Latissimus Dorsi Free Flap: Subfascial Flap Dissection in a Case of Scalp and Forehead Reconstruction.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-11-05 eCollection Date: 2024-11-01 DOI:10.1097/GOX.0000000000006276

Rafael Reynoso, Alfonso Echeverría, Samaria Estefania Mejia Rivera, Jazmín Villasana Sánchez

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Abstract

Total avulsion of the scalp represents a therapeutic challenge with no consensus nowadays. Currently, microsurgical reimplantation is the reconstructive procedure of choice, but in case it is not feasible, the literature does not define an ideal treatment for an immediate reconstruction. We present the case of an 18-year-old woman with total avulsion of the scalp and forehead skin without possibility of reimplantation. We performed the surgical reconstruction with a latissimus dorsi free flap, and to achieve greater malleability, the flap was harvested without fascia. A large coverage was immediately achieved, and 1 year after the procedure, the patient showed excellent cranial symmetry and a high level of satisfaction. The optimal treatment of total avulsion of the scalp with no option of reimplantation remains a challenge. In our case, the subfascial dissection increased the flap area to cover the defect. Our procedure could be considered as an alternative surgical strategy in flap harvest, but more cases are needed.

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背阔肌游离皮瓣：在一例头皮和前额重建手术中的筋膜下皮瓣解剖。

头皮完全撕脱是一项治疗难题，目前尚未达成共识。目前，显微外科再植术是首选的重建方法，但如果不可行，文献中也没有确定立即重建的理想治疗方法。我们介绍了一例头皮和前额皮肤完全撕脱且无法再植的 18 岁女性病例。我们使用背阔肌游离皮瓣进行了手术重建，为了获得更大的延展性，皮瓣的采集不含筋膜。术后一年，患者的头颅对称性极佳，满意度很高。头皮完全撕脱且无法再植的最佳治疗方法仍是一项挑战。在我们的病例中，筋膜下剥离增加了覆盖缺损的皮瓣面积。我们的手术可作为皮瓣采集的替代手术策略，但还需要更多的病例。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.