Management of large scalp defects with local pedicle flaps.

Abstract:

:Recent reports have emphasized free-flap reconstruction for large defects of the scalp and calvarium following resection of tumors, infection, or trauma. In most cases, however, a carefully planned local transposition or rotation flap may be equally effective, and the technical difficulties and donor-site problems associated with microsurgical tissue transfer are then avoided. We present 10 patients whose full-thickness scalp defects covered an average area of 241 cm2, or 27 percent, of the skull surface. Although this series included defects as large as 450 cm2, or 50 percent, of the skull surface area, each was easily managed with a local pedicle flap transfer. Four patients were reconstructed with parietal scalp transfer, four with an occipital scalp flap, and two with temporal scalp transfer. The technique and results are discussed.

journal_name

Plast Reconstr Surg

authors

Lesavoy MA,Dubrow TJ,Schwartz RJ,Wackym PA,Eisenhauer DM,McGuire M

doi

10.1097/00006534-199304001-00005

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

783-90

issue

5

eissn

0032-1052

issn

1529-4242

journal_volume

91

pub_type

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