Abstract
Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, "bucket handle") flap, thus obviating the need for free tissue transfer. All 4 patients demonstrated complete wound healing by final follow-up, without need for further reoperations or ulcer recurrence. In face of composite frontal scalp defects in less than ideal candidates for lengthy microsurgical flap procedures, the bucket-handle flap can provide a simple and reliable reconstructive option.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2182-2185 |
| Number of pages | 4 |
| Journal | The Journal of craniofacial surgery |
| Volume | 29 |
| Issue number | 8 |
| DOIs | |
| State | Published - Nov 1 2018 |
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ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Bucket-Handle Bipedicled Scalp Flaps for Coverage of Cranial Constructs in Cranioplasty. / Devulapalli, Chris; Mercaitis, Orion Paul; Orbe, Maria; Salgado, Christopher.
In: The Journal of craniofacial surgery, Vol. 29, No. 8, 01.11.2018, p. 2182-2185.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Bucket-Handle Bipedicled Scalp Flaps for Coverage of Cranial Constructs in Cranioplasty
AU - Devulapalli, Chris
AU - Mercaitis, Orion Paul
AU - Orbe, Maria
AU - Salgado, Christopher
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, "bucket handle") flap, thus obviating the need for free tissue transfer. All 4 patients demonstrated complete wound healing by final follow-up, without need for further reoperations or ulcer recurrence. In face of composite frontal scalp defects in less than ideal candidates for lengthy microsurgical flap procedures, the bucket-handle flap can provide a simple and reliable reconstructive option.
AB - Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, "bucket handle") flap, thus obviating the need for free tissue transfer. All 4 patients demonstrated complete wound healing by final follow-up, without need for further reoperations or ulcer recurrence. In face of composite frontal scalp defects in less than ideal candidates for lengthy microsurgical flap procedures, the bucket-handle flap can provide a simple and reliable reconstructive option.
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U2 - 10.1097/SCS.0000000000004832
DO - 10.1097/SCS.0000000000004832
M3 - Article
C2 - 30339595
AN - SCOPUS:85056426144
VL - 29
SP - 2182
EP - 2185
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 8
ER -