Mehrara Babak J, Disa Joseph J, Pusic Andrea
Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
J Surg Oncol. 2006 Nov 1;94(6):504-8. doi: 10.1002/jso.20487.
Scalp reconstruction after oncologic resection can be challenging. Wide surgical resections, in combination with co-morbid conditions such as infected alloplastic material, cerebrospinal fluid (CSF) leak, or devascularized bone after craniotomy necessitate healthy, vascularized tissues for reconstruction. Although primary closure is feasible in some cases, the mainstay of treatment involves local tissue rearrangement with or without split thickness skin grafting. In addition, free tissue transfer is an important adjunct to therapy in patients with poor local tissues. Careful analysis of the defect and local tissues can help tailor the method of reconstruction and result in satisfactory closure in a majority of patients. Current techniques used for scalp reconstruction after surgical ablation are the subject of this review.
肿瘤切除术后的头皮重建具有挑战性。广泛的手术切除，再加上诸如异体植入材料感染、脑脊液（CSF）漏或开颅术后骨组织血运障碍等合并症，需要健康的、有血运的组织进行重建。虽然在某些情况下一期缝合是可行的，但治疗的主要方法是进行局部组织重排，可联合或不联合刃厚皮片移植。此外，对于局部组织条件差的患者，游离组织移植是一种重要的辅助治疗方法。仔细分析缺损情况和局部组织有助于选择合适的重建方法，并使大多数患者获得满意的创口闭合效果。本文综述了目前用于手术切除后头皮重建的技术。
