Options for the Management of Forehead and Scalp Defects

Angelos, Patrick C.; Downs, Brian W.

doi:10.1016/j.fsc.2009.05.001

Cited by 49 publications

(43 citation statements)

References 24 publications

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“…INTEGRA® allows uncomplicated repair of full thickness scalp defects and has distinct advantages over flap coverage. These advantages include not burying residual tumor under rotation or advancement flaps, ease of use, shorter operative times, and decreased donor site morbidity 2, 6 . The major disadvantage of INTEGRA® is that a second operation for skin grafting is required.…”

Section: Discussionmentioning

confidence: 99%

“…a subperiosteal resection), a skin graft placed directly on exposed calvarium will not survive. In the past, large local rotational flaps or free tissue transfer were required to close full-thickness scalp defects resulting from subperiosteal resection 2–4 .…”

Section: Introductionmentioning

confidence: 99%

“…The dermal matt confers distinct advantages over flap alternatives for full-thickness scalp defects. These include ease of use, shorter operative times, and decreased donor site morbidity 2, 6 .…”

Section: Introductionmentioning

confidence: 99%

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The Role of Full-Thickness Scalp Resection for Management of Primary Scalp Melanoma

Pannucci¹,

Collar²,

Johnson³

et al. 2012

Annals of Plastic Surgery

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BACKGROUND Scalp melanoma is aggressive and has a proclivity for regional metastasis. We hypothesize that subperiosteal scalp melanoma resection reduces in-transit/satellite recurrence, when compared to subgaleal resection. METHODS We identified patients with intermediate to deep, primary scalp melanoma referred to head/neck surgery over an eight-year period. Patients were compared based on scalp resection depth, including subperiosteal (resection to the level of calvarium) and subgaleal (resection including skin, subcutaneous tissue, and galea). The dependent variables were in-transit/satellite recurrence and time to in-transit/satellite recurrence. RESULTS Among 48 identified patients, the in-transit/satellite recurrence rate was 16.7%. Subgaleal resection patients had higher in-transit/satellite recurrence rates than subperiosteal resection patients (24.0% vs. 8.7%, p=0.155). Among node-negative patients, subgaleal resection had significantly higher in-transit/satellite metastasis rates when compared to subperiosteal resection (26.3% vs. 0%, p=0.047). CONCLUSION For node-negative, primary scalp melanoma, subperiosteal resection significantly decreases in-transit/satellite recurrence when compared to subgaleal resection. Given our small sample size, further studies are necessary to confirm these results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Role of Full-Thickness Scalp Resection for Management of Primary Scalp Melanoma

Pannucci¹,

Collar²,

Johnson³

et al. 2012

Annals of Plastic Surgery

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“…Bone grafts show low infection and desorption rate that leads to relatively short term of graft incorporation 21. Moreover, vascularised tissue is relatively resistant to postoperative irradiation, which may also become necessary after the resection of grade III and sometimes of grade II meningiomas 11,19,21,22. However, to protect healthy tissue, specially brain and vessels, we use limited postoperative irradiated fields in contrast with prophylactic cranial irradiation 23…”

Section: Discussionmentioning

confidence: 99%

Brain meningioma invading and destructing the skull bone: replacement of the missing bone in vivo

Velnar

Pregelj²,

Limbaeck-Stokin³

2011

Radiology and Oncology

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BackgroundMeningiomas are frequently encountered tumours. In those invading locally into the adjacent tissue, reconstructions may pose a problem.Case reportWe report a case of a benign convexity brain meningioma with invasion into the skull bone and subcutaneous tissue. The tumour was removed completely, together with the infiltrated tissue and the defects were successfully closed with in vivo bone reconstruction.ConclusionsThe reconstruction of the skull bone is sometimes needed after the benign meningioma excision. Artificial bone may be a suitable material, allowing fast intraoperative reconstruction with excellent brain protection and cosmetic effect during the one-stage procedure.

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“…Although local flaps afford ideal closure of forehead defects due to skin color and texture matches, they have not been advocated for wounds >4 to 5 cm 3, 4. Options for reconstruction of these large forehead defects has relied on secondary intention healing, skin grafts, tissue expansion, and more recently, vacuum‐assisted closure therapy and free flaps 5–7…”

Section: Introductionmentioning

confidence: 99%

A novel advancement flap for reconstruction of massive forehead and temple soft‐tissue defects

et al. 2012

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Options for the Management of Forehead and Scalp Defects

Cited by 49 publications

References 24 publications

The Role of Full-Thickness Scalp Resection for Management of Primary Scalp Melanoma

The Role of Full-Thickness Scalp Resection for Management of Primary Scalp Melanoma

Brain meningioma invading and destructing the skull bone: replacement of the missing bone in vivo

A novel advancement flap for reconstruction of massive forehead and temple soft‐tissue defects

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