中国现代手术学杂志2017，Vol.21Issue(4)：309-312,4.DOI:10.16260/j.cnki.1009-2188.2017.04.016
超长联合皮瓣在头皮缺损合并颅骨外露或缺损中的应用
Ultralong Axial Scalp Flaps Transferring with Split Skin Graft for Repair of Scalp Defect and Skull Ex-posure or Defect
张明 1于燕 1石志远 1祝闽辉 1叶祥柏1
作者信息
- 1. 海军总医院烧伤整形科,北京 100048
- 折叠
摘要
Abstract
Objective To study the effect of axial scalp flaps transferring with split skin graft for the re -construction of scalp defect and skull exposure or skull defect . Methods The axial scalp flaps transferring with split skin graft were used to repair 15 cases with scalp defect and skull defect or skull exposure after trau -ma, electric burns, scar ulcer and tumor or other occasions from May 2004 to March 2014.The maximal scalp defect area was 20 cm ×15 cm, the maximal skull exposure area was 16 cm ×10 cm, and the maximal skull de-fect area was 11 cm ×7 cm. Results The skin grafting survived more than 95% and the wounds were re-paired completely in all 15 cases.During the 1 to 10 years follow-up, all flaps and skin grafts appeared survival without cicatrix hyperplasia.One case with squamous-celled carcinoma of scalp was not found relapse during 5 years follow-up, but one case with recurrent fibroid died of relapse and metastasis of tumor 2 years after the surgery.7 cases were reconstructed by dilator implantation in stage Ⅱ and scalp skin flap covering the donor ar -ea in stage Ⅲ. Conclusion The ultralong axial scalp flaps transfer with split skin graft is an effective and preferable choice to repair large scalp defect and skull defect or skull exposure .关键词
头皮缺损/颅骨/外科皮瓣Key words
scalp defects/skull/surgical flaps分类
医药卫生引用本文复制引用
张明,于燕,石志远,祝闽辉,叶祥柏..超长联合皮瓣在头皮缺损合并颅骨外露或缺损中的应用[J].中国现代手术学杂志,2017,21(4):309-312,4.
