A CRITICAL-APPRAISAL OF THE USE OF FREE FLAPS IN PRIMARY RECONSTRUCTION OF COMBINED SCALP AND CALVARIAL CANCER DEFECTS

被引：31

作者：

EARLEY, MJ ^{[1
]}

GREEN, MF ^{[1
]}

MILLING, MAP ^{[1
]}

机构：

[1] ST LAWRENCE HOSP,CTR PLAST & RECONSTRUCT SURG,CHEPSTOW,GWENT,WALES

来源：

BRITISH JOURNAL OF PLASTIC SURGERY | 1990年 / 43卷 / 03期

关键词：

D O I：

10.1016/0007-1226(90)90073-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Eleven patients had scalp tumours with full thickness calvarial invasion excised and reconstructed with free flap transfer as a primary procedure. Latissimus dorsi or radial forearm flaps were used, with split rib calvarial reconstruction. One flap was lost peroperatively and another necrosed at 8 days following pedicle compression against an acrylic "skull". Only six patients presently survive, two being treated for recurrence. Long-term follow-up indicates that poor prognostic factors are advanced local invasion, squamous or anaplastic tumours, and advanced age. However, palliative treatment has a role. © 1990 The Trustees of British Association of Plastic Surgeons. All rights reserved.

引用

页码：283 / 289

页数：7

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