Half forehead reconstruction with a single rotational scalp flap for dermatofibrosarcoma protuberans treatment.

World Journal of Surgical Oncology
Stefano MoriCorrado Caracò

Abstract

Dermatofibrosarcoma protuberans (DFSP) is a soft tissue neoplasm of intermediate to low-grade malignancy. Although metastasis rarely occurs, DFSP has a locally aggressive behavior with a high recurrence rate. In the head and neck area, resection involving a wide margin of healthy tissue can be difficult because of functional and cosmetic considerations. We describe a novel reconstructive method for half forehead defects with an innovative single local wide scalp flap following excision of DFSP with a 3 cm margin of healthy tissue. Two patients underwent wide resection of forehead DFSP and reconstruction with a single rotational scalp flap. The scalp flap blood supply was provided from three main vessels: the superficial temporal artery, occipital artery and posterior auricular artery. No early or late complications were observed in either patient with no local recurrence after 18 months of follow-up. The donor area could be closed primarily in both cases and the flaps survived completely. This innovative technique allowed a radical excision of forehead DFSP with sufficient healthy margins, thus potentially decreasing tumor recurrence rate. Reconstruction was achieved avoiding microsurgery, skin expanders and large skin grafts. ...Continue Reading

References

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Citations

Sep 5, 2015·Current Opinion in Otolaryngology & Head and Neck Surgery·Raj Dedhia, Quang Luu

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Methods Mentioned

BETA
dissection
biopsy
surgical resection
Nuclear magnetic resonance

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