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- W4387520989 abstract "Treating scalp defects after revascularization surgery is difficult because the scalp microcirculation is severely compromised. We aimed to review the clinical effects of using rotational flaps in scalp defect reconstruction and explore risk factors for wound-related complications (WRC) after reconstruction surgery. We retrospectively identified patients with scalp defects after combined revascularization surgery who were surgically treated with rotational flap reconstruction at our institution between January 2018 and December 2022. We analyzed treatment results in different surgical technique and revascularization strategy cohorts, including direct bypass superficial temporal artery (STA) branch selection, indirect bypass types, and skin incisions. 11 patients were included. The STA parietal branch was selected for direct bypass surgery in 10 (90.9%) patients, 4 (40%) of whom had WRC after flap reconstruction. Five types of indirect bypass surgeries were performed; three patients treated by encephalo-duro-myo-arterio-perio-synangiosis and one patient treated by encephalo-duro-myo-perio-synangiosis had WRC after flap reconstruction. Question-mark (n=6, 54.5%), curved (n=4, 36.65%), and Y-shaped (n=1, 9.1%) incisions were used; in the first two incision cohorts, 2 patients in each cohort had WRC after flap reconstruction. Patients had the following commonalities that may be risk factors for WRC after flap reconstruction: 1. wounds with nonviable bone exposure after revascularization surgery; 2. three or more tissues used as donor tissues and donor tissues containing the periosteum; and 3. thin scalp around the defect." @default.
- W4387520989 created "2023-10-12" @default.
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- W4387520989 date "2023-10-01" @default.
- W4387520989 modified "2023-10-16" @default.
- W4387520989 title "Reconstruction of scalp defects using rotational flaps after revascularization surgery in patients with moyamoya disease" @default.
- W4387520989 doi "https://doi.org/10.1016/j.wneu.2023.10.034" @default.
- W4387520989 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37832640" @default.
- W4387520989 hasPublicationYear "2023" @default.
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