Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Immediate Near-Total Scalp Reconstruction with Artificial Dermis on Exposed Calvarium

  • Park, Sooyeon (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Han, Ki Taik (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Min Cheol (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lim, Jin Soo (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2016.04.06
  • Accepted : 2016.12.05
  • Published : 2016.12.20
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Abstract

Scalp defect management is complicated secondary to reduced laxity in the scalp and forehead area. For reconstruction of larger defects with exposed bone and loss of the periosteal layer, free flap reconstruction is one option for single-stage surgery, although the procedure is lengthy and includes the possibility of flap loss. We successfully performed a single-stage reconstruction of a large scalp defect using a combination of artificial dermis, split-thickness skin graft, and full-thickness skin graft following wide excision of a cutaneous angiosarcoma, and present our method as one option for the treatment of large oncologic surgical defects in patients who are poor candidates for free flap surgery.

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References

  1. Tufaro AP, Buck DW 2nd, Fischer AC. The use of artificial dermis in the reconstruction of oncologic surgical defects. Plast Reconstr Surg 2007;120:638-46. https://doi.org/10.1097/01.prs.0000270298.68331.8a
  2. Cho JY, Jang YC, Hur GY, Koh JH, Seo DK, Lee JW, et al. One stage reconstruction of skull exposed by burn injury using a tissue expansion technique. Arch Plast Surg 2012;39:118-23. https://doi.org/10.5999/aps.2012.39.2.118
  3. Eck DL, Koonce SL, Al Majed BM, Perdikis G. Evaluation of options for large scalp defect reconstruction: a 12-year experience. Eplasty 2014;14:e10.
  4. Sosin M, De la Cruz C, Bojovic B, Christy MR, Rodriguez ED. Microsurgical Reconstruction of Complex Scalp Defects: An Appraisal of Flap Selection and the Timing of Complications. J Craniofac Surg 2015;26:1186-91. https://doi.org/10.1097/SCS.0000000000001642
  5. Ioannides C, Fossion E, McGrouther AD. Reconstruction for large defects of the scalp and cranium. J Craniomaxillofac Surg 1999;27:145-52. https://doi.org/10.1016/S1010-5182(99)80042-0
  6. Bertolli E, Campagnari M, Molina AS, Macedo MP, Pinto CA, Cunha IW, et al. Artificial dermis (Matriderm(R)) followed by skin graft as an option in dermatofibrosarcoma protuberans with complete circumferential and peripheral deep margin assessment. Int Wound J 2015;12:545-7. https://doi.org/10.1111/iwj.12157
  7. Min JH, Yun IS, Lew DH, Roh TS, Lee WJ. The use of matriderm and autologous skin graft in the treatment of full thickness skin defects. Arch Plast Surg 2014;41:330-6. https://doi.org/10.5999/aps.2014.41.4.330
  8. Hamuy R, Kinoshita N, Yoshimoto H, Hayashida K, Houbara S, Nakashima M, et al. One-stage, simultaneous skin grafting with artificial dermis and basic fibroblast growth factor successfully improves elasticity with maturation of scar formation. Wound Repair Regen 2013;21:141-54. https://doi.org/10.1111/j.1524-475X.2012.00864.x
  9. Jeon H, Kim J, Yeo H, Jeong H, Son D, Han K. Treatment of diabetic foot ulcer using matriderm in comparison with a skin graft. Arch Plast Surg 2013;40:403-8. https://doi.org/10.5999/aps.2013.40.4.403
  10. Choi JH, Ahn KC, Chang H, Minn KW, Jin US, Kim BJ. Surgical treatment and prognosis of angiosarcoma of the scalp: a retrospective analysis of 14 patients in a single institution. Biomed Res Int 2015;2015:321896.