The online version of this article (doi:10.1186/1477-7819-10-78) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interest. There is no external source of funding involved in the submitted article.
SM conceived the study and realized the technique. GDM drafted the manuscript, helped to conceive the study and carried out the literature research. UM helped in the preparation of the manuscript. MGC carried out literature review. CC carried out literature review and helped in management of the patients. All authors read and approved the final manuscript.
Dermatofibrosarcoma protuberans (DFSP) is a soft tissue neoplasm of intermediate to low-grade malignancy. Although metastasis rarely occurs, DFSP has a locally aggressive behavior with a high recurrence rate. In the head and neck area, resection involving a wide margin of healthy tissue can be difficult because of functional and cosmetic considerations. We describe a novel reconstructive method for half forehead defects with an innovative single local wide scalp flap following excision of DFSP with a 3 cm margin of healthy tissue.
Two patients underwent wide resection of forehead DFSP and reconstruction with a single rotational scalp flap. The scalp flap blood supply was provided from three main vessels: the superficial temporal artery, occipital artery and posterior auricular artery.
No early or late complications were observed in either patient with no local recurrence after 18 months of follow-up. The donor area could be closed primarily in both cases and the flaps survived completely.
This innovative technique allowed a radical excision of forehead DFSP with sufficient healthy margins, thus potentially decreasing tumor recurrence rate. Reconstruction was achieved avoiding microsurgery, skin expanders and large skin grafts. Moreover, all main reconstructive criteria, such as functional and cosmetic tissue characteristics, were completely fulfilled.
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- Half forehead reconstruction with a single rotational scalp flap for dermatofibrosarcoma protuberans treatment
Gianluca Di Monta
Maria Grazia Chiofalo
- BioMed Central
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