Pre-expansion in the early repair of traumatic scalp defect of.doc

 PAGE \* MERGEFORMAT 7 Pre-expansion in the early repair of traumatic scalp defect of [Abstract] of 13 cases of traumatic scalp defect in patients with residual, designed to superficial temporal artery or occipital artery as a blood source, cross-axial blood supply in the scalp within the first pre-expanded flaps, scalp defects and residual transfer restoration skull exposed. That reasonable choice of the first pre-expanded flap, traumatic scalp defect can be repaired safely and effectively achieve the purpose of early plastic surgery. [Keywords:] scalp defect; expansion; skull exposure Severe head injury is not uncommon, but often prolonged residual unhealed wounds exposed scalp and skull defect. Due to severe post-traumatic scar seriously weaken the blood supply, the conventional local flaps, conventional methods of scalp expansion difficult to repair. To this end We designed the superficial temporal artery or occipital artery to the blood supply source in the axial artery supplying the regional expansion of cross-head scalp flap repair of residual defects and skull exposure in 13 cases, good results are reported below. Clinical data 1 General information The 13 patients, male; aged 21 to 45 years old. Are extensive scalp avulsion, laceration, and the residual scalp defect with skull exposure, which is located in the top of the first 2 cases, 1 case of temporal, occipital 1 cases, two or more parts in 9 cases. scalp defect with skull exposure range of 4cm 6cm ~ 8cm 11cm; design pedicled occipital artery in 6 cases, 2 cases of superficial temporal artery, temporal, occipital double pedicle in 5 cases; expander size of 100 300ml. 2 surgical preoperative planning: According to the residual area of #8203;#8203;scalp defect and the size of the site, o choose to occipital artery temporal artery or the blood supply distribution cross-axis area is pre-expansion, requires expansion of the initial flap area should not be smaller than the defect area