Repair of frontal and facial lesions with expanded scalp flaps
10.3760/cma.j.cn114453-20190812-00246
- VernacularTitle:扩张后头皮瓣修复额、面部病损
- Author:
Shiqiang LIU
1
;
Yinke TANG
;
Feifei CHU
;
Zhantong WANG
;
Chen DONG
;
Shuqiang CHEN
;
Xianjie MA
Author Information
1. 空军军医大学西京医院全军整形外科研究所，西安 710032
- Keywords:
Tissue expander;
Scalp;
Frontal and facial lesions;
Reconstruction
- From:
Chinese Journal of Plastic Surgery
2020;36(7):776-779
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of expanded scalp flaps in repconstructing the wounds after resection of frontal and facial nevus and scar.Methods:From May 2014 to May 2019, 28 patients (5 cases of nevus and 11 cases of scar in the frontal part and 2 cases of nevus, 9 cases of scar and 1 case of verrucous nevus in facial part) were repaired with expanded scalp flaps. According to the size of the lesion, the expander was selected and placed under the galea aponeurotica. After tissue expansion, the wound was reconstructed by random designed or pedicled skin flaps. The pedicled skin flaps took the branch of superficial temporal artery as the pedicle. The pedicle was cut off after 3 weeks. Hair removal by laser was performed 3 to 6 times 2 weeks after removing the suture.Results:In all the 28 cases, expansion in the first stage was sufficient, after skin flap transfer in the second stage, all survived without infection or local necrosis. After the pedicle division, 2 cases had small area of distal blood flow disorder, and the wound was healed after skin grafting The follow-up time ranged from 3 to 31 months. After hair removal by laser, the color and texture matched well with the normal skin in the adjacent area. No contracture and pigmentation occurred, and the effect was satisfactory.Conclusions:The scalp is a good donor site for expansion with sufficient tissue and few secondary deformities. The expanded scalp flap has good blood supply for repairing frontal and facial lesions, after hair removal by laser, the effect is good, and it is worth popularizing and applying.
