Reconstruction of a scalp defect should ensure the skull's protection, soft-tissue bulk, and contour maintenance. When calvaria is exposed, each reconstruction option has its own advantages and disadvantages. We report a 2-year-old Saudi boy, a road traffic accident (RTA) victim, otherwise medically stable who sustained partial to full-thickness defects of the scalp involving the left temporoparietal region, measuring 20 × 10 cm in size. After optimal debridement of the wound, a bipedicled pericranial flap with a split-thickness skin graft (STSG) was done. This case reports the satisfactory outcomes of using a bipedicled pericranial flap with STSG in traumatic scalp injuries, specifically in the pediatric age population without creating any secondary scalp skin defect and its associated morbidities. Being bipedicled the vascularity of the flap is more reliable and robust.
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http://dx.doi.org/10.7759/cureus.29887 | DOI Listing |
Facial Plast Surg Clin North Am
May 2024
Department of Otolaryngology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA. Electronic address:
The reliability of local intranasal flaps speaks to the robust vascularity of the nose, which these flaps are based on. The goals for lining replacement, as in any other area of head and neck reconstruction, is to use tissue that best matches the qualities of what is being replaced. The goal of this review is to describe the extent to which local tissues can be used and when to consider regional flaps when the extent of a local flap will not provide enough coverage.
View Article and Find Full Text PDFCureus
October 2022
Department of Plastic and Reconstructive Surgery, King Saud Medical City, Riyadh, SAU.
Reconstruction of a scalp defect should ensure the skull's protection, soft-tissue bulk, and contour maintenance. When calvaria is exposed, each reconstruction option has its own advantages and disadvantages. We report a 2-year-old Saudi boy, a road traffic accident (RTA) victim, otherwise medically stable who sustained partial to full-thickness defects of the scalp involving the left temporoparietal region, measuring 20 × 10 cm in size.
View Article and Find Full Text PDFPlast Reconstr Surg
November 2021
Department of Plastic and Reconstructive Surgery, St. Vincents Hospital, Sydney, Australia.
Neurol Med Chir (Tokyo)
August 2018
Department of Neurological Surgery, Nippon Medical School.
This technical note aims to demonstrate the usefulness, indications and its limitations of augmentation technique by bipedicle galeo-pericranial rotation flap and by monopedicle galeo-pericranial flap, both in STA (superficial temporal artery) branch compromised hosts in salvage frontotemporal cranioplasty. Although these flaps are not always idealistically vascularized owing to accidental injuries to the STA branches during previous surgeries, they are properly augmenting after salvage frontotemporal craniotomy when infection is not active. The procedure is indicated for salvage frontotemporal craniotomy when vasculature is needed at the surgical site, such as beneath the skin incision line in a thin injured scalp, onto the titanium plates or beneath the fragile fibrous scar.
View Article and Find Full Text PDFArch Plast Surg
July 2013
Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
Background: Intractable chronic scalp ulcers with cranial bone exposure can occur along the incision after cranioplasty, posing challenges for clinicians. They occur as a result of severe scarring, poor blood circulation of the scalp, and focal osteomyelitis. We successfully repaired these scalp ulcers using a vascularized bipedicled pericranial flap after complete debridement.
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