SURGICAL RECONSTRUCTION IN SCALP DEFECTS
Camelia Tamas, Lucian Popa, Dana Turliuc*,
C. Morosanu**, Madalina Lazar***, E. Vasilica, A. Cazacu, Carmen Anastasiu,
R. Taranu, T. Stamate
Clinic of Plastic and Reconstructive Surgery, Emergency Hospital,
University of Medicine Iasi, Romania
* Neurosurgery Clinic – Sf. Treime Hospital, Iasi, Romania
** General Surgery Clinic, Emergency Hospital, Iasi
*** Sf. Pantelimon Hospital, Bucharest, Romania
Jurnalul de chirurgie 2005; 1 (2):196-199
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Abstract:
In scalp injuries the choice between use of a transposition flap,
a rotation flap or other types of plasty is most often influenced
by the size and nature of the defect.
The study refers to 14 patients with scalp defects operated between
1997-2003, most of them (83%) after tumour excision. 6 patients needed
more than two operations because of tumour relapse.
We used for reconstruction: rotation flaps in 8 cases, transposition
flaps in 5 cases, trapezius musculocutaneous flap in 3 situations
and free omentum transfer in 3 patients.
Tumoral relapse occured in 5 cases, although the initial excision
was correct, including bone whenever necessary and radiotherapy added.
Scalp reconstruction may be difficult in wide defects and need a complex
medical team when tumours are involved.
KEYWORDS: SCALP RECONSTRUCTION, SCALP DEFECTS, ROTATION FLAPS,
TRANSPOSITION FLAPS
Correspondence: Dr. Camelia Tamas, Plastic and Reconstructive
Surgery Clinic, Emergency Hospital, U.M.P. Iasi, G-ral Berthelot Street,
No.2, e-mail: camelia_tamas@yahoo.com
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