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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Zayakova, Yolanda (Department of Burns, Plastic and Aesthetic Surgery, Multi-Profile Hospital for Active Treatment Varna, Military Medical Academy) Stanev, Anton (Department of Burns, Plastic and Aesthetic Surgery, Multi-Profile Hospital for Active Treatment Varna, Military Medical Academy) Mihailov, Hristo (Department of General Surgery, Multi-Profile Hospital for Active Treatment Varna, Military Medical Academy) Pashaliev, Nicolai (Department of Burns, Plastic and Aesthetic Surgery, Multi-Profile Hospital for Active Treatment Varna, Military Medical Academy)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제5호
발행연도
2013.1
수록면
564 - 569 (6page)

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Background Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss the application of this method from the perspective of not only the size of the defect, but also in relation to the anatomical area, quality of surrounding tissue, and patient's condition. Methods During the period from December 2007 to December 2012, 13 patients with various scalp defects, aged 11 to 86 years, underwent reconstruction with local pedicle flaps. The indications were based on the patients' condition (age, sex, quality of surrounding tissue, and comorbidities) and wound parameters. Depending on the size of the defects, they were classified into three groups as follows: large, 20 to 50 $cm^2$; very large, 50 to 100 $cm^2$; extremely large, 100 $cm^2$. The location was defined as peripheral (frontal, temporal, occipital), central, or combined (more than one area). We performed reconstruction with 11 single transposition flaps and 1 bipedicle with a skin graft on the donor area, and 2 advancement flaps in 1 patient. Results In all of the patients, complete tissue coverage was achieved. The recovery was relatively quick, without hematoma, seroma, or infections. The flaps survived entirely. Conclusions Local flaps are widely used in scalp reconstruction since they provide healthy, stable, hair-bearing tissue and require a short healing time for the patients.
#Surgical flaps #Burn #Basal cell carcinoma #Reconstructive surgical procedures #Scalp

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참고문헌 (21)

참고문헌 신청
Shonka DC Jr / 2011 / Successful reconstruction of scalp and skull defects: lessons learned from a large series / Laryngoscope 121:2305~2312 google schola Hussussian CJ / 2002 / Microsurgical scalp reconstruction in the patient with cancer / Plast Reconstr Surg 109:1828~1834 google schola Newman MI / 2004 / Scalp reconstruction:a 15-year experience / Ann Plast Surg 52:501~506 google schola Ito E / 2012 / Skull base reconstruction using various types of galeal flaps / Acta Neurochir 154:179~185 google schola Lee S / 2006 / Advances in scalp reconstruction / Curr Opin Otolaryngol Head Neck Surg 14:249~253 google schola

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