Use of wide bipedicled pericranial flap in anterior scalp reconstruction

The Journal of Craniofacial Surgery
Semra KarsidagLütfü Bas

Abstract

Pericranial flap is a composite flap involving the periosteum of the skull with its overlying loose areolar tissue termed subgaleal fascia. The multiple blood supply of the pericranial tissue enables this versatility, with a rich, anastomosing arterial supply from the supraorbital, supratrochlear, superficial temporal, posterior auricular, and occipital vessels. Thus, the shape, size, and location of the pericranial flap could be altered as long as a sufficient pedicle width could be fashioned to maintain a blood supply. In our study, we have performed wide bipedicled pericranial flap in scalp reconstruction in 2 cases. After tumor excision was completed, a pericranial flap was planned on the caudal side of the defect. A bipedicle-based pericranial flap was outlined with the use of a sharp dissection; this flap was elevated in a submusculoaponeurotic plane. The bipedicled pericranial flap, whose arterial supply was from the superficial and posterior auricular arteries, was transposed to the frontal defect.We preferred a bipedicled flap, whose arterial supply is from the superficial temporal and posterior auricular arteries to augment vascular supply. If a large, long pericranial flap is required, making the flap pedicled ensure...Continue Reading

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Citations

Jan 21, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bishr Aldabagh, Jonathan L Cook
Oct 20, 2018·The Journal of Craniofacial Surgery·Chris DevulapalliChristopher J Salgado
Jul 23, 2020·The Journal of Craniofacial Surgery·Reem A KaramiAmir E Ibrahim
May 11, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Nils Heim, Christian Tim Wilms

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