关键词: 股前外侧穿支皮瓣, 头皮缺损

Abstract: 【Abstract】〓Objective〓To discuss clinical experience in the repair of defect of scalp using free anterolateral femoral arterial perforating branches flap. Method〓From Jan 2010 to Jun 2013, complicated scalp defects in 21 patients were repaired with free anterolateral femoral flaps..Cutting off the anterolateral femoral flap,.the lateral femoral circumflex arterial main trumk of descending branches and its accompanied veins were anastomosed to the superficial temporal artery and veins to repair defect of scalp. Results〓The postoperative follow?鄄up was one to two years and the texture and color of flap were good..The size of flaps were 5cm?鄄13cm×8cm?鄄20cm and the mean was 6.7cm×17cm. Vascular crisis was happened in 1 case and the crisis was removed successfully after surgical exploration and re?鄄anastomosis. Conclusion〓The femoral anterolateral perforating branches were gross and its blood supply is reliable. The diameter of the descending branches of the femoral anterolateral artery is closed to superficial temporal artery and veins,which make this free perforating branches flap as a good choice of reconstruction of scalp defect due to trauma or tumor resection.

Key words: Anterolateral femoral perforating pranches flap, Scalp defect