Microvascular free tissue transfer in the reconstruction of scalp and lateral temporal bone defects.

The Journal of Craniofacial Surgery
Daniel Ambrose O'ConnellNeal David Futran

Abstract

Defects of the scalp and lateral temporal bone (LTB) represent a unique challenge to the reconstructive surgeon. Simple reconstructive methods such as skin grafts, locoregional flaps, or tissue expanders are often not feasible owing to a myriad of reasons. Vascularized free tissue transfer coverage offers distinct advantages in managing these defects. A retrospective case series was performed on all patients at the University of Washington Medical Center who had scalp or LTB defects reconstructed with free tissue transfer from May 1996 to July 2009. Cases were analyzed for defect characteristics, flap type, vessel selection, radiation status, dural exposure, complications, and outcomes. A total of 68 free flap reconstructions were performed in 65 patients with scalp or LTB defects. A total of 22 resections included craniotomy, and 48 patients had preoperative or postoperative radiation. Defects ranged from 6 to 836 cm(2). All flaps (46 latissimus, 11 rectus, 4 radial forearm, 6 anterolateral thigh, and 1 omental) were transferred successfully. Vein grafts were required in 5 cases. Complications included delayed flap failure requiring secondary reconstruction, neck hematoma, venous thrombosis, skull base infection, large wound d...Continue Reading

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Citations

Oct 1, 2013·Plastic and Reconstructive Surgery·Justine C LeeLawrence J Gottlieb
Aug 31, 2012·Journal of Skin Cancer·Aldo V Londino Iii, Brett A Miles
Nov 23, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Brian P WalcottManuel J Ferreira
May 15, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Abigail J FongLawrence J Gottlieb
May 7, 2014·Head & Neck·Jeremy D RichmonDerrick T Lin
Sep 6, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Gregg W SchmedesJudith M Skoner
Oct 3, 2013·Archives of Plastic Surgery·Yolanda ZayakovaNicolai Pashaliev
Jul 12, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Mofiyinfolu SokoyaYadranko Ducic
Jun 19, 2021·World Neurosurgery·Madelyn StroderN Scott Litofsky

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