Clinical study on early repair of severe head and face injury with free flap
Journal Title: Journal of Air Force Medical University - Year 2023, Vol 44, Issue 3
Abstract
Objective To explore the clinical efficacy of repairing skin and soft tissue defects with free flap in early stage of head and face injury accompanied with intracranial injuries. Methods From January 2015 to January 2020, 18 patients with head and face injury accompanied with intracranial injuries were admitted to the intensive care unit of Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University. All patients had severe skin and soft tissue defects of head and face. Intracranial injuries included cerebral contusion and laceration in 10 cases, subdural hematoma in 4 cases, subarachnoid hemorrhage in 2 cases, cerebral contusion and laceration with subdural hematoma in 1 case, and skull base fracture in 1 case. In the early stage (18 ~ 72 h) after admission, the defects were repaired with free flap following debridement. There were 19 flaps used in the 18 cases, including 8 latissimus dorsi flaps, 9 anterolateral femoral flaps and 1 anterolateral femoral plus radial artery perforator flap. The area of flaps ranged from 11 cm × 6 cm to 26 cm × 15 cm. Results All patients had stable intracranial injuries without progressive aggravation. All transplanted flaps survived, the appearance of head and face was greatly improved, and no serious complications occurred. Conclusion After the early debridement of head and face injury accompanied with intracranial injuries, the injury can be repaired by free flap transplantation based on microsurgery. The treatment can achieve a good result without serious complications.
Authors and Affiliations
HOU Hongyi, GUO Kai, ZHENG Zhao, HAN Juntao, XIE Songtao
Keywords
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