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Scalp flaps

Cassio Eduardo Raposo-Amaral, Rafael Denadai, Enrico Ghizoni, Cesar Augusto Raposo-Amaral
BACKGROUND: Although craniofacial bone correction is the essential step in hypertelorbitism correction, the final result depends on the management of soft tissue deformities. The purpose of this study was to review our surgical strategies for soft tissue reconstruction in hypertelorbitism correction. METHODS: A retrospective study was performed of consecutive patients with hypertelorbitism, undergoing hypertelorbitism correction between 2007 and 2014. All aspects related to the craniofacial surgical procedures (number and type of procedures, outcomes, and complications) were verified through medical records, clinical photographs, and interviews with all patients...
October 6, 2016: Annals of Plastic Surgery
M Schiavon, M Francescon, D Drigo, G Salloum, R Baraziol, J Tesei, E Fraccalanza, F Barbone
BACKGROUND: INTEGRA(®) Dermal Regeneration Template is a well-known and widely used acellular dermal matrix. Although it helps to solve many challenging problems in reconstructive surgery, the product cost may make it an expensive alternative compared to other reconstruction procedures. This retrospective study aims at comparing INTEGRA-based treatment to flap surgery in terms of cost and benefit. PATIENTS AND METHODS: We considered only patients treated for scalp defects with bone exposure in order to obtain two groups as homogeneous as possible...
October 3, 2016: Aesthetic Plastic Surgery
Yoshiaki Sakamoto, Eric Arnaud
In cases of skull trauma, emergency surgery for cranial decompression typically involves the shortest approach, with the incision lying directly on or immediately near the bony defect. Subsequent reconstructive plastic surgery for the skull is difficult in such cases because incisions taken on the previous scar overlying the bony defect are prone to dehiscence and infection. Herein, we describe a technique for creating a well-vascularized delayed skin flap via multistaged operation before the actual skull reconstruction...
August 2016: Plastic and Reconstructive Surgery. Global Open
Raphael Carloni, Christian Herlin, Benoit Chaput, Antoine De Runz, E Watier, Nicolas Bertheuil
BACKGROUND: Resection of cranial tumors involving both bone and scalp tissue may require the recruitment of soft tissue using a flap above the bone reconstruction. When a transposition flap has been chosen, the alopecia zone on the donor site may be difficult to treat afterward. Scalp expansion is the gold standard in these situations, but this has never been described above cranial implants. We report the first case of a patient who underwent a scalp tissue expansion above a custom-made hydroxyapatite cranial implant to correct sequelar alopecia...
September 5, 2016: World Neurosurgery
Milan STOJİčİć, Milan JOVANOVİć, Lukas RASULİć, Filip VİTOšEVİć
Method of choice for reconstruction of large acquired scalp defects depends on numerous factors. The aim of our study was to analyze reconstructions of large acquired scalp defects performed on 135 patients in the period of 10 years. We have monitored factors having impact on reconstruction method, complications, and the content of achieved results. Skin grafts, local, regional and free flaps, have been applied for reconstruction of defects. We concluded that depth, size, defect localization, condition of surrounding tissue, comorbidities and causes of occurrence of defect have impact to a method of choice for defect reconstruction...
April 20, 2016: Turkish Neurosurgery
Wesley N Sivak, Debra A Bourne, Matthew P Miller, Ernest K Manders
Repair of scalp defects with exposed calvaria remains a difficult clinical problem. Herein, we present a simple alternative method of scalp reconstruction. Coverage of bare skull with GammaGraft (Promethean LifeSciences, Inc, Pittsburgh, PA) promotes the evolution of granulation tissue and permits subsequent skin grafting without need for burring, drilling, or other manipulation of the outer table of the calvaria. A retrospective review of patients undergoing scalp reconstruction utilizing GammaGraft and subsequent skin grafting was performed at our institution...
October 2016: Journal of Craniofacial Surgery
Ozay Ozkaya Mutlu, Ozlem Colak, Mert Canli, Ayberk Akcay
INTRODUCTION: Cutis verticis gyrata is a rare skin disorder characterized by formation of thick skin folds and grooves. Because of the risk of malignant transformation, these lesions must be surgically excised. In this study, the authors aimed to present a successful reconstruction of scalp with free latissimus dorsi musculocutaneous flap after total excision of giant cerebriform intradermal nevus that causes cutis verticis gyrata. PATIENT REPORT: An 18-year-old male patient attended to our clinic with a large tumor that covers almost 80% of his scalp...
