Publication:
Clinical and surgical outcomes in extensive scalp reconstruction after oncologic resection: a comparison of anterolateral thigh, latissimus dorsi and omental free flaps

Simple item page
dc.contributor.authorCastillo Pardo de Vera, José Luis del
dc.contributor.authorNavarro Cuéllar, Carlos
dc.contributor.authorNavarro Cuéllar, Ignacio
dc.contributor.authorCebrián Carretero, José Luis
dc.contributor.authorBacián Martínez, Sandra
dc.contributor.authorGarcía-Hidalgo Alonso, María Isabel
dc.contributor.authorSánchez Pérez, Arturo Joaquín
dc.contributor.authorZamorano-León, Jose J.
dc.contributor.authorLópez-Farré, Antonio J.
dc.contributor.authorNavarro Vila, Carlos
dc.contributor.departmentDermatología, Estomatología, Radiología y Medicina Física
dc.contributor.otherFacultad de Medicina
dc.date.accessioned2026-01-29T11:57:05Z
dc.date.available2026-01-29T11:57:05Z
dc.date.copyright© 2021 by the authors
dc.date.issued2021-08-27
dc.description.abstractMicrosurgical scalp reconstruction is indicated in patients with large scalp defects. The aim of this study was to compare the outcomes of scalp reconstruction in oncologic patients reconstructed with latissimus dorsi (LD), anterolateral thigh (ALT), and omental (OM) free flaps. Thirty oncologic patients underwent scalp reconstruction with LD (10), ALT (11), and OM (9) flaps. The length of the vascular pedicle, the operation time, the possibility of a two-team approach, the length of hospital stays, the complications, and the aesthetic results were evaluated. The OM flap was the flap with the shortest vascular pedicle length with a mean of 6.26 ± 0.16 cm, compared to the LD flap, which was 12.34 ± 0.55 cm and the ALT flap with 13.20 ± 0.26 cm (p < 0.05). The average time of surgery was 6.6 ± 0.14 h in patients reconstructed with OM, compared to the LD flap, which was 8.91 ± 0.32 h and the ALT flap with 7.53 ± 0.22 h (p < 0.05). A two-team approach was performed in all patients for OM flaps and ALT flaps, but only in two patients reconstructed with the LD flap (p < 0.001). In patients reconstructed with the OM flap, a very satisfactory or satisfactory result was reported in seven patients (77.8%). Eight patients reported a very unsatisfactory or unsatisfactory result with LD flap (80%) and 10 patients with ALT flap (90.9%) (p = 0.002). The mean hospital stay after surgery was not statistically significant (p > 0.05). As for complications, two patients reconstructed with OM flap, five LT flaps, and two ALT flaps developed complications, not statistically significant (p = 0.235). Omental flap, latissimus dorsi flap, and anterolateral thigh flap fulfill most of the characteristics for complex scalp reconstruction. The decision on which flap to use should be based on clinical aspects of the patients taking into account that the three flaps show similar rates of complications and length of hospital stay. Regarding the aesthetic outcome, OM flap or LD flap should be considered for reconstruction of extensive scalp defects.
dc.formatapplication/pdf
dc.format.extent14
dc.identifier.citationJ. Clin. Med. 2021, 10(17), 3863
dc.identifier.doihttps://doi.org/10.3390/jcm10173863
dc.identifier.eissn2077-0383
dc.identifier.urihttp://hdl.handle.net/10201/196929
dc.languageeng
dc.publisherMDPI
dc.relationSin financiación externa a la Universidad
dc.relation.publisherversionhttps://www.mdpi.com/2077-0383/10/17/3863
dc.rightsAttribution 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectScalp reconstruction
dc.subjectAnterolateral thigh flap
dc.subjectOmental flap
dc.subjectLatissimus dorsi flap
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleClinical and surgical outcomes in extensive scalp reconstruction after oncologic resection: a comparison of anterolateral thigh, latissimus dorsi and omental free flaps
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublicationes
relation.isAuthorOfPublication7ba0b8fd-9530-45d9-aed3-569152fd12de
relation.isAuthorOfPublication.latestForDiscovery7ba0b8fd-9530-45d9-aed3-569152fd12de
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
2021 Scalp reconstruction.pdf
Size:
5.63 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.37 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Artículos