关键词: 皮瓣, 修复, 头皮, 缺损

Abstract: 【Abstract】 Objective To research the method of repairing large area scalp defect with exposed cranium. Methods Seven patients admitted from July 2005 to December 2012 were included in the study. Free-tandem flap comprising forearm flap and anterolateral thigh flap were applied in the repair of wide area scalp defect with exposed cranium in 7 patients. The proximal end of pedicle in forearm flap was anastomosed with superior thyroid artery and internal jugular vein. The distal end of pedicle in forearm flap was anastomosed with pedicle in anterolateral thigh flap. The non-skull-exposure area was repaired with skin grafting. Results All free-tandem flap survived well in 7 cases, with satisfactory appearance and texture. Conclusion Application of free-tandem flap comprising forearm flap and anterolateral thigh flap is an effective approach to repair wide area scalp defect with exposed cranium, and could achieve a good result.

Key words: Skin flap, Repair, Scalp, Defect