Reconstruction of extensive scalp defects with rectus free flaps

G. L. Borah, D. A. Hidalgo, P. D. Wey, J. Persing, L. Bass, Teresa Benacquista, H. M. Spinelli

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

This review represents the largest reported series involving reconstruction of complex scalp and calvarial defects with rectus abdominis free flaps. Sixteen patients presented with extensive (up to 300 cm2) scalp and calvarial defects requiring free tissue transfer for closure. All of the 11 patients who underwent a rectus abdominis free flap had a technically successful microvascular transfer. The defects encountered involved a wide spectrum of complexities including extensive multilaminar defects with exposed brain and dura, irradiated fields, and infection. In our institutions, the rectus abdominis muscle has evolved as a uniquely superior donor choice for restoring extensive scalp defects for several reasons: (1) accessibility, which eliminates intraoperative patient repositioning and allows for a simultaneous two-team approach; (2) minimal donor-site morbidity; (3) vascular reliability; and (4) the ability to supply abundant, easily contoured tissue.

Original languageEnglish (US)
Pages (from-to)281-287
Number of pages7
JournalAnnals of Plastic Surgery
Volume34
Issue number3
DOIs
StatePublished - 1995
Externally publishedYes

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Rectus Abdominis
Free Tissue Flaps
Scalp
Tissue Donors
Moving and Lifting Patients
Blood Vessels
Morbidity
Muscles
Brain
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Borah, G. L., Hidalgo, D. A., Wey, P. D., Persing, J., Bass, L., Benacquista, T., & Spinelli, H. M. (1995). Reconstruction of extensive scalp defects with rectus free flaps. Annals of Plastic Surgery, 34(3), 281-287. https://doi.org/10.1097/00000637-199503000-00010

Reconstruction of extensive scalp defects with rectus free flaps. / Borah, G. L.; Hidalgo, D. A.; Wey, P. D.; Persing, J.; Bass, L.; Benacquista, Teresa; Spinelli, H. M.

In: Annals of Plastic Surgery, Vol. 34, No. 3, 1995, p. 281-287.

Research output: Contribution to journalArticle

Borah, GL, Hidalgo, DA, Wey, PD, Persing, J, Bass, L, Benacquista, T & Spinelli, HM 1995, 'Reconstruction of extensive scalp defects with rectus free flaps', Annals of Plastic Surgery, vol. 34, no. 3, pp. 281-287. https://doi.org/10.1097/00000637-199503000-00010
Borah, G. L. ; Hidalgo, D. A. ; Wey, P. D. ; Persing, J. ; Bass, L. ; Benacquista, Teresa ; Spinelli, H. M. / Reconstruction of extensive scalp defects with rectus free flaps. In: Annals of Plastic Surgery. 1995 ; Vol. 34, No. 3. pp. 281-287.
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