September 2016: Journal of Craniofacial Surgery
A Belkhou, C François, Y Bennis, V Duquennoy-Martinot, P Guerreschi
Congenital skin aplasia, or aplasia cutis congenita (ACC) is a rare congenital disease. It is characterized by the absence of skin at birth, localized or widespread, of one or several areas. This condition commonly involve the scalp but can also involve more rarely the trunk or limbs. However it is most frequently an isolated disorder, it can be associated with other anomalies, such as the Adams-Oliver syndrome, the association with a fetus papyraceus or with an epidermolysis bullosa. Many hypothesis have been suggested: vascular, genetic, traumatic, pharmacological or an anomaly in the neural tube closure process, but the exact mechanism is still unknown...
October 2016: Annales de Chirurgie Plastique et Esthétique
Brian T Andrews, Anna Lydick, Scott Barbay, Peter Reisz, Randolph J Nudo
BACKGROUND: Hemi-craniectomy is a common surgical procedure which allows the brain to swell and herniate and is often utilized to treat traumatic brain injury. When left untreated the scalp skin typically sinks on the side of the craniectomy creating a phenotype termed "sinking skin flap syndrome." In addition, these same patients often develop long-term neurocognitive deficits termed "syndrome of the trephined" as a result of their craniectomy which reverse when the cranial skull is replaced...
October 2016: Journal of Craniofacial Surgery
Haidong Li, Zhang Xiang-Yu, Liu Lei, Tong Haizhou, Ma Hengyuan, Zhao MinZhen
BACKGROUND: Large facial reconstruction is a complicated surgical procedure. The purpose of this study was to develop 2 procedures for large facial reconstruction: an expanded cervical postauricular combined skin flap and a bipedicled expanded cervical skin flap. METHODS: Two patients with large facial nevus lesions were selected for reconstruction. In 1 case, an expanded cervical postauricular combined flap with a bipedicle was designed; the upper pedicle was based at the temple region, the lower pedicle was based at the neck...
October 2016: Journal of Craniofacial Surgery
Cengizhan Ekizceli, Erdem Güven, Emre Hocaoğlu, Erol Kozanoğlu, Samet Vasfi Kuvat
No abstract text is available yet for this article.
September 2016: Journal of Craniofacial Surgery
Daniel Lee Ashmore, Rachel Clancy, Paul D Chumas
Meningiomas represent some of the most common types of tumour of the central nervous system. They are considered benign, with ∼1 in 1000 known to metastasise. We report a case of recurrent meningioma of the scalp 13 years following craniotomy to treat the primary. The recurrent tumour of the scalp was eventually excised 5 years later and the defect closed with an anterolateral thigh free flap in a joint procedure between the neurosurgeons and plastic surgeons. Histology of the scalp lesion confirmed a WHO grade I meningioma...
2016: BMJ Case Reports
R Jumeau, S Renard-Oldrini, F Courrech, I Buchheit, G Oldrini, G Vogin, D Peiffert
PURPOSE: Brachytherapy is a well-known treatment in the management of skin tumors. For facial or scalp lesions, applicators have been developed to deliver non-invasive treatment. We present cases treated with customized applicators with high dose rate system. MATERIAL AND METHODS: Patients with poor performance status treated for malignant skin lesions of the scalp or the facial skin between 2011 and 2014 were studied. Afterloading devices were chosen between Freiburg(®) Flap, silicone-mold or wax applicators...
July 2016: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
Arvind Badhey, Sameep Kadakia, Manoj T Abraham, J K Rasamny, Augustine Moscatello
Reconstruction of the scalp following oncologic resection is a challenging undertaking owing to the variable elasticity of the soft tissue overlying the calvarium and the limited amount of tissue available for recruitment. Defect size, location, and skin characteristics heavily influence the reconstructive options available to the surgeon. Reconstruction options for scalp defects range from simple direct closure, to skin grafting, to adjacent tissue transfer with local flaps, and ultimately to free tissue transfer...
