Heim Nils, Wilms Christian Tim
Uniklinik Bonn; Abteilung für Mund-, Kiefer und Plastische Gesichtschirurgie.
Handchir Mikrochir Plast Chir. 2021 Dec;53(6):548-551. doi: 10.1055/a-1425-5434. Epub 2021 May 10.
Covering huge scalp defects is often a great challenge. Different aspects play a major role in planing and performing the covering of vast defects. We present the case of a patient with a squamous cell carcinoma of the scalp, measuring 8 × 9 centimeters. After histopathological work-up confirmed the suspected diagnosis and measurements of the carcinom were taken via CT-scan, we operated the patient. The carcinoma already reached into the sinus sagittalis superior. The huge defect was covered by two vascularized bipedicled flaps which were moved into the defect from anterior and posterior. The presented surgical technique appears to be a sufficient way in covering huge defects of the scalp.
覆盖巨大的头皮缺损往往是一项巨大的挑战。在规划和实施大面积缺损的覆盖时，不同方面都起着重要作用。我们报告一例头皮鳞状细胞癌患者的病例，肿瘤大小为8×9厘米。经组织病理学检查确诊疑似诊断，并通过CT扫描对癌灶进行测量后，我们对患者进行了手术。癌灶已累及上矢状窦。巨大的缺损由两个带血管蒂的双蒂皮瓣覆盖，这两个皮瓣分别从前后方向移入缺损处。所展示的手术技术似乎是覆盖巨大头皮缺损的一种有效方法。
