• Ulus Travma Acil Cer · Jul 2018

    Case Reports

    Reconstruction of extensive scalp defects with anterolateral thigh flap.

    • Altuğ Altınkaya, Şükrü Yazar, İbrahim Sağlam, and Kaan Gideroğlu.
    • Department of Plastic, Reconstructive and Aesthetic Surgery, Acıbadem Mehmet Ali Aydınlar University, Acıbadem Maslak Hospital, İstanbul-Turkey. altugaltinkaya@yahoo.com.
    • Ulus Travma Acil Cer. 2018 Jul 1; 24 (4): 364-368.

    BackgroundExtensive scalp defects caused by various etiologies often require free-tissue transfer. We aimed to review our experience in the reconstruction of extensive scalp defects with free anterolateral flaps.MethodsA retrospective analysis was performed on all patients with extensive scalp defects that were reconstructed with free anterolateral thigh flaps from November 2007 to April 2015. Eleven patients with a mean age of 44 years were included in this study.ResultsEleven free-tissue transfers were used to reconstruct the extensive scalp defects. The flaps were 7-14 cm in width and 10-34 cm in length.ConclusionMicrovascular free-tissue transfer is the mainstay for the treatment of extensive scalp defects. We recommend anterolateral thigh free flap use for challenging and complex cases, given the method's numerous advantages, including reliability and safety.

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