One-stage reconstruction of large scalp defects: anterolateral thigh flap

Microsurgery
Gaye Taylan CalikapanTayfun Aköz

Abstract

Seven patients with large scalp and calvarial defects underwent reconstruction with free tissue transfer. Patients fell into two groups according to etiology: tumoral (five) or traumatic (two). A single type of free flap was used in each patient, i.e., the anterolateral thigh flap. Duraplasties with the flaps' vascularized fasciae were performed in two patients with minor calvarial defects, and nonvascularized fasciae were used in another two, with a cranioplasty using methylmethacrylate. One postoperative death and one venous congestion necessitating exploration were observed. The explored anastomosis revealed occlusion of the venous anastomosis; drainage with a venous graft into the neck veins was performed. Minor tissue loss with secondary healing was observed in the flap. Extensive scalp defects often necessitate challenging reconstructive procedures. Single-stage reconstruction with good qualified tissue is possible with a free tissue transfer. The anterolateral thigh flap provides a large amount of tissue with decreased donor-site morbidity and good cosmetic results.

References

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Citations

Sep 1, 2006·Mund-, Kiefer- und Gesichtschirurgie : MKG·Alexander GagglFriedrich Chiari
Jun 2, 2009·Plastic and Reconstructive Surgery·Hugo St-HilaireEduardo D Rodriguez
May 16, 2012·Head & Neck Oncology·Larissa SweenyEben L Rosenthal
Jan 9, 2010·Plastic and Reconstructive Surgery·Rozina S AliMing-Huei Cheng
Mar 23, 2012·Microsurgery·Melissa M KweeCharles Baillieu
May 3, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Filip SimunovicHolger Bannasch
Jul 9, 2008·Acta Oto-laryngologica·Murat LivaoğluOsman Bahadir
May 12, 2011·The Journal of Craniofacial Surgery·Daniel Ambrose O'ConnellNeal David Futran
Aug 14, 2015·Craniomaxillofacial Trauma & Reconstruction·Michael SosinEduardo D Rodriguez
Dec 4, 2012·Craniomaxillofacial Trauma & Reconstruction·Daniel A O'ConnellNeal D Futran
Feb 27, 2015·Plastic and Reconstructive Surgery·Michael SosinEduardo D Rodriguez
Nov 15, 2011·The Journal of Craniofacial Surgery·Bi BoLiu Tianyi
May 27, 2015·The Journal of Craniofacial Surgery·Michael SosinEduardo D Rodriguez
Feb 14, 2013·Annals of Plastic Surgery·Raúl Gómez, Bernardo Hontanilla
May 10, 2020·BioMed Research International·Fanfan ChenGuo Fu

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