Gómez Raúl, Hontanilla Bernardo
From the Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Pamplona, Spain.
Ann Plast Surg. 2014 Sep;73(3):291-4. doi: 10.1097/SAP.0b013e318276da63.
The presence of foreign material in deep brain stimulation is a risk factor for infection, and hardware-related pressure under the scalp may cause skin erosion. The aim of this article is to present our experience in the coverage of scalp in relation to underlying hardware. We analyzed 21 patients with Parkinson disease who had undergone deep brain stimulation surgery and developed scalp erosion with hardware exposition during follow-up. Nine patients were programmed for a scalp rotation flap, whereas free tisue transfer was performed in the rest of the patients. Minimum follow-up was 2 years. A hardware-related ulcer appeared in 5 of 9 rotation flap patients. No ulceration or major complications were observed in free flap patients. Free flaps are probably the best option for stable coverage in hardware-related scalp erosion with a high rate of success.
深部脑刺激中存在异物是感染的一个危险因素，头皮下与硬件相关的压力可能导致皮肤糜烂。本文的目的是介绍我们在覆盖与深部硬件相关的头皮方面的经验。我们分析了21例接受深部脑刺激手术的帕金森病患者，这些患者在随访期间出现了头皮糜烂并伴有硬件外露。9例患者采用头皮旋转皮瓣进行修复，其余患者则进行了游离组织移植。最短随访时间为2年。9例旋转皮瓣患者中有5例出现了与硬件相关的溃疡。游离皮瓣患者未观察到溃疡或重大并发症。对于与硬件相关的头皮糜烂，游离皮瓣可能是实现稳定覆盖且成功率较高的最佳选择。
