Stepniewski Adam, Daugardt Julian, Bingoel Alperen Sabri, Hoffmann Jessica, Jäckle Katharina, Korzeniowski Tomasz, Kauffmann Philipp, Lehmann Wolfgang, Felmerer Gunther
Division of Plastic Surgery, Department for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Department of Traumatology, Hand Surgery and Orthopedics, Klinikum Bremerhaven Reinkenheide, Bremerhaven, Germany.
JPRAS Open. 2025 Mar 14;44:291-299. doi: 10.1016/j.jpra.2025.03.005. eCollection 2025 Jun.
The study demonstrates the broad applicability of local and regional flaps for the treatment of scalp defects of varying size and etiology. We aimed to verify whether the following variables correlate with the postoperative complication rate, length of hospitalization, and postoperative inpatient course, i.e., etiology of the defect, surgical technique, duration of surgery, defect size, localization, comorbidities, and neoadjuvant radiation. We examined whether the complications had an impact on the hospitalization and postoperative inpatient course. The inclusion criteria were defects in the scalp, reconstruction between 2010 and 2021, and use of local or regional fasciocutaneous flap. In this study, the following parameters were considered such as gender, age, main diagnosis, comorbidities, defect etiology, size and localization, type of surgical treatment, surgery duration, hospitalization, postoperative inpatient course, local complications, and revisions. A total of 39 patients (mean age: 56.5 ± 20.5 years) were selected. Postoperative complications did not correlate with defect etiology, surgical technique, defect size, defect localization, surgery duration, comorbidities, and local radiation. Postoperative complications, comorbidities, and neoadjuvant radiotherapy influenced the length of hospitalization. The postoperative inpatient course was influenced by the surgery duration and postoperative complications. Defect etiology, surgical technique, defect size, and defect localization had no impact on the overall hospitalization. Local and regional flaps are safe and reliable options for the treatment of scalp defects up to 80 cm². Their use in the study resulted in excellent functional and cosmetic outcomes. The risk of complications and revisions is considered as low.
该研究证明了局部和区域皮瓣在治疗不同大小和病因的头皮缺损方面具有广泛的适用性。我们旨在验证以下变量是否与术后并发症发生率、住院时间和术后住院过程相关，即缺损的病因、手术技术、手术持续时间、缺损大小、位置、合并症和新辅助放疗。我们研究了并发症是否对住院和术后住院过程有影响。纳入标准为头皮缺损、2010年至2021年期间进行重建以及使用局部或区域筋膜皮瓣。在本研究中，考虑了以下参数，如性别、年龄、主要诊断、合并症、缺损病因、大小和位置、手术治疗类型、手术持续时间、住院情况、术后住院过程、局部并发症和翻修情况。共选择了39例患者（平均年龄：56.5±20.5岁）。术后并发症与缺损病因、手术技术、缺损大小、缺损位置、手术持续时间、合并症和局部放疗无关。术后并发症、合并症和新辅助放疗影响住院时间。术后住院过程受手术持续时间和术后并发症影响。缺损病因、手术技术、缺损大小和缺损位置对总体住院情况无影响。局部和区域皮瓣是治疗面积达80平方厘米头皮缺损的安全可靠选择。在该研究中的应用产生了优异的功能和美容效果。并发症和翻修的风险被认为较低。
