Clinical experience of V-shaped incision for excision of scalp subcutaneous tumors
10.3760/cma.j.cn114453-20220925-00294
- VernacularTitle:V形切口切除头皮下肿物的临床应用经验
- Author:
Haiwei SUN
1
;
Feng LIN
;
Chunyu HAO
;
Anna WANG
;
Hongyi WANG
Author Information
1. 北部战区总医院烧伤整形科，沈阳 110016
- Keywords:
Reconstructive surgical procedures;
Scalp subcutaneous tumors;
V-shaped incision;
Linear incision;
S-shaped incision
- From:
Chinese Journal of Plastic Surgery
2023;39(5):535-539
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical experience of using V-shaped incision to excise scalp subcutaneous tumors.Methods:A retrospective analysis of the clinical data of patients with subcutaneous benign tumors admitted to the Department of Burns and Plastic Surgery of the Northern Theater General Hospital from August 2020 to December 2021 was conducted. The tumors were all above 3 cm in diameter and closely adhered to surrounding tissues, and all were removed using a V-shaped incision. During the operation, the scalp was incised along the design line, the V-shaped skin flap was lifted to affiliate the tumor removed. The incision was closed directly from the tip of "V" until the moderate tension attained. The scalp flap was spread smoothly on the wound surface, and the excess scalp tissue was removed to form a Y-shaped suture. The flap survival, complications, incision scar, hair growth around the incision and tumor recurrence were observed and followed up after operation.Results:A total of 20 cases were included, including 12 males and 8 females, with an average medical history of (3.6±1.9) years and a tumor diameter of (4.1±1.1) cm. There were 8 sebaceous cysts, 5 lipomas, and 7 epidermoid cysts. After operation, 18 flaps survived well, and 2 cases had epidermal necrosis at the tip of the flap, which healed after dressing change. During the follow-up period of 6-12 months, 3 patients experienced local scalp numbness, which improved within 3-6 months. In 20 cases, the scalp was flat, the incision scar was not hyperplastic, the scar was short visually, the surrounding hair grew normally, and no tumor recurrence happened.Conclusion:V-shaped incision is relatively easy to expose the tumor and can accurately remove excess skin. After operation, the scalp has a good flat appearance, so it is an ideal choice for large scalp subcutaneous tumors with close adhesion to the surrounding tissue.
