Bi-pedicled Visor Flap for Coverage of Two Skull Defects: A Practical Flap Option for Metastatic Scalp Lesions With a Favorable Cosmetic Outcome

Reconstruction of the scalp after acquired defects poses a great challenge to reconstructive surgeons. In oncologic resections, the defect must be covered with well-vascularized tissue to withstand radiotherapy post-surgery. However, due to the limited scalp tissue mobility, primary closure or loco-...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40319
Main Authors: Mohd Amin, Mohd Farid, Al-Chalabi, Muath Mamdouh Mahmod, Mat Johar, Siti Fatimah Noor, Wan Sulaiman, Wan Azman
Format: Article
Language:English
Subjects:
Case reports
Defects
Medical imaging
Metastasis
Neurosurgery
Palliative Care
Plastic Surgery
Skin & tissue grafts
Surgeons
Veins & arteries
Wound dehiscence
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Reconstruction of the scalp after acquired defects poses a great challenge to reconstructive surgeons. In oncologic resections, the defect must be covered with well-vascularized tissue to withstand radiotherapy post-surgery. However, due to the limited scalp tissue mobility, primary closure or loco-regional flaps are challenging and limited in choice. Fortunately, with the current understanding of the robust blood supply system to the scalp tissue, they can survive with the closure under tension. In this paper, we present a case of scalp reconstruction using a bi-pedicled visor flap to cover the two skull defects after ablative surgery. In addition, this article highlights the reason for the option, the surgical procedure, and the cosmetic outcome of the surgery.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40319