Jurnalul de Chirurgie
ISSN: 1584 - 9341
Vol.1 Nr.2 - aprilie - iunie 2005
 
     ENGLISH

  :

NUMARUL 2, VOL. 1, 2005

ARTICOLE ORIGINALE - ORIGINAL PAPERS

SURGICAL RECONSTRUCTION IN SCALP DEFECTS
Camelia Tamas, Lucian Popa, Dana Turliuc*, C. Morosanu**, Madalina Lazar***, E. Vasilica, A. Cazacu, Carmen Anastasiu, R. Taranu, T. Stamate
Clinic of Plastic and Reconstructive Surgery, Emergency Hospital,
University of Medicine Iasi, Romania
* Neurosurgery Clinic – Sf. Treime Hospital, Iasi, Romania
** General Surgery Clinic, Emergency Hospital, Iasi
*** Sf. Pantelimon Hospital, Bucharest, Romania
Jurnalul de chirurgie 2005; 1 (2):196-199
Full text: Format PDF (Romanian)

Abstract:

In scalp injuries the choice between use of a transposition flap, a rotation flap or other types of plasty is most often influenced by the size and nature of the defect.

The study refers to 14 patients with scalp defects operated between 1997-2003, most of them (83%) after tumour excision. 6 patients needed more than two operations because of tumour relapse.

We used for reconstruction: rotation flaps in 8 cases, transposition flaps in 5 cases, trapezius musculocutaneous flap in 3 situations and free omentum transfer in 3 patients.

Tumoral relapse occured in 5 cases, although the initial excision was correct, including bone whenever necessary and radiotherapy added. Scalp reconstruction may be difficult in wide defects and need a complex medical team when tumours are involved.

KEYWORDS: SCALP RECONSTRUCTION, SCALP DEFECTS, ROTATION FLAPS, TRANSPOSITION FLAPS

Correspondence: Dr. Camelia Tamas, Plastic and Reconstructive Surgery Clinic, Emergency Hospital, U.M.P. Iasi, G-ral Berthelot Street, No.2, e-mail: camelia_tamas@yahoo.com