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Scalp reconstruction using the reverse temporalis muscle flap: a case report
Youngsu Na1, Donghyeok Shin1, Hyungon Choi1
1Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Seoul, Korea.
Archives of Craniofacial Surgery
|July 11, 2022
Summary
This study explores surgical options for large scalp defects. A reverse temporalis muscle flap proved effective for a patient with a scalp ulcer after cancer treatment.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Oncologic Reconstruction
Background:
- Large scalp defects pose significant reconstructive challenges.
- Free flaps are standard but carry high risks for some patients.
- Alternative surgical techniques are crucial for complex scalp reconstruction.
Observation:
- A patient presented with a scalp ulcer post-excision and skin grafting for squamous cell carcinoma.
- The defect size and depth required careful consideration for reconstruction.
- Patient's general condition influenced the choice of surgical approach.
Findings:
- A reverse temporalis muscle flap was successfully utilized for scalp defect coverage.
- This technique provided a viable alternative to free flap surgery.
- The flap ensured adequate coverage and protected underlying structures.
Implications:
- The reverse temporalis muscle flap is a valuable option for specific large scalp defects.
- This method offers a lower-risk alternative for reconstructive surgery.
- Further research can explore the long-term outcomes of this flap in scalp reconstruction.