کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5640292 1406810 2017 26 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Scalp reconstruction: A 10-year retrospective study
ترجمه فارسی عنوان
بازسازی پوست سر: یک مطالعه گذشته نگر 10 ساله
کلمات کلیدی
بازسازی پوست سر، انتقال بافت آزاد میکروسکوپیک، نقص پوستی کامپوزیت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی
Scalp reconstruction is a challenging task for the reconstructive surgeon. In consideration of the anatomical and cosmetic characteristics, the defect depth and size, an armamentarium of reconstructive procedures ranging from skin grafts over local flaps to free tissue transfer has been described. In this 10-year retrospective study, 85 operative procedures for scalp reconstruction were performed at our department. The underlying entity, defect size/depth, reconstructive procedure, complications, and mean hospital stay were analyzed. In most cases, scalp reconstruction was necessary after oncologic resection (67%) or radiation therapy (16%). A total of 85 operative procedures were performed for scalp reconstruction including local flaps (n = 50), free tissue transfer (n = 18), and skin grafts (n = 17). Regarding the complication rate, we could detect an overall major complication rate of 16.5% with one free flap loss. Briefly, local flaps are an adequate and safe procedure for limited scalp defects. In the case of extensive scalp defects affecting the calvarium, prior multiple surgical interventions and/or radiation, we prefer free tissue transfer.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cranio-Maxillofacial Surgery - Volume 45, Issue 2, February 2017, Pages 319-324
نویسندگان
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