ArticleWorld journal of surgical oncology2018
Reconstruction of composite defects of the scalp and neurocranium-a treatment algorithm from local flaps to combined AV loop free flap reconstruction.
Article in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 32 citations in OpenAlex.
- Innovative technique to cover exposed dura mater after occipital osteomyelitis, using our triple layer using matriderm. A case report.Frontiers in surgery · 2026Article
- [Application of iceberg theory in the diagnosis and treatment of refractory wounds at the surgical site after craniotomy].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2025Article
- Challenging frontiers in neuroplastic cranial reconstruction: addressing neurosurgical wound healing complications through interdisciplinary collaboration - an observational study.Acta neurochirurgica · 2024Observational
- Reconstruction of Extensive Scalp and Skull Defects with Dural Exposure: Report of a Series of Cases and Literature Review.Plastic and reconstructive surgery. Global open · 2024Article
- Comparison of Antero-Lateral Thigh Flap and Vastus Lateralis Muscle Flap for the Treatment of Extensive Scalp Defects-A Retrospective Cohort Study.Journal of clinical medicine · 2023Article
- Article
- Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report.Archives of craniofacial surgery · 2023Article
- Article
- CSF disturbances and other neurosurgical complications after interdisciplinary reconstructions of large combined scalp and skull deficiencies.Neurosurgical review · 2021Article
- Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity.Archives of orthopaedic and trauma surgery · 2021Article
- Complex oncologic resection and reconstruction of the scalp: Predictors of morbidity and mortality.Archives of craniofacial surgery · 2020Article
- AV loop free flap: an interdisciplinary approach for perineal and sacral defect reconstruction after radical oncological exenteration and radiation in a colorectal cancer patient.World journal of surgical oncology · 2019Article
- Free Tissue Reconstruction of the Scalp.Seminars in plastic surgery · 2019Review
- Enhancing Safety in Reconstructive Microsurgery Using Intraoperative Indocyanine Green Angiography.Frontiers in surgery · 2019Article
- A Standard Algorithm for Reconstruction of Scalp Defects With Simultaneous Free Flaps in an Interdisciplinary Two-Team Approach.Frontiers in oncology · 2019Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReconstruction of cranial composite defects, including all layers of the scalp and the neurocranium, poses an interdisciplinary challenge. Especially after multiple previous operations and/or radiation therapy, sufficient reconstruction is often only possible using microsurgical free flap transplantation. The aim of this study was to analyze the therapy of interdisciplinary cases with composite defects including the scalp and neurocranium.
methodsFrom 2009 to 2017, 23 patients with 18 free flaps and 10 pedicled/local flaps were analyzed. First choices for free flaps were muscle flaps followed by fasciocutaneous flaps.
resultsExcept for four patients, a stable coverage could be reached in the first operation. Three of these patients received a local scalp rotation flap in the first operation and needed an additional free flap because the local flap was no longer sufficient for coverage after wound healing deficiency or tumor relapse. The superficial temporal artery or external carotid artery served as recipient vessels. In special cases, venous grafts or an arteriovenous loop (AV loop) were used as extensions for the recipient vessels.
conclusionsIn summary, an interdisciplinary approach with radical debridement of infected or necrotic tissue and the reconstruction of the dura mater are essential to reach a stable, long-lasting reconstructive result. Based on our experience, free flaps seem to be the first choice for patients after multiple previous operations and/or radiation therapy.
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