Abstract

Narayanan's bipolar scalp flap revisited

Highlights

  • In 1970, Narayanan M described a novel method of reconstruction with bipolar scalp flaps in post-irradiationrecurrence cases, cases too locally advanced for radiotherapy and in cases too advanced for classical surgery because of bone involvement [2]

  • A 60 years old male patient presented with a huge ulceroproliferative growth over right cheek (T4N2bM0) fungating through the skin with intermittent bleeding, offensive smell and intolerable pain

  • Gilles first described the use of pedicle scalp flap based on the superficial temporal artery for the reconstruction of defects in lip and eyebrow

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Summary

Introduction

Oral and oropharyngeal cancers are the major cause of cancer related deaths contributing to 18.3% of all deaths in men and 6.8% of all deaths in women in India. The high incidence of oral cancer in India is mostly due to the abundant consumption of tobacco in its various forms. Surgery , usually done with wide local excision and neck dissection as and when required , is always somewhat disfiguring , requiring reconstruction to make up the significant loss of soft tissue. In 1970, Narayanan M described a novel method of reconstruction with bipolar scalp flaps in post-irradiationrecurrence cases , cases too locally advanced for radiotherapy and in cases too advanced for classical surgery because of bone involvement [2]

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