Shenoy A M, Nayak U K, Bhargava A K, Naganoor I A, Vijayakumar M
Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bangalore, India.
J Laryngol Otol. 1993 Apr;107(4):324-8. doi: 10.1017/s0022215100122935.
Regional scalp flaps are invaluable in resurfacing defects resulting from resections in the area of the upper face, orbit and scalp itself. The tissue lies adjacent to the defect, is easy to harvest, and can be termed as a 'durable one-stage' procedure. Scalp defects posterior to the vertex lend themselves to resurfacing by a posterior flap based on the occipital arteriovenous system. Anterior scalp defects including upper face and orbit can be resurfaced by an anterior scalp flap based on the superficial temporal arteriovenous system. While large areas can be resurfaced and the donor site effectively camouflaged, this flap finds less of an acceptance amongst patients with defects in the upper facial region when compared to the scalp defects. We recount our experience with these flaps and describe the high points of the reconstructive procedure and the results obtained in ten consecutive cases carried out over a three year period at the Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bangalore, India. The short healing time and minimal morbidity make this reconstructive option an attractive one for the practising Head and Neck Surgeon.
局部头皮瓣对于修复上睑、眼眶及头皮自身区域切除术后的缺损极为重要。该组织毗邻缺损部位，易于切取，可称为“持久的一期”手术。头顶后部的头皮缺损适合采用基于枕动静脉系统的后瓣进行修复。包括上睑和眼眶在内的前部头皮缺损可采用基于颞浅动静脉系统的前头皮瓣进行修复。虽然大面积缺损可得到修复且供区能有效隐蔽，但与头皮缺损相比，该皮瓣在上面部缺损患者中的接受度较低。我们讲述了使用这些皮瓣的经验，并描述了重建手术的要点以及在印度班加罗尔基德瓦伊纪念肿瘤研究所头颈外科三年期间连续开展的十例病例所取得的结果。愈合时间短且发病率极低，使得这种重建选择对于执业头颈外科医生颇具吸引力。
