Technical Nuances During Reconstruction of a Complex Scalp Defect: a Pictorial Essay

Author(s):  
Achyuth Panuganti ◽  
Pallvi Kaul ◽  
Abhinav Thaduri ◽  
Mahendra Pal Singh ◽  
Jitender Chaturvedi ◽  
...  
Keyword(s):  
2019 ◽  
Author(s):  
Mohammad Toliyat ◽  
Anish Patel ◽  
Ali Alian ◽  
Patrick Sutphin ◽  
Sanjeeva Kalva

Author(s):  
F Lacelli ◽  
LM Sconfienza ◽  
G Grillo ◽  
F Paparo ◽  
G Serafini ◽  
...  

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91335 ◽  
Author(s):  
Masatoshi Shiono ◽  
Shin Takahashi ◽  
Yuichi Kakudo ◽  
Masanobu Takahashi ◽  
Hideki Shimodaira ◽  
...  

2019 ◽  
Vol 47 (3) ◽  
pp. 150-160 ◽  
Author(s):  
Teng-Fu Tsao ◽  
Keng-Wei Liang ◽  
Hsin-Hui Huang ◽  
Yeu-Sheng Tyan ◽  
Yu-Hua Chao

Diagnostics ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 450
Author(s):  
Federica Galioto ◽  
Stefano Palmucci ◽  
Giovanna M. Astuti ◽  
Ada Vancheri ◽  
Giulio Distefano ◽  
...  

Idiopathic pulmonary fibrosis (IPF) is a fibrotic lung disease with uncertain origins and pathogenesis; it represents the most common interstitial lung disease (ILD), associated with a pathological pattern of usual interstitial pneumonitis (UIP). This disease has a poor prognosis, having the most lethal prognosis among ILDs. In fact, the progressive fibrosis related to IPF could lead to the development of complications, such as acute exacerbation, lung cancer, infections, pneumothorax and pulmonary hypertension. Pneumologists, radiologists and pathologists play a key role in the identification of IPF disease, and in the characterization of its complications—which unfortunately increase disease mortality and reduce overall survival. The early identification of these complications is very important, and requires an integrated approach among specialists, in order to plane the correct treatment. In some cases, the degree of severity of patients having IPF complications may require a personalized approach, based on palliative care services. Therefore, in this paper, we have focused on clinical and radiological features of the complications that occurred in our IPF patients, providing a comprehensive and accurate pictorial essay for clinicians, radiologists and surgeons involved in their management.


2021 ◽  
pp. 101258
Author(s):  
Bojan D. Petrovic ◽  
Doug Burman ◽  
Shakeel Chowdhry ◽  
Julian E. Bailes ◽  
Joel Meyer

2021 ◽  
Vol 105 ◽  
pp. 62-67
Author(s):  
Vincenzo De Stasio ◽  
Francois Delahaye ◽  
Caroline Moreau-Triby ◽  
Matteo Pozzi ◽  
Salim Si-Mohamed ◽  
...  

Author(s):  
Ravi Kadasne ◽  
Durr ‐e‐ Sabih ◽  
Gunjan Puri ◽  
Quratulain Sabih

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Lu ◽  
Ke-Chung Chang ◽  
Che-Ning Chang ◽  
Dun-Hao Chang

Abstract Background Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The “crane principle” is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Decades ago, it was commonly used for forehead scalp defects, but this useful technique has been seldom reported on in recent years due to the improvement of microsurgical techniques. Previous reports mainly used the crane principle for the primary defects, and here we present a case with its coincidental application to deal with a complication of a secondary defect. Case report We present a case of a 75-year-old female patient with a temporoparietal scalp squamous cell carcinoma (SCC). After tumor excision, the primary defect was reconstructed using a transposition flap and the donor site was covered by a split-thickness skin graft (STSG). Postoperatively, the occipital skin graft was partially lost resulting in skull bone exposure. For this secondary defect, we applied the crane principle to the previously rotated flap as a salvage procedure and skin grafting to the original tumor location covered by a viable galea fascia in 1.5 months. Both the flap and skin graft healed uneventfully. Conclusions Currently, the crane principle is a little-used technique because of the familiarity of microsurgery. Nevertheless, the concept is still useful in selected cases, especially for the management of previous flap complications.


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