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Scalp flap--a utility and reconstructive option for head and neck surgeons
A M Shenoy1, Nanjundappa, U K Nayak
1Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bangalore, India.
The Journal of Laryngology and Otology
|April 1, 1993
Summary
Regional scalp flaps offer a durable, one-stage solution for head and neck reconstructions. This study highlights their effectiveness in resurfacing scalp, upper face, and orbital defects with minimal patient morbidity.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Regional scalp flaps are essential for reconstructing defects in the upper face, orbit, and scalp.
- These flaps are durable, can be harvested easily, and represent a one-stage procedure.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of regional scalp flaps in head and neck cancer reconstruction.
- To describe the surgical technique and patient acceptance of anterior and posterior scalp flaps.
Main Methods:
- A review of ten consecutive cases undergoing reconstruction with regional scalp flaps over three years.
- Detailed description of the surgical procedure, including anterior flaps (superficial temporal artery) and posterior flaps (occipital artery).
Main Results:
- Successful resurfacing of scalp, upper face, and orbital defects was achieved.
- The procedure demonstrated short healing times and minimal patient morbidity.
- While effective, patient acceptance for upper facial defects was noted to be lower compared to scalp defects.
Conclusions:
- Regional scalp flaps are a valuable and attractive reconstructive option for head and neck surgeons.
- The technique offers a durable, one-stage solution with favorable healing and low morbidity.
- Further consideration of patient-reported outcomes, especially for facial reconstruction, may be beneficial.