Yıl: 2024 Cilt: 44 Sayı: 2 Sayfa Aralığı: 85 - 90 Metin Dili: İngilizce DOI: 10.5336/medsci.2023-100966 İndeks Tarihi: 10-06-2024

Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study

Öz:
Objective: The lower trapezius myocutaneous flap is useful for reconstructing posterior scalp defects. It is recommended that the skin island should not extend more than 10 cm below the inferior angle of the scapula. To design a flap that exceeds these limits and ex- tends more caudally without compromising blood supply, we needed to make a modification and decided to apply a surgical delay procedure. In this study, we present our modified lower trapezius myocutaneous flap technique, in which the surgical delay is applied in the first session, and flap transfer is performed in the second session. Material and Methods: Patients who had reconstruction of scalp defect with delayed lower trapezius myocutaneous flap between January 2018 and Decem- ber 2022 were analyzed retrospectively. Seven patients were included in the study. The demographic characteristics of the patients, the char- acteristics of the defects, the characteristics of the flaps, and the out- comes of the reconstruction were analyzed. Results: Of the 7 patients in the study, 5 were men, and 2 were women. The mean age of the pa- tients was 56 years (range: 42-62 years). All defects were full-thick- ness scalp defects. All patients had uneventful wound healing and defect closure. There were no complications. Conclusion: A delayed lower trapezius myocutaneous flap can be used safely in posterior scalp defects close to the vertex.
Anahtar Kelime: Trapezius flap myocutaneous flap superficial back muscles scalp

Posterior Skalp Defektlerinin Rekonstrüksiyonunda Geciktirme Uygulanmış Alt Trapezius Miyokutanöz Flep: Retrospektif Çalışma

Öz:
Amaç: Alt trapezius miyokutanöz flep, posterior skalp defekt- lerinin rekonstrüksiyonu için kullan ışlı bir seçenektir. Deri adas ının skapula inferior köşesinden 10 cm’den daha aşağıya uzanmaması öne- rilir. Bu s ınırlılıkları aşarak ve kan ak ışını bozmadan kaudale do ğru daha fazla uzanabilen bir flep tasarlamak için bir modifikasyona ihtiyaç duyduk ve cerrahi geciktirme prosedürünü uygulamaya karar verdik. Bu çalışmada, ilk seansta cerrahi geciktirmenin uygulandığı, ikinci se- ansta ise flep transferinin yapıldığı modifiye alt trapezius miyokutanöz flep tekniğimiz sunulmuştur. Gereç ve Yöntemler: Ocak 2018 ile Ara- lık 2022 tarihleri arasında cerrahi geciktirme uygulanmış alt trapezius miyokutanöz flep ile skalp defekti rekonstrüksiyonu yap ılan hastalar retrospektif olarak incelendi. Çalışmaya 7 hasta dâhil edildi. Hastaların demografik özellikleri, defektlerin özellikleri, fleplerin özellikleri ve rekonstrüksiyon sonuçları analiz edildi. Bulgular: Çalışmaya dâhil edi- len 7 hastanın 5’i erkek, 2’si kadındı. Hastaların ortalama yaşı 56 (ara- lık: 42-62) idi. Tüm defektler tam kat saçl ı deri defektleriydi. Tüm hastalarda sorunsuz yara iyileşmesi ve defekt kapatılması gerçekleşti. Komplikasyon olmadı. Sonuç: Geciktirme uygulanmış alt trapezius miyokutanöz flep vertekse yakın posterior skalp defektlerinde güvenle kullanılabilir.
Anahtar Kelime: Trapezius flep miyokutanöz flep yüzeyel sırt kasları saçlı deri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Erdal A, Doruk M, SİBAR S (2024). Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. , 85 - 90. 10.5336/medsci.2023-100966
Chicago Erdal Ayhan Işık,Doruk Mert,SİBAR Serhat Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. (2024): 85 - 90. 10.5336/medsci.2023-100966
MLA Erdal Ayhan Işık,Doruk Mert,SİBAR Serhat Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. , 2024, ss.85 - 90. 10.5336/medsci.2023-100966
AMA Erdal A,Doruk M,SİBAR S Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. . 2024; 85 - 90. 10.5336/medsci.2023-100966
Vancouver Erdal A,Doruk M,SİBAR S Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. . 2024; 85 - 90. 10.5336/medsci.2023-100966
IEEE Erdal A,Doruk M,SİBAR S "Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study." , ss.85 - 90, 2024. 10.5336/medsci.2023-100966
ISNAD Erdal, Ayhan Işık vd. "Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study". (2024), 85-90. https://doi.org/10.5336/medsci.2023-100966
APA Erdal A, Doruk M, SİBAR S (2024). Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, 44(2), 85 - 90. 10.5336/medsci.2023-100966
Chicago Erdal Ayhan Işık,Doruk Mert,SİBAR Serhat Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. Türkiye Klinikleri Tıp Bilimleri Dergisi 44, no.2 (2024): 85 - 90. 10.5336/medsci.2023-100966
MLA Erdal Ayhan Işık,Doruk Mert,SİBAR Serhat Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, vol.44, no.2, 2024, ss.85 - 90. 10.5336/medsci.2023-100966
AMA Erdal A,Doruk M,SİBAR S Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2024; 44(2): 85 - 90. 10.5336/medsci.2023-100966
Vancouver Erdal A,Doruk M,SİBAR S Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2024; 44(2): 85 - 90. 10.5336/medsci.2023-100966
IEEE Erdal A,Doruk M,SİBAR S "Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study." Türkiye Klinikleri Tıp Bilimleri Dergisi, 44, ss.85 - 90, 2024. 10.5336/medsci.2023-100966
ISNAD Erdal, Ayhan Işık vd. "Delayed Lower Trapezius Myocutaneous Flap for Reconstruction of Posterior Scalp Defects: A Retrospective Study". Türkiye Klinikleri Tıp Bilimleri Dergisi 44/2 (2024), 85-90. https://doi.org/10.5336/medsci.2023-100966