Abstract: ObjectiveTo study the effect of axial scalp flaps transferring with split skin graft for the reconstruction of scalp defect and skull exposure or skull defect.MethodsThe axial scalp flaps transferring with split skin graft were used to repair 15 cases with scalp defect and skull defect or skull exposure after trauma, 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 defect area was 11 cm×7 cm.ResultsThe skin grafting survived more than 95% and the wounds were repaired 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 area in stage Ⅲ.ConclusionThe 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.
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.
ZHANG Ming. Ultralong Axial Scalp Flaps Transferring with Split Skin Graft for Repair of Scalp Defect and SkullExposure or Defect. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 309-312.
Gundeslioglu AO, Selimoglu MN, Doldurucu T, et al. Reconstruction of large anterior scalp defects using advancement flaps[J]. J Craniofac Surg, 2012, 23(6):1766-1769. doi: 10.1097/SCS.0b013e3182654319.|
[7]
Foong DP, Babar AZ, McGrouther DA, et al. Key points in technique: Split thickness skin grafting to bare skull as a singlestage procedure[J]. J Plast Reconstr Aesthet Surg, 2008, 61(10):1260-1263. doi: 10.1016/j.bjps.2008.01.032.|
Khan MA, Ali SN, Farid M, et al. Use of dermal regeneration template (Integra) for reconstruction of full-thickness complex oncologic scalp defects[J]. J Craniofac Surg, 2010, 21(3):905-909. doi: 10.1097/SCS.0b013e3181d8418e.|
[10]
Narushima M, Mihara M, Yamamoto Y, et al. Hair transplantation for reconstruction of scalp defects using artificialdermis[J]. Dermatol Surg, 2011, 37(9):1348-1350. doi: 10.1111/j.1524-4725.2011.02025.x.|
2017, Vol. 21 
