To Determine the Outcomes of Free Tissue Transfer for Large Scalp and Forehead DEffects Reconstruction. | [Pakistan Armed Forces Medical Journal • 2018]

Author(s):

1. Aamna Sanober: Shifa International Hospital, Islamabad, Pakistan

2. Mamoon Rashid: Shifa International Hospital, Islamabad, Pakistan

3. Shumaila Yousaf: Shifa International Hospital, Islamabad, Pakistan

4. Samia Fatima: Shifa International Hospital, Islamabad, Pakistan

5. Farhan Ahmed Eitezaz: Shifa International Hospital, Islamabad, Pakistan

6. Ishtiaq Ur Rehman: Shifa International Hospital, Islamabad Pakistan

Abstract:

Objective: To determine the outcomes of free tissue transfer for large scalp and forehead defects reconstruction. Study Design: A descriptive case series. Place and Duration of Study: The study was carried out at Plastic surgery department, Shifa International Hospital Islamabad, over a period of 5 years from Mar 2011 to Feb 2016. Material and Methods: All the patients who underwent scalp reconstruction for soft tissue or composite defects greater than 6cm2 during the period of 5 years were included in the series and were followed post operatively for 6 months. The patient's demographic data, medical history, surgical history, comorbidities, age, and gender were also analyzed. Indications for surgical intervention included cutaneous malignancy of the scalp, bony tumors, vascular lesions and traumatic tissue loss requiring reconstruction. Results: A total of 20 patients (60% female and 40% male) with mean age of 38.75 years (SD=14.44), who underwent a reconstructive surgery for scalp defect, were assessed. The scalp defect were secondary to tumor resection (n=10; 50%), post-traumatic wounds (n=5, 25%) and resection of vascular malformations (n=5, 25%). Free flaps used for reconstruction were: Antero Lateral Thigh Free Flap (ALTF) (n=8; 40%), Radial Forearm Free Flap (RFFF) (n=6, 30%), free latissimus dorsi (n=4, 20%) and Transversus Abdominis muscle (TRAM) flap (n=2, 10%). Conclusion: Scalp and forehead defects, if treated adequately, can heal with stable and aesthetically acceptable results and flap selection should be individualized according to the defects, patient's factors and availability of particular flap.

Page(s): 230-235

DOI: DOI not available

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 68, Issue: 2, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] O'Connell,DA , Teng,MS , Mendez,E , Futran,ND, 2011.Microvascular free tissue transfer in the reconstruction of scalp and lateral temporal bone defects,J Craniofac Surg 22 801 -4

[2] LarrañagaJ,RiosA,FranciosiE.,Free, 2012.Flap Reconstruction for Complex Scalp and Forehead Defects with Associated FullThickness Calvarial Bone Resections,Craniomaxillofac Trauma Reconstruction 5 205 -12

[3] EckDL,KoonceSL,Al MajedBM,PerdikisG, 2014.Evaluation of Options for Large Scalp Defect Reconstruction: A 12-Year Experience,Eplasty 14 e10 -

[4] LarissaSweeny,J ScottMagnuson, 2012.Reconstruction of scalp defects with the radial forearm free flap,Head & Neck Oncology 4 21 -

[5] HanDH,ParkMC,ParkDH,SongH,LeeIJ, 2013.Role of Muscle Free Flap in the Salvage of Complicated Scalp Wounds and Infected Prosthetic Dura,Archives of Plastic Surgery 40 735 -41

[6] Jia-AoY,Hong-JingL,Zheng-HuaJ,KaiS,Zhen-Hai N, 2012.Reconstruction of a large pediatric scalp defect with skull exposure by a free anterolateral thigh flap,Plast Reconstr Surg 129 178e -80e

[7] LinAC,LinDT,Skull Base, 2015.Reconstruction of Lateral Skull Base Defects with Radial Forearm Free Flaps: The Double-Layer Technique,Journal of Neurological Surgery Part B 76 257 -261

[8] SinghM1,Rios DiazAJ, 2015.Cauley RUse of Pedicled Trapezius Myocutaneous Flap for Posterior Skull Reconstruction,J Craniofac Surg 26 e532 -5

[9] KhanMN,RodriguezLG,PoolCD,LaitmanB,HernandezC,ErovicBM, .The versatility of the serratus anterior free flap in head and neck reconstruction,The Laryngoscope. -

[10] KimJT,KimSW,YounS,KimYH, 2015."What is the ideal free flap for soft tissue reconstruction? A ten-year experience of microsurgical reconstruction using 334 latissimus dorsi flaps from a universal donor site," Annals of plastic surgery 75 49 -54

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