Analysis of 11 cases of local flap transfer combined with free skin graft for repairing the wound after excision of malignant scalp tumors
Objective To investigate the clinical efficacy of combining local flap transfer with free skin grafts for wound repair following resection of malignant scalp tumors.Methods The retrospective analysis was conducted on the data of 11 patients with malignant scalp tumors who received treatment at the Dermatology Department of Jiaozuo City People's Hospital from January 2017 to January 2022 and successfully completed clinical follow-up.The patients ranged in age from 30 to 91 years,comprising of 4 males and 7 females,with a distribution of 6 cases of basal cell carcinomas and 5 cases of squamous cell carcinomas.Reconstruction of the wound resulting from resection of malignant scalp tumors was achieved through local flap transfer combined with free skin grafts in all patients.Results The one-stage surgery was successfully completed in all 11 patients,with a 100%survival rate for the transferred flaps and grafts.No postoperative infections were observed,and the incisions exhibited excellent healing outcomes(grade A),resulting in a high level of patient satisfaction.No tumor recurrence was observed during the 6 to 12-month follow-up period.Conclusions The combination of local flap transfer and free skin graft is an optimal approach for wound repair following resection of malignant scalp tumors,offering the advantages of one-stage procedure,high viability of transferred flaps and free skin grafts,low tumor recurrence rate,and favorable recovery outcomes.