Scalp Free Flap Reconstruction Using Anterolateral

We experienced satisfactory outcomes by synchronously transplanting an artery and veinusing an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel ofa flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due toa fall injury. In this patient,...

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Main Authors: Chin Whan Kim, Sung Hee Hong, Jong Hoon Lee, Suk Chan Eun, Kyung Hee Min, Jun Hyung Park
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-01-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-55.pdf
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author Chin Whan Kim
Sung Hee Hong
Jong Hoon Lee
Suk Chan Eun
Kyung Hee Min
Jun Hyung Park
author_facet Chin Whan Kim
Sung Hee Hong
Jong Hoon Lee
Suk Chan Eun
Kyung Hee Min
Jun Hyung Park
author_sort Chin Whan Kim
collection DOAJ
description We experienced satisfactory outcomes by synchronously transplanting an artery and veinusing an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel ofa flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due toa fall injury. In this patient, the right temporal cranium was missing and the patient had 4×3cm and 6×5 cm scalp defects. We planned a scalp reconstruction using a latissimus dorsifree flap. Intraoperatively, there was a severe injury to the right superficial temporal vesselbecause of previous neurosurgical operations. A 15 cm long pedicle defect was needed toreach the recipient facial vessels. For the vascular graft, the descending branch of the lateralcircumflex femoral artery and two venae comitantes were harvested.The flap survived well and the skin graft was successful with no notable complications. Whenan interposition graft is needed in the reconstruction of the head and neck region for whichmobility is mandatory to a greater extent, a sufficient length of graft from an anterolateralflap pedicle could easily be harvested. Thus, this could contribute to not only resolving thedisadvantages of a venous graft but also to successfully performing a vascular anastomosis.
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spelling doaj.art-d8de3c91386a4e5cad0cc2e75f3cc6362022-12-22T02:56:28ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-01-013915558Scalp Free Flap Reconstruction Using AnterolateralChin Whan KimSung Hee HongJong Hoon LeeSuk Chan EunKyung Hee MinJun Hyung ParkWe experienced satisfactory outcomes by synchronously transplanting an artery and veinusing an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel ofa flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due toa fall injury. In this patient, the right temporal cranium was missing and the patient had 4×3cm and 6×5 cm scalp defects. We planned a scalp reconstruction using a latissimus dorsifree flap. Intraoperatively, there was a severe injury to the right superficial temporal vesselbecause of previous neurosurgical operations. A 15 cm long pedicle defect was needed toreach the recipient facial vessels. For the vascular graft, the descending branch of the lateralcircumflex femoral artery and two venae comitantes were harvested.The flap survived well and the skin graft was successful with no notable complications. Whenan interposition graft is needed in the reconstruction of the head and neck region for whichmobility is mandatory to a greater extent, a sufficient length of graft from an anterolateralflap pedicle could easily be harvested. Thus, this could contribute to not only resolving thedisadvantages of a venous graft but also to successfully performing a vascular anastomosis.http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-55.pdfScalpFree tissue flapsVascular grafting
spellingShingle Chin Whan Kim
Sung Hee Hong
Jong Hoon Lee
Suk Chan Eun
Kyung Hee Min
Jun Hyung Park
Scalp Free Flap Reconstruction Using Anterolateral
Archives of Plastic Surgery
Scalp
Free tissue flaps
Vascular grafting
title Scalp Free Flap Reconstruction Using Anterolateral
title_full Scalp Free Flap Reconstruction Using Anterolateral
title_fullStr Scalp Free Flap Reconstruction Using Anterolateral
title_full_unstemmed Scalp Free Flap Reconstruction Using Anterolateral
title_short Scalp Free Flap Reconstruction Using Anterolateral
title_sort scalp free flap reconstruction using anterolateral
topic Scalp
Free tissue flaps
Vascular grafting
url http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-55.pdf
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AT jonghoonlee scalpfreeflapreconstructionusinganterolateral
AT sukchaneun scalpfreeflapreconstructionusinganterolateral
AT kyungheemin scalpfreeflapreconstructionusinganterolateral
AT junhyungpark scalpfreeflapreconstructionusinganterolateral