Sokoya Mofiyinfolu, Misch Emily, Vincent Aurora, Wang Weitao, Kadakia Sameep, Ducic Yadranko, Smith Jesse
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado.
Semin Plast Surg. 2019 Feb;33(1):67-71. doi: 10.1055/s-0039-1678470. Epub 2019 Mar 8.
Reconstruction of scalp defects can be accomplished by many methods, but larger defects, especially those in which the periosteum is absent or calvarial defects are present, require free tissue transfer. Various methods of scalp reconstruction, as guided by the defect components and size, are presented herein, with a focus on free tissue transfer. Different free flaps for scalp reconstructed are described with a comparison of their advantages and disadvantages. Overall, free tissue transfer for scalp defects provides a reliable, durable, and cosmetically adequate reconstructive option.
头皮缺损的修复可通过多种方法完成,但较大的缺损,尤其是那些骨膜缺失或存在颅骨缺损的情况,需要进行游离组织移植。本文介绍了根据缺损成分和大小指导的各种头皮修复方法,重点是游离组织移植。描述了用于头皮重建的不同游离皮瓣,并比较了它们的优缺点。总体而言,游离组织移植用于头皮缺损提供了一种可靠、持久且美观的修复选择。