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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: A critical appraisal of the use of free flaps in primary reconstruction of combined scalp and calvarial cancer defects.
    Author: Earley MJ, Green MF, Milling MA.
    Journal: Br J Plast Surg; 1990 May; 43(3):283-9. PubMed ID: 2350633.
    Abstract:
    Eleven patients had scalp tumours with full thickness calvarial invasion excised and reconstructed with free flap transfer as a primary procedure. Latissimus dorsi or radial forearm flaps were used, with split rib calvarial reconstruction. One flap was lost peroperatively and another necrosed at 8 days following pedicle compression against an acrylic "skull". Only six patients presently survive, two being treated for recurrence. Long-term follow-up indicates that poor prognostic factors are advanced local invasion, squamous or anaplastic tumours, and advanced age. However, palliative treatment has a role.
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