Strategies in complex reconstructions of the scalp and forehead: a series of 22 cases
INTRODUCTION: The cephalic region is exposed to various insults from the environment. Extensive lesions in the scalp are a great challenge for plastic surgeons, because the low mobility of the skin in this region hampers its closure. A great variety of techniques have been used to close defects on t...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2016-06-01
|
| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1739/en_v31n2a14.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849705373811867648 |
|---|---|
| author | Caio Alcobaça Marcondes Salustiano Gomes de Pinho Pessoa Breno Bezerra Gomes de Pinho Pessoa |
| author_facet | Caio Alcobaça Marcondes Salustiano Gomes de Pinho Pessoa Breno Bezerra Gomes de Pinho Pessoa |
| author_sort | Caio Alcobaça Marcondes |
| collection | DOAJ |
| description | INTRODUCTION: The cephalic region is exposed to various insults from the environment. Extensive lesions in the scalp are a great challenge for plastic surgeons, because the low mobility of the skin in this region hampers its closure. A great variety of techniques have been used to close defects on the scalp and forehead. Ideally, scalp closure should provide a better functional and aesthetic outcome, as well as low morbidity at the donor site.
METHODS: From January 2006 to December 2014, we performed a retrospective clinical study involving a series of 22 patients with advanced tumors of the scalp or forehead, or with extensive post-trauma skin loss.
RESULTS: Reconstructive surgeries with 11 local scalp flaps (bi- or tri-pedicled), three coronal forehead flaps, and eight free flaps were performed. One patient experienced late partial loss of a free flap after radiotherapy.
CONCLUSION: Various techniques can be used to reconstruct the scalp and forehead; each case should be assessed individually. The present study indicated that flaps are safe and that they confer low morbidity at the donor area. These results were satisfactory and in agreement with the literature analyzed. |
| format | Article |
| id | doaj-art-0d332ec3a393464da141a8e97e3675eb |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-0d332ec3a393464da141a8e97e3675eb2025-08-20T03:16:29ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352016-06-01310210.5935/2177-1235.2016RBCP0036229234Strategies in complex reconstructions of the scalp and forehead: a series of 22 casesCaio Alcobaça Marcondes0Salustiano Gomes de Pinho Pessoa1Breno Bezerra Gomes de Pinho Pessoa2Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: The cephalic region is exposed to various insults from the environment. Extensive lesions in the scalp are a great challenge for plastic surgeons, because the low mobility of the skin in this region hampers its closure. A great variety of techniques have been used to close defects on the scalp and forehead. Ideally, scalp closure should provide a better functional and aesthetic outcome, as well as low morbidity at the donor site. METHODS: From January 2006 to December 2014, we performed a retrospective clinical study involving a series of 22 patients with advanced tumors of the scalp or forehead, or with extensive post-trauma skin loss. RESULTS: Reconstructive surgeries with 11 local scalp flaps (bi- or tri-pedicled), three coronal forehead flaps, and eight free flaps were performed. One patient experienced late partial loss of a free flap after radiotherapy. CONCLUSION: Various techniques can be used to reconstruct the scalp and forehead; each case should be assessed individually. The present study indicated that flaps are safe and that they confer low morbidity at the donor area. These results were satisfactory and in agreement with the literature analyzed.http://www.rbcp.org.br/export-pdf/1739/en_v31n2a14.pdfscalp/surgerymicrosurgerysurgical flapshead and neck tumorsreconstructive surgical procedures |
| spellingShingle | Caio Alcobaça Marcondes Salustiano Gomes de Pinho Pessoa Breno Bezerra Gomes de Pinho Pessoa Strategies in complex reconstructions of the scalp and forehead: a series of 22 cases Revista Brasileira de Cirurgia Plástica scalp/surgery microsurgery surgical flaps head and neck tumors reconstructive surgical procedures |
| title | Strategies in complex reconstructions of the
scalp and forehead: a series of 22 cases |
| title_full | Strategies in complex reconstructions of the
scalp and forehead: a series of 22 cases |
| title_fullStr | Strategies in complex reconstructions of the
scalp and forehead: a series of 22 cases |
| title_full_unstemmed | Strategies in complex reconstructions of the
scalp and forehead: a series of 22 cases |
| title_short | Strategies in complex reconstructions of the
scalp and forehead: a series of 22 cases |
| title_sort | strategies in complex reconstructions of the scalp and forehead a series of 22 cases |
| topic | scalp/surgery microsurgery surgical flaps head and neck tumors reconstructive surgical procedures |
| url | http://www.rbcp.org.br/export-pdf/1739/en_v31n2a14.pdf |
| work_keys_str_mv | AT caioalcobacamarcondes strategiesincomplexreconstructionsofthescalpandforeheadaseriesof22cases AT salustianogomesdepinhopessoa strategiesincomplexreconstructionsofthescalpandforeheadaseriesof22cases AT brenobezerragomesdepinhopessoa strategiesincomplexreconstructionsofthescalpandforeheadaseriesof22cases |