García del Campo José Antonio, García de Marcos José Antonio, del Castillo Pardo de Vera José Luis, García de Marcos María Jesús
Oral and Maxillofacial Surgery Department, La Paz University Hospital, Madrid, Spain.
Med Oral Patol Oral Cir Bucal. 2008 Oct 1;13(10):E666-70.
Scalp defects can have a number of origins, and their repair is dependent upon their location, size and depth. In the case of the scalp, the repair of even small defects is complicated. Local flaps are the reference for the reconstruction of such defects. Knowledge of scalp anatomy is essential for preparing these flaps, which must be based on one or two vascular pedicles to afford a large rotation angle--thereby facilitating closure of the defect. The parietal zone is the location offering the greatest flap mobilization possibilities. We present a case involving the repair of a major pericranial frontoparietal scalp defect. A local transverse posterior transpositioning scalp flap was raised with the posterior auricular and occipital arteries as vascular pedicle. Following repositioning of the flap, a free partial-thickness skin graft from the thigh was used to cover the donor zone. A review is provided of the different techniques for the reconstruction of large scalp defects.
头皮缺损可有多种成因，其修复取决于缺损的位置、大小和深度。就头皮而言，即使是小缺损的修复也很复杂。局部皮瓣是修复此类缺损的首选方法。了解头皮解剖结构对于制备这些皮瓣至关重要，这些皮瓣必须基于一或两个血管蒂，以提供较大的旋转角度，从而便于闭合缺损。顶区是皮瓣活动可能性最大的部位。我们报告一例涉及大面积额顶部颅骨膜外头皮缺损修复的病例。以耳后动脉和枕动脉为血管蒂掀起一块局部横向后移位头皮皮瓣。皮瓣重新定位后，取自大腿的游离部分厚度皮片用于覆盖供区。本文综述了修复大面积头皮缺损的不同技术。
