摘要
我科1980～1991年收治外伤性或颅面部肿瘤切除后头皮缺损颅骨外露9例,分别应用吻合血管的游离大网膜结合中厚皮片移植、游离皮瓣或轴型皮瓣转位结合皮片移植修复。讨论了修复时机、修复方法以及手术注意事项。认为双侧股前外侧游离皮瓣是修复全头皮缺损颅骨外露的可取方法,而吻合血管的游离大网膜移植修复颅骨外露的方法应尽量避免。
The methods for repairing scalp defects and skull exposure are intro- duced.From 1980 to 1991,9 cases of scalp defects and skull exposure from injury or tu- mor extirpation were treated with free omentum transfer with split skin graft,free flap or axial flap transfer.The surgical procedure was described in detail.For the whole de- fect of scalp with skull exposure the authors consider the free anterior-lateral femoral flap more appropriate and suggest that the free omentum flap be avoided as far as possi- ble.
