Scalp reconstructive flaps

Brawley, Craig Cameron; Sidle, Douglas M.

doi:10.20517/2347-9264.2021.107

Cited by 5 publications

(15 citation statements)

References 29 publications

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“…When planning the closure of the wound, tension should not be placed on the skin itself which could result in alopecia and dehiscence. Instead, tension should be focused on the galea as it is deep to the hair follicles and can withstand the added force of closure [ 4 , 13 ]. Skin grafting and free tissue transfer should be avoided, unless there are no other options, due to poor cosmetic results.…”

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

“…Small defects are amenable to be treated with primary closure [ 4 ]. Secondary intention could be used in this circumstance though this is best suited for those with androgenetic alopecia, where the scars are less conspicuous, than for those who still have hair.…”

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

“…For moderate wounds, where primary closure is not feasible, advancement flaps and rotation flaps may be considered. The H flap is a great option and requires less surgical work than rotation flaps [ 4 ]. It has also been documented that an A-T flap could provide great results for anterior defects due to the flap needing less mobility.…”

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

“…Due to the wide variety of patient history and clinical presentation of scalp defects, utilization of the reconstructive ladder provides surgeons with a method to determine the best procedure for each patient. The ladder proceeds in the following manner: secondary intention, primary closure, advancement flaps, rotation flaps, skin grafts, tissue expansion, and free tissue transfer [ 4 ]. The ladder begins with simpler procedures, increasing in complexity further up the ladder [ 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

Mahmood,

Eisen

2024

Arch Dermatol Res

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Background: Scalp reconstruction requires knowledge of scalp anatomy and reconstructive options. Advances in the field have led to numerous procedures being at the disposal of the reconstructive surgeon, expanding treatment options for patients. Objective: To provide an algorithmic approach and general guidelines to consider when deciding on which scalp surgery will optimize cosmetic and functional outcomes. Methods & materials: Previous literature was searched for the last 20 years to provide an updated guide. Results: Taking into consideration the location, size and local scalp anatomy of a presenting defect will lead to optimal surgical outcomes. Other confounding factors such as bone exposure and extremely large defects will affect decision making. An algorithmic approach has been provided in this review. Conclusion: While many reconstructive surgical options are available, the best ones will depend on individual presentation of scalp defects. Location and size are first line considerations while local scalp anatomy will allow for tailoring of reconstructive options. This will help to maximize cosmetic and aesthetic considerations.

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Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

Section: Guidelines Based On Location and Defect Sizementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

Mahmood,

Eisen

2024

Arch Dermatol Res

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“…3 Bệnh viện Đại học Y Hà Nội4 ung thư biểu mô tế bào đáy tại khoa Ngoại đầu cổ Bệnh viện K từ tháng 5/2018 tới tháng 5/2022. Kết quả được đánh giá trong quá trình nằm viện và sau mổ > 6 tháng.…”

unclassified

Đánh giá kết quả sử dụng vạt tại chỗ tạo hình khuyết da đầu sau cắt bỏ ung thư da tế bào đáy

Đăng¹,

Chiến²,

Dung³

2023

TCNCYH

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Nghiên cứu nhằm đánh giá kết quả sử dụng vạt tại chỗ trong tạo hình che phủ khuyết tổ chức da đầu sau cắt bỏ ung thư biểu mô tế bào đáy. Nghiên cứu can thiệp lâm sàng không nhóm chứng trên 15 bệnh nhân (8 nam và 7 nữ, tuổi từ 56 tới 90), được phẫu thuật tạo hình bằng vạt tại chỗ che phủ khuyết da đầu sau cắt bỏ ung thư biểu mô tế bào đáy tại khoa Ngoại đầu cổ Bệnh viện K từ tháng 5/2018 tới tháng 5/2022. Kết quả được đánh giá trong quá trình nằm viện và sau mổ > 6 tháng. Tổn khuyết sau cắt bỏ khối u có kích thước từ 7,07cm2 tới 58,90cm2, các tổn khuyết này được che phủ bằng 7 vạt chuyển, 5 vạt đẩy và 4 vạt xoay. Sau mổ 100% vạt sống hoàn toàn và che phủ hết tổn khuyết, 5 trường hợp chậm liền vết mổ, không có trường hợp nào nhiễm trùng. Theo dõi sau 6 tháng trên 15 bệnh nhân cho kết quả tốt về sẹo, tương đồng màu sắc, độ dày vạt, không co kéo xung quanh; 9/13 vạt da đầu mang tóc có tình trạng mọc tóc tốt. Kết quả nghiên cứu cho thấy tạo hình khuyết tổn sau cắt bỏ ung thư biểu mô tế bào đáy vùng da đầu bằng vạt tại chỗ đem lại kết quả tốt về chức năng, thẩm mĩ. Vị trí và kích thước tổn khuyết là các yếu tố chính ảnh hưởng tới loại vạt sử dụng.

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Skin Substitutes, Filling the Gap in the Reconstructive Algorithm

Fuenmayor,

Huaman, MD,

Maita

et al. 2024

Preprint

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Background: Skin substitutes play a crucial role in wound care by actively modulating the wound healing process, promoting angiogenesis, and protecting the integrity of the native extracellular matrix. Consequently, surgeons have increasingly recognized these resources as excellent complements to improve reconstructive outcomes. This review focuses on the author's experience using these biomaterials in complex cases, highlighting the benefits they bring to patient care. Methods: A literature review was conducted to evaluate the regenerative properties of skin substitutes and their applicability in head and neck, upper and lower extremities, and trunk reconstruction. Results: The reviewed literature, along with the authors' experience, supports the adjunct use of skin substitutes in various reconstructive situations. Combining them with skin grafts improves resulting skin quality and may also enhance donor site healing. They have proven effective in addressing chronic venous ulcers, traumatic wounds with limited donor tissues for coverage, extensive burns, diabetic foot ulcers, and oncologic resections in the face and scalp. Furthermore, combining them with autologous tissue shows promising results in achieving stable closure. Conclusions: Incorporating skin substitutes in complex reconstructive scenarios offers multiple benefits. Their regenerative properties and ability to modulate the healing process contribute to enhanced outcomes and reduced overall costs.

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Scalp reconstructive flaps

Cited by 5 publications

References 29 publications

An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes

Đánh giá kết quả sử dụng vạt tại chỗ tạo hình khuyết da đầu sau cắt bỏ ung thư da tế bào đáy

Skin Substitutes, Filling the Gap in the Reconstructive Algorithm

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