O-Z FLAP WITH TOTAL SKIN GRAFT AS A STRATEGY FOR CLOSING LARGE SKULL DEFECTS
Keywords:
Surgical Flaps, Skin Transplantation, ScalpAbstract
Objective: To review the reconstruction of large scalp defects after skin cancer of the midfrontoparietal region with an O-Z flap associated with a total skin graft. Method: information was obtained through photographic records and medical records of patients operated on at the Plastic Surgery Service of PUC-RS and literature review. Conclusion: It is very important to be familiar with the superficial vascularization of the skull to increase the success rates of the OZ flap, and also to be prepared to use a skin graft if the flap closure presents excessive tension or is not able to provide full coverage of the defect.
References
Lim. L.J, et al. Cutaneous squamous cell carcinoma: Epidemiology, risk factors, and molecular pathogenesis. UpToDate Inc.
Que SKT, Zwald FO, Schmults CD. Cutaneous squamous cell carcinoma: Incidence, risk factors, diagnosis, and staging. J Am Acad Dermatol. 2018 Feb;78(2):237-47.
Burton KA, Ashack KA, Khachemoune A. Cutaneous Squamous Cell Carcinoma: A Review of High-Risk and Metastatic Disease. Am J Clin Dermatol. 2016 Oct;17(5):491-508.
Regula CG, Liu A, Lawrence N. Versatility of the O-Z Flap in the Reconstruction of Facial Defects. Dermatol Surg. 2016 Jan;42(1):109-14.
Mureau MA, Posch NA, Meeuwis CA, Hofer SO. Anterolateral thigh flap reconstruction of large external facial skin defects: a follow-up study on functional and aesthetic recipient- and donor-site outcome. Plast Reconstr Surg. 2005 Apr;115(4):1077-86.
Baker. R. S. Local Flaps in Facial Reconstruction. 3 ed. Philadelphia: Elsevier, 2014; 6 : 71-105.
Torresetti M, Gioacchini M, Scalise A, Di Benedetto G. Versatility of the O-Z flap for back reconstruction after giant basal cell carcinoma resection: A case report and review of the literature. Int J Surg Case Rep. 2019;63:23-6.
Baker. R. S. Local Flaps in Facial Reconstruction. 3 ed. Philadelphia: Elsevier, 2014; 24: 641-63.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
