DOUBLE-FREE, FLOW-THROUGH FLAP RECONSTRUCTION FOR COMPLEX SCALP DEFECTS: A CASE REPORT

被引：18

作者：

Haddock, Marie-Claire ^{[1
]}

Creagh, Terrence ^{[2
]}

Sivarajan, Vivek ^{[2
]}

机构：

[1] Univ Edinburgh, MRC Ctr Inflammat Res, Queens Med Res Inst, Dept Surg, Edinburgh EH16 4TJ, Midlothian, Scotland

[2] Glasgow Royal Infirm, Canniesburn Plast Surg Unit, Glasgow G4 0SF, Lanark, Scotland

来源：

MICROSURGERY | 2011年 / 31卷 / 04期

基金：

英国医学研究理事会;

关键词：

SOFT-TISSUE DEFECTS; SKULL; DURA;

D O I：

10.1002/micr.20874

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This case report describes the use of a double-free, flow-through flap as a valuable tool in reconstruction following oncological resection of a large, fungating, squamous cell carcinoma extending through the scalp, forehead, skull, and dura. An anterolateral thigh flap was utilized to supply: soft tissue for the forehead reconstruction, vascularized fascia lata for the dural repair, and to act vascular conduit to supply a distally placed latissmus dorsi flap for total scalp reconstruction. We believe this is the first time this combination of double-free, flow-through flap design has been published for the reconstruction of complex, composite scalp and calvarial defects. (C) 2011 Wiley-Liss, Inc. Microsurgery 31:327-330, 2011.

引用

收藏

页码：327 / 330

页数：4

相关论文

共 14 条

[1] RECONSTRUCTION OF SCALP AND CRANIUM DEFECT UTILIZING LATISSIMUS-DORSI MUSCULOCUTANEOUS AND SERRATUS ANTERIOR MUSCLE FREE FLAPS WITH INTERPOSITIONAL ANASTOMOSIS OF T-SHAPED FLAP ARTERY [J].

ARAI, H ;

YANAI, A ;

NISHIDA, M ;

YOSHIKATA, R ;

NAKANISHI, H ;

SATO, K .

SKULL BASE SURGERY, 1995, 5 (02) :117-121

[2] FREE FLAP OPTIONS FOR RECONSTRUCTION OF COMPLICATED SCALP AND CALVARIAL DEFECTS: REPORT OF A SERIES OF CASES AND LITERATURE REVIEW [J].

Chang, Kao-Ping ;

Lai, Ching-Hung ;

Chang, Chih-Hau ;

Lin, Chih-Lung ;

Lai, Chung-Sheng ;

Lin, Sin-Daw .

MICROSURGERY, 2010, 30 (01) :13-18

[3] Anterolateral thigh fasciocutaneous flap for simultaneous reconstruction of refractory scalp and dural defects - Report of two cases [J].

Heller, F ;

Hsu, CM ;

Chuang, CC ;

Wei, KC ;

Wei, FC .

JOURNAL OF NEUROSURGERY, 2004, 100 (06) :1094-1097

[4] Free latissimus dorsi flap transfer for subtotal scalp and cranium defect reconstruction: Report of 7 cases [J].

Hierner, Robert ;

van Loon, Johann ;

Goffin, Jan ;

van Calenbergh, Frank .

MICROSURGERY, 2007, 27 (05) :425-428

[5] Flow-through thin latissimus dorsi perforator flap for repair of soft-tissue defects in the legs [J].

Koshima, I ;

Saisho, H ;

Kawada, S ;

Hamanaka, T ;

Umeda, N ;

Moriguchi, T .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1999, 103 (05) :1483-1490

[6] FLOW-THROUGH ANTERIOR THIGH FLAPS FOR ONE-STAGE RECONSTRUCTION OF SOFT-TISSUE DEFECTS AND REVASCULARIZATION OF ISCHEMIC EXTREMITIES [J].

KOSHIMA, I ;

KAWADA, S ;

ETOH, H ;

KAWAMURA, S ;

MORIGUCHI, T ;

SONOH, H .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 95 (02) :252-260

[7] A COMBINED ANTEROLATERAL THIGH FLAP, ANTEROMEDIAL THIGH FLAP, AND VASCULARIZED ILIAC BONE-GRAFT FOR A FULL-THICKNESS DEFECT OF THE MENTAL REGION [J].

KOSHIMA, I ;

HOSODA, M ;

MORIGUCHI, T ;

HAMANAKA, T ;

KAWATA, S ;

HATA, T .

ANNALS OF PLASTIC SURGERY, 1993, 31 (02) :175-180

[8] Microsurgical Reconstruction: A More Conservative Method of Managing Large Scalp Defects? [J].

Labow, Brian I. ;

Rosen, Heather ;

Pap, Stephen A. ;

Upton, Joseph .

JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2009, 25 (08) :465-474

[9] THE ANTECUBITAL FASCIO-CUTANEOUS FLAP [J].

LAMBERTY, BGH ;

CORMACK, GC .

BRITISH JOURNAL OF PLASTIC SURGERY, 1983, 36 (04) :428-433

[10] COMPOSITE SKULL AND DURA DEFECT RECONSTRUCTION USING COMBINED LATISSIMUS DORSI MUSCULOCUTANEOUS AND SERRATUS ANTERIOR MUSCLE-RIB FREE FLAP COUPLED WITH VASCULARIZED GALEA TRANSFER: A CASE REPORT [J].

Lee, Jing-Wei ;

Hsueh, Yuan-Yu ;

Lee, Jung-Shun .

MICROSURGERY, 2010, 30 (08) :632-635