头皮缺损的修复(附19例报告)

The Restoration from Scalp Defects(A Report of 19 Cases)

目的探讨头皮缺损修复的不同治疗方法及适应证。方法对19例头皮肿瘤术后头皮缺损的修复进行总结。结果皮片移植最简单,邻近皮瓣转移可以修复较小的缺损,能不留秃发畸形。游离皮瓣可修复较大缺损,在邻近皮瓣转移时,交错切开帽状腱膜层可增加皮瓣的伸展性。结论不同的修复治疗可应用于不同类型的头皮缺损。

Purpose The article is to study the different treatment and adaptability of different scalp defects. Methods The medical records of 19 cases of scalp defect following the excision of the scalp tumors were analyzed. Results Skin grafting is the simplest method .Transposition of adjacent skin flap can repair the small defect without baldness, and also transposition of free skin flap can repair the extensive defect with a large amount of tissues . Crisscross cutting of the galea aponeurotica can increase the extensibility of the flap. Conclusion Different methods have different advantages in restoration from scalp defect.