Araujo-López A, Barragán-Chávez JC, Hernández-García AD, Caracheo-Rodríguez RS, Flores-Yáńez R, Ruiz-Centeno G, Espinosa-Cerón A, Sánchez-Guzmán Y

Language: Spanish
References: 4
Page: 30-35
PDF size: 371.90 Kb.

ABSTRACT

Introduction: The scalp is a richly vascularized area and consists of multiple layers described classically with the following acronym: «SCALP». The reconstruction can be done in different ways depending, fundamentally, on the type and extent of the defect. Case report: We present the case of a 37-year-old man, with heavy drug abuse, admitted after presenting a blunt short contusion at the fronto-parietal level (on sagittal suture), an irregular cut, whereby he was surgically cleaned, proceeding to make a spiral flap, respecting angles to rotate tissue and close defect completely. Discussion: The traumatic loss of all strata, including experience, is rare, but difficult to solve. The closing of the choice is by means of arterialized, pediculated or free, muscular or myocutaneous pendants. Swirling flap: mobilizes the peripheral tissues in 360 degrees, with minimal dissection and even distribution of tension on the four radiated suture lines. Conclusion: Within the proper treatment to reconstruct the scalp with the same tissue, has been shown to preserve the best way the tissue and aesthetic purposes.

REFERENCES

1. Iribarren BO, Ríos MP, Saavedra PF, Rojas GM, De Amesti BE. Reconstrucción inmediata de cuero cabelludo. (Immediate scalp reconstruction). Cir Plást Iberlatinamer. 2006; 1 (32): 55-62.

2. Navarro CC, Riba GF, Guerra MB, Pujol RR, Herencia NH, Navvarro VC. Reconstrucción de cuero cabelludo con colgajo libre de omentum. (Reconstruction of the scalp with a free flap of omentum). Rev Esp Cirug Oral y Maxilofac. 2004; (26): 249-256.

3. Balaguer CJ, Landín JL, Hidalgo GJ, Francés GM, Codina GJ. Reconstrucción de cuero cabelludo mediante colgajo de galea frontal: a propósito de un caso. (Scalp reconstruction with galeal frontalis flap: case report). Cir Plást Iberolatinoam. 2006; 1 (32): 103-185.

4. Aldana C, Insfrán W, Sandoval J, Balmelli B. Reconstrucción del cuero cabelludo. (Immediate scalp reconstruction). Cir Plást Iberlatinamer. 2006; 32 (1): 55-62.