Reconstruction of Complex Scalp Defects

Frodel, John L.; Ahlström, K. H.

doi:10.1001/archfaci.6.1.54

Cited by 38 publications

(41 citation statements)

References 63 publications

(28 reference statements)

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“…Local flaps include V‐Y flaps, V‐Y‐S flaps, subcutaneous pedicle flaps, rotational flaps, bilateral rotational flaps, Juri flaps, Orticochea flaps, and several other options. Local flaps necessitate consideration of defect location, orientation, and depth, as well as tissue health, plasticity, and bearing of hair . In the temporal or high frontal region, split‐thickness skin grafting may be used .…”

Section: Discussionmentioning

confidence: 99%

“…Many authors have commented on the options for reconstruction of scalp defects. Most agree that although small defects less than 3 to 4 centimeters in maximal dimension can be addressed with primary closure, larger and more complex defects require skin grafting, local tissue rearrangement, or free tissue transfer . The surgeon's ability to mobilize the scalp is dependent upon location, with centrally located areas being more challenging than those located peripherally .…”

Section: Introductionmentioning

confidence: 99%

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Complications after oncologic scalp reconstruction: A 139-patient series and treatment algorithm

et al. 2014

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Scalp defects encountered after oncologic resection can be a challenging reconstruction. The defect location, size, depth, and unique patient factors likely to affect wound healing should all be considered when choosing between reconstructive options. Larger and deeper defects and patient factors, such as preoperative radiation and immunosuppression, are more prone to wound complications and may require more advanced reconstructive techniques such as pedicled locoregional flaps or free tissue transfer. An algorithm for scalp reconstruction based on these principles is provided.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complications after oncologic scalp reconstruction: A 139-patient series and treatment algorithm

et al. 2014

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“…Closure of the defect with vascular and healthy tissues is mandatory in cases requiring radiotherapy in the postoperative period. In the absence of a pericranium and when grafting is the only repair option, perforations in the external cortical layer of the skull allow the formation of granulation tissue that would improve the prognosis of the second-step free skin graft (5,16).…”

Section: Discussionmentioning

confidence: 99%

Use of scalp flaps as a salvage procedure in reconstruction of the large defects of head and neck region

Egemen

Bingöl²,

Özkaya³

et al. 2012

Turkish Neurosurgery

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ABSTRACTaIM: Large defects of the scalp, head and neck region are often encountered by plastic surgeons. The repair of such defects is dependent upon their location, size and depth. This study describes the use of large scalp flaps as a salvage procedure in the reconstruction of large scalp, head and neck region defects in elderly patients with poor general condition or advanced malignancy. MaterIaL and MetHOds:The presented study includes 22 patients operated between 2007 and 2011 for the reconstruction of large defects of the hair-bearing skin and head/neck region with large scalp flaps. A defect exceeding 25 cm 2 area was classified as "large" as defined in the previous studies. The patients' medical records were analyzed. resuLts: Scalp flaps provided a satisfactory and durable reconstruction in the late follow-up term. All flaps were completely survived except in one case in which a partial necrosis in the distal margin occurred. Major complications were recorded in 4.5% of patients while minor complications were recorded in 13.5% of them. cOncLusIOn:In conclusion, large scalp flaps should be considered as a salvage procedure for reconstruction of large scalp, head and neck defects especially for palliative situations in elderly patients with significant comorbidities and advanced malignancies. sOnuÇ: Sonuç olarak, geniş skalp flepleri, ciddi komorbiditesi olan veya ileri kanser olgularında, yaşlı hastalarda özellikle palyatif durumlarda, geniş skalp ve baş boyun bölgesi defektlerinin rekonstrüksiyonunda, kurtarıcı bir posedür olarak dikkate alınmalıdır.anaHtar sÖZcÜkLer: Skalp defekti, Geniş skalp flebi, Baş ve boyun defekti, Skalp rekonstrüksiyonu, Baş ve boyun rekonstrüksiyonu, Saçlı deri defekti

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“…Because of these reasons scalp is susceptible to a multitude of neoplastic as well as inflammatory condition [1][2][3]. Scalp defects can arise following treatment of same and also following traumatic insults.…”

Section: Introductionmentioning

confidence: 99%