The role of external cranial fixation in simplifying scalp composite tissue transfer

The use of external devices for cranial suspension or immobilization may facilitate the transfer of skin grafts or flaps needed for scalp coverage. Skull tongs are readily available in any trauma center. Following composite tissue transfer to the skull, skull tongs can prevent compromise of the microanastomoses or the flap itself by eliminating pressure or shear forces that might otherwise jeopardize these reconstructive efforts.