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Scalp reconstruction: A 10-year retrospective study.

D Steiner1, A Hubertus1, A Arkudas1

  • 1Department of Plastic and Hand Surgery (Head: Univ. Prof. Dr. med. Dr. h.c. R. E. Horch), University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Erlangen, Germany.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|January 4, 2017
PubMed
Summary
This summary is machine-generated.

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Scalp reconstruction outcomes were analyzed in 85 procedures. Local flaps are effective for smaller defects, while free tissue transfer is preferred for extensive scalp reconstruction, especially after cancer surgery or radiation.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Scalp reconstruction presents significant challenges due to anatomical and cosmetic considerations.
  • A variety of techniques exist, including skin grafts, local flaps, and free tissue transfer.
  • Defect characteristics like depth and size dictate the choice of reconstructive method.

Purpose of the Study:

  • To retrospectively analyze outcomes of 85 scalp reconstruction procedures over a 10-year period.
  • To evaluate the efficacy and complication rates of different reconstructive techniques.
  • To identify optimal strategies based on defect etiology and extent.

Main Methods:

  • Retrospective analysis of 85 operative procedures for scalp reconstruction.
  • Data collected included underlying cause, defect characteristics, reconstructive method, complications, and hospital stay.
Keywords:
Composite scalp defectsFree tissue transferMicrosurgeryScalp reconstruction

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  • Procedures analyzed: local flaps (n=50), free tissue transfer (n=18), and skin grafts (n=17).

    • Main Results:

    • The primary indications for scalp reconstruction were oncologic resection (67%) and radiation therapy (16%).
    • The overall major complication rate was 16.5%, including one instance of free flap loss.
    • Local flaps were utilized most frequently, followed by free tissue transfer and skin grafts.

    Conclusions:

    • Local flaps are a safe and adequate option for limited scalp defects.
    • Free tissue transfer is the preferred method for extensive scalp defects, particularly those involving the calvarium or following prior treatments like surgery or radiation.