Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,...Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,we will assess the adaptability of a bipedicled scalp advancement flap for coverage of huge scalp defects after tumor resection.Methods:This study was performed at the Plastic Surgery Department,Fayoum University Hospital,on 20 patients with huge scalp tumors treated by adequate excision and reconstructed using a bipedicled scalp advancement flap from December 2021 to July 2023.Results:The study was conducted on 20 patients:16(80%)were men and 4(20%)were women presenting with large scalp tumors.The mean age was 57.4 years(33-68 years).The sites of the tumors were 10(50%)occipital,6(30%)parietal,and 4(20%)parieto-occipital.No major complications occurred postoperatively,and the bipedicled flaps survived well in all cases,with no necrosis.Conclusion:Huge scalp defects after tumor resection can be safely reconstructed with a large versatile bipedicled advancement scalp flap,either transversely or longitudinally oriented,with favorable functional results and accepted aesthetic results,apart from the alopecic area over the grafted donor site,which can be treated by tissue expansion if desired later.展开更多
Autologous breast reconstruction has greatly evolved with the introduction of stacked deep inferior epigastric perforator(DIEP)flaps,providing a sophisticated option for patients with insufficient donor tissue or thos...Autologous breast reconstruction has greatly evolved with the introduction of stacked deep inferior epigastric perforator(DIEP)flaps,providing a sophisticated option for patients with insufficient donor tissue or those requiring substantial breast mounds.This technique utilizes either conjoined/bipedicled or separate abdominal flaps to recreate the breast with natural-looking results and high satisfaction rates.Preoperative planning is critical,involving detailed vascular mapping to ensure successful outcomes.Despite the complexity of the procedure,the complication profile remains comparable to non-stacked methods,with a notable reduction in fat necrosis and no significant increase in overall risk.Similar to the DIEP flap,possible complications related to the stacked DIEP flap include donor-site morbidity such as abdominal bulge or hernia,and complications at the recipient site such as flap ischemia or fat necrosis.The stacked DIEP flap technique has improved the symmetry and volume matching of reconstructed breasts while maintaining abdominal integrity,marking a significant advancement in the field that aligns with the aesthetic aspirations of patients undergoing mastectomy.展开更多
文摘Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,we will assess the adaptability of a bipedicled scalp advancement flap for coverage of huge scalp defects after tumor resection.Methods:This study was performed at the Plastic Surgery Department,Fayoum University Hospital,on 20 patients with huge scalp tumors treated by adequate excision and reconstructed using a bipedicled scalp advancement flap from December 2021 to July 2023.Results:The study was conducted on 20 patients:16(80%)were men and 4(20%)were women presenting with large scalp tumors.The mean age was 57.4 years(33-68 years).The sites of the tumors were 10(50%)occipital,6(30%)parietal,and 4(20%)parieto-occipital.No major complications occurred postoperatively,and the bipedicled flaps survived well in all cases,with no necrosis.Conclusion:Huge scalp defects after tumor resection can be safely reconstructed with a large versatile bipedicled advancement scalp flap,either transversely or longitudinally oriented,with favorable functional results and accepted aesthetic results,apart from the alopecic area over the grafted donor site,which can be treated by tissue expansion if desired later.
文摘Autologous breast reconstruction has greatly evolved with the introduction of stacked deep inferior epigastric perforator(DIEP)flaps,providing a sophisticated option for patients with insufficient donor tissue or those requiring substantial breast mounds.This technique utilizes either conjoined/bipedicled or separate abdominal flaps to recreate the breast with natural-looking results and high satisfaction rates.Preoperative planning is critical,involving detailed vascular mapping to ensure successful outcomes.Despite the complexity of the procedure,the complication profile remains comparable to non-stacked methods,with a notable reduction in fat necrosis and no significant increase in overall risk.Similar to the DIEP flap,possible complications related to the stacked DIEP flap include donor-site morbidity such as abdominal bulge or hernia,and complications at the recipient site such as flap ischemia or fat necrosis.The stacked DIEP flap technique has improved the symmetry and volume matching of reconstructed breasts while maintaining abdominal integrity,marking a significant advancement in the field that aligns with the aesthetic aspirations of patients undergoing mastectomy.
