Scalp Reconstruction in a Tertiary Care Hospital in Jharkhand, India
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Loss of scalp can be covered by various methods like skin grafting, local flaps, distant flaps, free flap or tissue transfer. Every method has some advantages and some disadvantages. Material and Methods: Our study was conducted at Department of Surgery RIMS, Ranchi, Jharkhand, India from 6th June 2010 to 31st January 2017. Scalp reconstruction were performed on 16 patients who lost their scalp from electric burns 4 cases (25%), malignancy 4 cases (25%), road traffic accident and arteriovenous malformation 3 cases each (18.75%), and thermal burns 2 cases(12.25%). Results: Skin grafting were done in most of the patient 5 cases (31.25%), followed by flap advancement in 4 cases (25%), transposition flap 3 cases (18.75%), flap advancement with skin grafting and rotation flap 2 cases (12.25%). Postoperative complication in our series includes alopacia in 7 cases (58.33%), dog ear and partial flap necrosis in 2 cases each (16.66%), and partial skin graft necrosis in 1 case (8.33%). Conclusion: In cases of rotation flap there were no complication and the best outcome in terms of aesthetic acceptance and durability in comparison to other procedure.
Authors and Affiliations
Pankaj Bodra, Ram Chandra Besra, Anita Sundi, Shaym Charan Baskey
Keywords
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