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Application of a jigsaw puzzle flap based on free-style perforator to repair large scalp defects after tumor resection:A case series

引用

Chinese Journal of Plastic and Reconstructive Surgery 2023年第3期5卷 109-114页

作者： Daojiang Yu Jing Wang Lei Chen Lu An Yahui Feng Sheng Jiang Shuyu Zhang Xiaoming Chen Guozhong Lv Department of Plastic and Burn Surgery The Second Affiliated Hospital of Chengdu Medical CollegeChina National Nuclear Corporation 416 HospitalChengdu 610051SichuanChina Transformation Center of Radiological Medicine The Second Affiliated Hospital of Soochow UniversitySuzhou 215004JiangsuChina Center of Burn and Trauma Affiliated Hospital of Jiangnan UniversityWuxi 214122JiangsuChina

Background:Reconstruction of large scalp defects after tumor resection is common and *** skin grafting or free flap transfer is always ***,these techniques can result in poor functional and cosmetic ***:In the Second Affiliated Hospital of Soochow University and the Second Affiliated Hospital of Chengdu Medical College,35 patients underwent jigsaw puzzle flap procedures based on a free-style perforator to repair large scalp defects after tumor resection from May 2013 to November *** key to this procedure was to divide a large defect into several smaller parts that correspond to adjacent free-style perforators around the scalp *** free-style perforator flaps were designed in different ways,such as propeller flaps,rotation flaps,and V-Y advancement flaps,which were pedicled with free-style *** of the small flaps were then mobilized to the defect and sutured to each other to create a new,large jigsaw puzzle-like flap to cover the large scalp ***,all the donor sites were closed ***:Overall,35 patients were *** average defect size was 72 cm^(2)(range,25-91 cm^(2)).All flaps had a satisfactory appearance after follow-up periods of 6 months-10 *** tumor recurrence occurred in one ***:The application of a jigsaw puzzle flap based on a free-style perforator is a suitable option for the reconstruction of large scalp defects after resection,yielding satisfactory functional and cosmetic results.

关键词： Scalp defect Free-style perforator jigsaw puzzle flap

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