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• W2989628750 abstract "Abstract Background Free tissue transfer is occasionally necessary during reconstruction of large scalp and calvarial bone resections. A single‐stage procedure is usually performed but if a flap becomes necrotic it exposes brain tissue or the meninges. Performing a two‐stage procedure, the surgeon must preserve flap vitality and manage flap complications before resecting a tumor, and therefore before exposing the brain or meninges. We report here the first series of two‐stage free‐flap reconstruction during major neurosurgical resection. Methods From 2012 to 2018, nine free‐flaps were performed to eight patients (61 years‐old, on average). Average skull resection was 10.1 cm × 15 cm (range 6–18 cm × 9–24 cm). It was performed in all cases due to large malignant tumors. Resection/reconstruction was performed in all case in a two‐step procedure: during the first step, the free‐flap was harvested and anastomosed to the cranial site; during the second step, resection was performed and the flap was positioned into the defect to assure coverage. Results Average flap size was 11.3 cm × 17.7 cm (range: 7–20 cm × 11–30 cm). Two flap complications occurred after the first stage and one flap did not survive. One patient died before the second stage. Seven patients had the second procedure; no flap complication occurred. All procedures ended in complete wound healing. Follow‐up period was 41.5 months on average (range: 10–83 months). Final outcome was total remission for two patients, recurrence for four patients, and two patients died. Conclusions Our data suggest that the two‐stage free‐flap reconstruction may be employed for major scalp and calvaria resection." @default.
• W2989628750 created "2019-12-05" @default.
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• W2989628750 date "2019-11-28" @default.
• W2989628750 modified "2023-10-18" @default.
• W2989628750 title "Two‐stage free flap reconstruction of the scalp and calvaria for large neurosurgical resections" @default.
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• W2989628750 doi "https://doi.org/10.1002/micr.30538" @default.
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