- 期刊
Reconstruction of a Large Scalp and Skull Defect with a Free Parascapular Flap and Wire Mesh-Methly Methacrylate
以肩胛旁自由皮瓣及鋼網骨泥重建頭皮及頭蓋骨的大缺損
摘要
我們經驗一例嚴重電燒傷的患者，由於頭壞死而造成一大缺損，同時併發有頭蓋骨壞死及硬腦膜外膿腫，經過清創術後，我們設計一個肩胛旁自由皮瓣，合併使用局部頭皮轉移皮瓣及植皮而成功地覆蓋此大缺損。在第二階段的手術，我們以鋼網骨泥為材料，施行顱骨成形術，以便保護腦部。我們首次聯合使用肩胛旁自由皮瓣，局部頭皮轉移皮瓣及鋼網骨泥來重建頭皮及頭蓋骨的缺損。文中並對有關文獻做一簡略複習。
關鍵字
無資料並列摘要
A case of severe electrical burn of the scalp, complicated by a devitalized skull and an epidural abscess, is reported. In the first stage operation, a free parascapular flap combined with a local transposition scalp flap and skin grafts were used to cover the large defect. In the second stage operation, a wire mesh-methyl methacrylate was used as the material of cranioplasty. It is the first report of reconstruction of a large scalp and skull defect by the combined use of a free parascapular flap, a transposition scalp flap and a wire mesh-methyl methacrylate. A brief review of papers was presented also.
延伸閱讀
- Chang, S. H., Hsiao, H. T., & Ou, S. Y. (2000). 以轉移皮瓣及前額整形術及迷你骨釘之經皮外固定術重建頭皮缺損－病例報告. 中華民國整形外科醫學會雜誌, 9(1), 73-79. https://doi.org/10.7096/JPSA.200003.0073
- Huang, C. C., Hsieh, C. H., Lin, C. I., Tai, H. C., Horng, S. Y., & Chen, M. T. (1999). 使用自由前外側股皮瓣併股外側肌用於頭頸部重建. 中華民國重建整形外科醫學會雜誌, 8(3), 157-166. https://doi.org/10.7096/JPRSA.199909.0157
- 王誌群、連景峯、許惇彥、黃澤人（2015）。鎖骨上動脈島狀皮瓣在頭頸部手術重建時的另一選擇。台灣耳鼻喉頭頸外科雜誌，50(3)，166-173。https://doi.org/10.6286/2015.50.3.166
- Huang, C. C., Lin, C. I., Tai, H. C., Horng, S. Y., Chen, M. T., & Chien, S. H. (2000). 雙重自由皮瓣用於頭頸部重建. 中華民國整形外科醫學會雜誌, 9(1), 30-41. https://doi.org/10.7096/JPSA.200003.0030
- 楊國強、陳錦時、印志弘、蔣百聰、陳理維（1993）。廣泛性顱部撕裂傷之自體裂層肋骨移植及闊背肌自由肌瓣重建－病例報告。中華民國重建整形外科醫學會雜誌，2(2)，38-43。https://doi.org/10.7096/JPRSA.199309.0038