Related Experiment Videos
Scalp reconstruction by microvascular free tissue transfer.
H Furnas1, W C Lineaweaver, B S Alpert
1Microsurgical Replantation Transplantation Department, Davies Medical Center, San Francisco, CA 94114.
Annals of Plastic Surgery
|May 1, 1990
Summary
Free flap surgery effectively reconstructs scalp defects from burns, trauma, and tumors. The latissimus dorsi flap is recommended for its reliability and effectiveness in complex cases.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Scalp defects present significant reconstructive challenges.
- Microvascular free tissue transfer has evolved as a reconstructive option.
Observation:
- A series of 18 patients with scalp defects underwent reconstruction using 21 free flaps between 1971 and 1987.
- Flap types included latissimus dorsi, groin, omentum, and others, addressing defects from burns, trauma, radiation, and tumors.
- Patient age ranged from 7 to 79 years, with follow-up up to 7 years.
Findings:
- All free flaps survived, successfully covering complex scalp defects.
- Many defects had previously failed conservative treatment attempts.
- The latissimus dorsi flap demonstrated excellent outcomes due to its size, vascularity, and ease of harvest.
Implications:
- Free flap reconstruction is a reliable solution for extensive and complex scalp wounds.
- The latissimus dorsi flap is a preferred choice for its robust characteristics.
- This study highlights the long-term success of microvascular reconstruction in challenging cases.