Abstract:
Complex scalp defects involving soft and hard tissues pose challenges for plastic surgeons. The solution for each defect must depend on various factors and even the technical development of the infrastructure. We present a case study in which the patient had a significant total frontal defect. The first surgery was a bi-parietal flap as a salvage option to cover the defect. However, aesthetic satisfaction was not achieved. The second surgery used the anterolateral thigh flap to enhance the aesthetic result, and the placement of titanium mesh was an appropriate choice. This case may be an example of how different solutions can lead to variable results and what needs to be considered when dealing with complex scalp defects.
摘要:
涉及软组织和硬组织的复杂头皮缺损给整形外科医生带来了挑战。每个缺陷的解决方案必须取决于各种因素,甚至基础结构的技术发展。我们提出了一个案例研究,其中患者有明显的全额叶缺损。第一个手术是双顶皮瓣,作为修补缺损的一种选择。然而,没有达到审美满意度。第二次手术使用股前外侧皮瓣以增强美学效果,钛网的放置是一个合适的选择。这种情况可能是不同的解决方案如何导致可变的结果以及在处理复杂的头皮缺陷时需要考虑什么的示例。