Igde Murat, Yilanci Sedat, Bali Yagmur Yaprak, Unlu R Erkin, Duzgun Serdar, Pekdemir Ilhan
Ankara Numune Training and Research Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara, Turkey.
Turk Neurosurg. 2015;25(6):888-94. doi: 10.5137/1019-5149.JTN.11773-14.0.
The scalp and forehead are the anatomical regions where non-melanoma malignant skin tumors are commonly seen due to direct sun exposure. After surgery for non-melanoma malignant skin tumors located in the scalp and forehead, many complex defects can develop, ranging from sole skin defects to deep defects in which bone and dura mater are opened.
This study examined 43 patients who presented to the Department of Plastic Surgery in Ankara Numune Training and Research Hospital and were diagnosed with non-melanoma malignant tumors of scalp and forehead between 2006 and 2013. The number of operations, the operation techniques applied, the number and type of complications (if any) of free tissue transplantation were also investigated. Various techniques are used for reconstruction of scalp and forehead region following resection of non-melanoma skin tumors.
In order to accomplish satisfactory results these patients have to be carefully assessed with specific parameters while performing the reconstruction of the defect and reconstruction should be planned. Patients with local invasion may need adjuvant radiotherapy postoperatively and reconstruction with free flaps is reliable in the prevention of the possible comorbid problems due to radiotherapy.
Multidisciplinary approach is needed and the treatment should be managed with neurosurgical team, radiation oncologists and medical oncologists.
头皮和前额是因直接暴露于阳光下而常见非黑色素瘤恶性皮肤肿瘤的解剖区域。在对位于头皮和前额的非黑色素瘤恶性皮肤肿瘤进行手术后，可能会出现许多复杂的缺损，从单纯的皮肤缺损到骨和硬脑膜开放的深部缺损不等。
本研究检查了2006年至2013年间在安卡拉努穆内培训和研究医院整形外科就诊并被诊断为头皮和前额非黑色素瘤恶性肿瘤的43例患者。还调查了手术次数、应用的手术技术、游离组织移植的并发症数量及类型（如有）。在切除非黑色素瘤皮肤肿瘤后，采用了各种技术来重建头皮和前额区域。
为了取得满意的效果，在进行缺损重建时必须用特定参数仔细评估这些患者，并应规划重建方案。局部侵袭的患者术后可能需要辅助放疗，游离皮瓣重建在预防放疗可能导致的合并症方面是可靠的。
需要多学科方法，治疗应由神经外科团队、放射肿瘤学家和医学肿瘤学家共同管理。
