Umman Philip, Pillai Vinod G, Abraham Pradip M, Varkey Roshan G
Associate Professor, Deparment of Surgery, Believers Church Medical College, Hospital , Tiruvalla, Kerala, India .
Assistant Professor, Deparment of Surgery, Believers Church Medical College, Hospital , Tiruvalla, Kerala, India .
J Clin Diagn Res. 2016 Nov;10(11):PD21-PD23. doi: 10.7860/JCDR/2016/22398.8873. Epub 2016 Nov 1.
Many patients present to general surgeons with scalp lesions which require wide local excision with margin, following which the defect is too large to be closed primarily. These lesions can be benign or malignant. Skin grafting of these defects gives poor cosmetic outcome. Knowledge of basic flaps will enable the general surgeon to close these defects to heal by primary intention. Also, the margin of excision will not be compromised because of anticipated difficulty in closing the wound. We present a series of three cases who underwent excision of scalp lesions resulting in moderate size scalp defects. These defects were closed with rotation flap with good cosmetic outcome.
许多患者因头皮病变就诊于普通外科医生，这些病变需要进行带边缘的广泛局部切除，切除后缺损太大无法直接缝合。这些病变可能是良性的，也可能是恶性的。对这些缺损进行皮肤移植，美容效果较差。了解基本的皮瓣知识将使普通外科医生能够闭合这些缺损，实现一期愈合。此外，由于预计伤口闭合困难，切除边缘也不会受到影响。我们介绍了一系列三例患者，他们接受了头皮病变切除，导致中等大小的头皮缺损。这些缺损通过旋转皮瓣闭合，美容效果良好。
