Department of Plastic Surgery, Derriford Hospital, Plymouth, UK.
Ann R Coll Surg Engl. 2021 Mar;103(3):e106-e108. doi: 10.1308/rcsann.2020.7041.
Transposition scalp flaps are a versatile solution for soft-tissue cover in a multitude of scalp defects. They are frequently used to reconstruct larger skin cancers that involve the outer table of the cranium in addition to covering neurosurgical bony defects and hardware. The transposition flap requires the donor site to be grafted using a split-thickness graft, which results in a secondary wound elsewhere on the body, commonly the lateral thigh. Although quite routine in such surgery, this procedure does require another body area to be prepared and draped. We sought to streamline this procedure with an adjustment to the location of the donor site. In harvesting the graft from the skin of the flap itself, we localised all surgery to one area, which has a number of logistical and patient-care advantages. Our experience has shown significant benefits from this technique and this is now our chosen and recommended donor site for these reconstructions.
头皮皮瓣转移是多种头皮缺损软组织覆盖的通用解决方案。它们常用于重建更大的皮肤癌,除了覆盖神经外科的骨缺损和硬件外,还涉及颅骨外板。皮瓣转移需要使用中厚皮片移植供区,这会导致身体其他部位的二次创伤,通常是大腿外侧。虽然这种手术非常常规,但该手术确实需要另外准备和铺巾一个身体区域。我们试图通过调整供区的位置来简化该手术。在从皮瓣本身的皮肤中获取移植物时,我们将所有手术都集中在一个区域,这具有许多后勤和患者护理方面的优势。我们的经验表明,这种技术有显著的益处,因此,现在我们选择并推荐该区域作为这些重建的供区。