative day 14 compared with the conventional dressing group (n = 22) (98.2% vs. 81.2%, p < 0.05). No significant difference in flap survival rate was observed between the two groups. Conclusions: As the aging population continues to grow, occipital pressure sores have gained significant attention as a crucial medical condition. The innovative surgical method incorporating NPWT offers an efficient and safe treatment option for patients with occipital pressure sores, potentially establishing itself as the future gold standard for managing this condition.

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Crane Principle Revisited

Cited by 4 publications

References 11 publications

A Rare Case of Microblading Complicated by Orbital Exenteration and Frontal Defect Reconstructed Using Crane Principle

A Rare Case of Microblading Complicated by Orbital Exenteration and Frontal Defect Reconstructed Using Crane Principle

Reconstruction of a secondary scalp defect using the crane principle and a split-thickness skin graft

Negative Pressure Wound Therapy (NPWT) after Hybrid Reconstruction of Occipital Pressure Sore Using Local Flap and Skin Graft

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