Otieno Daniel O, Ouma Nelson Oduor, Malik Janan Hania, Nang'ole Ferdinand
Department of Plastic, Reconstructive and Aesthetic Surgery University of Nairobi School of Medicine, Nairobi, Kenya.
Department of Plastic, Reconstructive and Aesthetic Surgery University of Nairobi School of Medicine, Nairobi, Kenya.
Int J Surg Case Rep. 2023 Sep;110:108766. doi: 10.1016/j.ijscr.2023.108766. Epub 2023 Aug 29.
Scalp tumors are diverse, with the characteristics of individual tumors depending on the cell lineage. Invasive squamous cell carcinoma and sarcomas of the scalp are a variety of uncommon, aggressive neoplasms of the head and neck. Resecting large invasive tumors causes extensive full-thickness scalp defects, and repairing these defects remains challenging.
The authors present two successful cases using a staged approach with titanium mesh and free tissue transfer (anterolateral thigh flap) technique.
Complex scalp defects are challenging to manage when insufficient local tissue is available. This frequently necessitates the use of microvascular free tissue transfer for reconstruction. The availability of microsurgery in developing countries such as ours has enabled functional and aesthetic reconstruction for patients presenting with such complex defects.
Free flaps are safe and reliable when scalp defects are significant and require both scalp and calvarial reconstructions. The ALT-free tissue transfer shows predictable results in both clinical cases.
头皮肿瘤种类多样，个体肿瘤的特征取决于细胞谱系。头皮浸润性鳞状细胞癌和肉瘤是头颈部多种罕见的侵袭性肿瘤。切除大型浸润性肿瘤会导致广泛的全层头皮缺损，修复这些缺损仍然具有挑战性。
作者介绍了两例采用钛网分期法和游离组织移植（股前外侧皮瓣）技术的成功病例。
当局部组织不足时，复杂的头皮缺损处理起来具有挑战性。这通常需要使用微血管游离组织移植进行重建。在我们这样的发展中国家，显微外科手术的应用使得患有此类复杂缺损的患者能够进行功能和美学重建。
当头皮缺损严重且需要同时进行头皮和颅骨重建时，游离皮瓣安全可靠。在两例临床病例中，股前外侧游离组织移植均显示出可预测的效果。
