TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION
Objective: To determine the outcomes of free tissue transfer for large scalp and forehead defects reconstruction. Study Design: A descriptive case series. Place and Duration of Study: The study was carried out at Plastic surgery department, Shifa International Hospital Islamabad, over a period of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2018-04-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/281/204 |
| _version_ | 1818988414330994688 |
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| author | Aamna Sanober Mamoon Rashid Shumaila Yousaf, Ishtiaq Ur Rehman Samia Fatima, Farhan Ahmed Eitezaz |
| author_facet | Aamna Sanober Mamoon Rashid Shumaila Yousaf, Ishtiaq Ur Rehman Samia Fatima, Farhan Ahmed Eitezaz |
| author_sort | Aamna Sanober |
| collection | DOAJ |
| description | Objective: To determine the outcomes of free tissue transfer for large scalp and forehead defects reconstruction.
Study Design: A descriptive case series.
Place and Duration of Study: The study was carried out at Plastic surgery department, Shifa International
Hospital Islamabad, over a period of 5 years from Mar 2011 to Feb 2016.
Material and Methods: All the patients who underwent scalp reconstruction for soft tissue or composite defects greater than 6cm2 during the period of 5 years were included in the series and were followed post operatively for 6 months. The patient’s demographic data, medical history, surgical history, comorbidities, age, and gender were also analyzed. Indications for surgical intervention included cutaneous malignancy of the scalp, bony tumors, vascular lesions and traumatic tissue loss requiring reconstruction.
Results: A total of 20 patients (60% female and 40% male) with mean age of 38.75 years (SD=14.44), who underwent a reconstructive surgery for scalp defect, were assessed. The scalp defect were secondary to tumor resection(n=10; 50%), post-traumatic wounds (n=5, 25%) and resection of vascular malformations (n=5, 25%). Free flaps used for reconstruction were: Antero Lateral Thigh Free Flap (ALTF) (n=8; 40%), Radial Forearm Free Flap (RFFF)(n=6, 30%), free latissimus dorsi (n=4, 20%) and Transversus Abdominis muscle (TRAM) flap (n=2, 10%).
Conclusion: Scalp and forehead defects, if treated adequately, can heal with stable and aesthetically acceptable results and flap selection should be individualized according to the defects, patient’s factors and availability of particular flap.
Keywords: Forehead defect, Free flap, Scalp defects. |
| first_indexed | 2024-12-20T19:22:12Z |
| format | Article |
| id | doaj.art-e3c76403a0ba4167ab1c661ef2fe85c0 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-20T19:22:12Z |
| publishDate | 2018-04-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-e3c76403a0ba4167ab1c661ef2fe85c02022-12-21T19:28:58ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-04-01682230235TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTIONAamna Sanober0Mamoon Rashid1Shumaila Yousaf,2Ishtiaq Ur Rehman3Samia Fatima,4Farhan Ahmed Eitezaz5Shifa International Hospital, Islamabad PakistanShifa International Hospital, Islamabad PakistanShifa International Hospital, Islamabad PakistanShifa International Hospital, Islamabad PakistanShifa International Hospital, Islamabad PakistanShifa International Hospital, Islamabad PakistanObjective: To determine the outcomes of free tissue transfer for large scalp and forehead defects reconstruction. Study Design: A descriptive case series. Place and Duration of Study: The study was carried out at Plastic surgery department, Shifa International Hospital Islamabad, over a period of 5 years from Mar 2011 to Feb 2016. Material and Methods: All the patients who underwent scalp reconstruction for soft tissue or composite defects greater than 6cm2 during the period of 5 years were included in the series and were followed post operatively for 6 months. The patient’s demographic data, medical history, surgical history, comorbidities, age, and gender were also analyzed. Indications for surgical intervention included cutaneous malignancy of the scalp, bony tumors, vascular lesions and traumatic tissue loss requiring reconstruction. Results: A total of 20 patients (60% female and 40% male) with mean age of 38.75 years (SD=14.44), who underwent a reconstructive surgery for scalp defect, were assessed. The scalp defect were secondary to tumor resection(n=10; 50%), post-traumatic wounds (n=5, 25%) and resection of vascular malformations (n=5, 25%). Free flaps used for reconstruction were: Antero Lateral Thigh Free Flap (ALTF) (n=8; 40%), Radial Forearm Free Flap (RFFF)(n=6, 30%), free latissimus dorsi (n=4, 20%) and Transversus Abdominis muscle (TRAM) flap (n=2, 10%). Conclusion: Scalp and forehead defects, if treated adequately, can heal with stable and aesthetically acceptable results and flap selection should be individualized according to the defects, patient’s factors and availability of particular flap. Keywords: Forehead defect, Free flap, Scalp defects.https://www.pafmj.org/index.php/PAFMJ/article/view/281/204forehead defectfree flapscalp defects |
| spellingShingle | Aamna Sanober Mamoon Rashid Shumaila Yousaf, Ishtiaq Ur Rehman Samia Fatima, Farhan Ahmed Eitezaz TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION Pakistan Armed Forces Medical Journal forehead defect free flap scalp defects |
| title | TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION |
| title_full | TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION |
| title_fullStr | TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION |
| title_full_unstemmed | TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION |
| title_short | TO DETERMINE THE OUTCOMES OF FREE TISSUE TRANSFER FOR LARGE SCALP AND FOREHEAD DEFECTS RECONSTRUCTION |
| title_sort | to determine the outcomes of free tissue transfer for large scalp and forehead defects reconstruction |
| topic | forehead defect free flap scalp defects |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/281/204 |
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