游离背阔肌肌皮瓣毛发移植：病例报告

Hair transplantation on a free microvascular latissimus dorsi flap: case report.

作者信息

Veir Zoran, Kisić Hrvoje, Mijatović Davor, Bogdanić Branko, Duduković Mladen, Kunjko Kristian, Veir Hrvoje, Zadro Zvonko

机构信息

From the *Departments of Plastic Surgery and †Surgery, University Hospital Center Zagreb, Zagreb; and ‡Department of Surgery, General Hospital Karlovac, Karlovac, Croatia.

出版信息

Ann Plast Surg. 2014 Dec;73(6):668-9. doi: 10.1097/SAP.0b013e31828bb314.

DOI:10.1097/SAP.0b013e31828bb314

PMID:23676522

Abstract

Large scalp defects can present as a challenging clinical problem for a reconstructive surgeon. We present a patient with a large scalp defect following an infection after neurosurgical treatment. Reconstruction of a defect was performed using a free latissimus dorsi flap with split-thickness skin graft. For achieving good aesthetic result, we transplanted 1000 minigrafts in 3 sessions on the latissimus dorsi flap. In our opinion, hair transplantation on a free microvascular flap is a viable and easy procedure with good aesthetic outcome for treating residual alopecia after reconstructing large scalp defects.

摘要

对于重建外科医生而言，大面积头皮缺损可能是一个具有挑战性的临床问题。我们报告了一名患者，其在神经外科治疗后因感染出现大面积头皮缺损。采用背阔肌游离皮瓣加中厚皮片移植进行缺损修复。为了获得良好的美学效果，我们在背阔肌皮瓣上分3次移植了1000个微小皮片。我们认为，对于大面积头皮缺损重建术后残留的脱发问题，在游离微血管皮瓣上进行毛发移植是一种可行且简便的方法，美学效果良好。