September 2016: American Journal of Otolaryngology
Mohemmed N Khan, Laureano Giraldez Rodriguez, Christopher D Pool, Benjamin Laitman, Christopher Hernandez, Boban M Erovic, Marita S Teng, Eric M Genden, Brett A Miles
OBJECTIVES/HYPOTHESIS: Review the literature on the use of the serratus anterior free flap in the head and neck reconstruction and describe new applications of the serratus anterior free flap. STUDY DESIGN: Case series with retrospective chart review and literature review. METHODS: A PubMed literature review was performed using the search terms "serratus free flap," "serratus skull base," "serratus scalp," and "serratus free tissue transfer...
June 9, 2016: Laryngoscope
Meishui Wang, Wang Biao, Xiuying Shan, Houbing Zheng, Shanying Wu, Zhaoliang Liu
OBJECTIVE: To investigate the application and effectiveness of split-thickness scalp graft and temporoparietal fascia flap in the low hairline auricle reconstruction in microtia patients. METHODS: Between July 2010 and April 2015, 23 patients with low hairline microtia (23 ears) underwent low hairline auricle reconstruction. There were 16 males and 7 females with the mean age of 12 years (range, 6-34 years). The left ear was involved in 10 cases, and the right ear in 13 cases...
February 2016: Chinese Journal of Reparative and Reconstructive Surgery
Cengiz Eser, Eyüphan Gencel, Erol Kesiktaş, Metin Yavuz
Reconstruction of gunshot-inflicted composite lower face defects is a challenge for plastic surgeons. Functional and aesthetic repair of such defects mostly requires free or pedicled flap applications or combinations of both.In this study, the authors evaluated 7 males with gunshot-inflicted composite mandibular defects. All patients underwent reconstruction with a free osteoseptocutaneous fibula flap (FOCF) for the composite mandibular defect and a pre or nonexpanded temporal artery-based scalp flap for beardless facial skin...
July 2016: Journal of Craniofacial Surgery
Jafeng Liu, Xiaodan Li, Jiaming Sun
OBJECTIVE: To explore the curative effect of Z-plasty without skin grafting for correction of cryptotia. METHODS: Twenty-five cases (29 ears) with cryototia were corrected by Z-plasty without skin grafting in our department from June 2009 to January 2014. A Z-shaped incision with one arm on the back of antihelix and the other arm on the edge of hair was made on the back of ear and scalp. The adhesion on the back of antihelix cartilage was dissected and the cartilage framework was lifted and re-positioned...
January 2016: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Eun-Kyung Park, Jun-Young Lim, In-Sik Yun, Ju-Seong Kim, Su-Heon Woo, Dong-Seok Kim, Kyu-Won Shim
The authors studied to demonstrate the efficacy of custom-made three-dimensional (3D)-printed titanium implants for reconstructing skull defects. From 2013 to 2015, 21 patients (8-62 years old, mean = 28.6-year old; 11 females and 10 males) with skull defects were treated. Total disease duration ranged from 6 to 168 months (mean = 33.6 months). The size of skull defects ranged from 84 × 104 to 154 × 193 mm. Custom-made implants were manufactured by Medyssey Co, Ltd (Jecheon, South Korea) using 3D computed tomography data, Mimics software, and an electron beam melting machine...
June 2016: Journal of Craniofacial Surgery
Min-Jeong Cho, Alex A Kane, Rami R Hallac, Noopur Gangopadhyay, James R Seaward
The approach to bony craniofacial reconstruction has been significantly enhanced with the development of patient-specific, computer-aided designed and manufactured (CAD/CAM) implants. This technology, however, has not yet been widely employed for soft tissue reconstruction. While algorithmic approaches based on the size, location, and etiology of the defect are effective in most cases, a patient-specific CAD/CAM approach has benefits in complex reconstructive problems. In this study, we present a patient-specific approach to preoperative flap planning: using three-dimensional (3D) printing and liquid latex to create a flexible model of a flap, and demonstrate its application in planning a complex scalp reconstruction...
May 2, 2016: Cleft Palate-craniofacial Journal
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