Ulus Travma Acil Cerrahi Derg. 2012; 18(3): 207-212 | DOI: 10.5505/tjtes.2012.28003

Reconstruction of a distal extremity defect using a temporoparietal fascia flap covered with a split-thickness skin graft harvested from the scalp: a cosmetic consideration in donor site selection

Özlenen Özkan¹, Ömer Özkan¹, Gamze Bektaþ¹, Samir Mardini², Paolo Sassu², Emanuele Cigna², Serdar Tüzüner³, Hung-chi Chen^2
1Department Of Plastic And Reconstructive Surgery, Akdeniz University Faculty Of Medicine, Antalya, Turkey
²Department Of Plastic And Reconstructive Surgery, E-da Hospital/ I-shou University, Kaohsiung County, Taiwan
³Department Of Orthopedics And Trauma Surgery, Akdeniz University Faculty Of Medicine, Antalya, Turkey

BACKGROUND
In reconstructive surgery, the ultimate goal in rebuilding a structure is to provide the most similar substitute from both the functional and structural points of view. At the same time, the reconstructive surgeon should focus on minimizing donor area complications.
METHODS
In this report, we present our experiences with the reconstruction of distal extremity defects using a free temporoparietal fascia flap in five patients. The flap was subsequently covered with a split-thickness skin graft harvested from the same region of the scalp as the flap donor site.
RESULTS
By procuring the skin graft from the scalp, the donor sites of both the flap and the skin graft were concealed by hair. The transferred flaps and skin grafts healed uneventfully in all patients without any complications at the donor or recipient site.
CONCLUSION
We conclude that this combination of harvesting a temporoparietal fascia flap, which has many advantages in reconstructing distal extremity defects, along with a skin graft from the same region as the flap, both hidden by hair, can limit donor site morbidity and achieve optimal reconstructive outcomes.

Keywords: Cosmetic consideration, graft; temporoparietal fascia flap; scalp.

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Distal ekstremite defektlerinin temporaoparietal fasya ve skalpten alýnan kýsmi kalýnlýklý deri grefti ile rekonstrüksiyonu: Donör saha seçimine kozmetik bir yaklaþým

Özlenen Özkan¹, Ömer Özkan¹, Gamze Bektaþ¹, Samir Mardini², Paolo Sassu², Emanuele Cigna², Serdar Tüzüner³, Hung-chi Chen^2
1Plastik ve Rekonstrüktif Cerrahi A.D., Akdeniz Üniversitesi Hastanesi, Antalya, Türkiye
²Plastik ve Rekonstrüktif Cerrahi A.D., E-da Hospital/ I-shou University, Kaohsiung County, Taiwan
³Ortopedi ve Travmatoloji A.D., Akdeniz Üniversitesi, Antalya, Türkiye

AMAÇ
Rekonstrüktif cerrahide asýl amaç, fonksiyonel ve yapýsal açýlardan en benzer doku ile yeniden yapýlanmanýn saðlanmasýdýr. Ancak rekonstrüktif cerrah ayný zamanda donör alan komplikasyonlarýný en aza indirmeye de odaklanmalýdýr.
GEREÇ VE YÖNTEM
Biz bu çalýþmamýzda beþ hastada distal ekstremite defektlerinde temporoparietal fasya flebi ve deri grefti ile rekonstrüksiyon deneyimlerimizi sunduk. Temporoparietal fasya flebi skalpte ayný bölgeden alýnan kýsmi kalýnlýkta deri grefti ile kaplandý.
BULGULAR
Greftin skalpten alýnmasý ile hem flep hem greft donör alanlarý saçlarýn arkasýnda gizlenmiþ oldu. Transfer edilen flep ve greftler tüm hastalarda herhangi bir donör alan komplikasyonu görülmeden olaysýz þekilde iyileþti.
SONUÇ
Distal ekstremite defektlerinde temporaparietal fasya kullanmanýn sayýsýz avantajýna ek olarak bunu ayný alandan alýnan kýsmi kalýnlýkta deri grefti ile kombine etmenin hem skarý saçlar tarafýndan gizleyerek donör alan morbiditesini azaltmasý hem de optimal rekonstrüktif sonuçlarý saðlamasý açýsýndan iyi bir seçenek olduðunu düþünüyoruz.

Anahtar Kelimeler: Kozmetik önem, greft; temporaoparietal fasya flebi; skalp.

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