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Question Mark Reconstruction Method for Synchronous Multiple Tumor Defects in the Scalp.

Hasan Basri Çağli1, Fatih Berk Ateşşahin, Adnan Menderes

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The question mark reconstruction method effectively treats multiple scalp tumors. This technique minimizes tissue removal and preserves hair-bearing skin for optimal cosmetic outcomes in patients with synchronous scalp defects.

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Area of Science:

  • Dermatologic Surgery
  • Plastic and Reconstructive Surgery

Background:

  • Synchronous scalp tumors present a reconstructive challenge requiring integrated treatment approaches.
  • The "question mark" reconstruction method, utilizing a rotation flap and Burow triangle, is proposed for multiple scalp defects.

Purpose of the Study:

  • To evaluate the efficacy of the question mark reconstruction method for synchronous scalp defects.
  • To assess the cosmetic and oncologic outcomes of this technique.

Main Methods:

  • The question mark reconstruction method was applied to 8 patients with synchronous scalp defects between September 2022 and June 2023.
  • Tumor excision with sufficient negative margins and subsequent defect reconstruction were performed.

Main Results:

  • All tumors were successfully excised with clear margins.
  • The reconstruction preserved hair-bearing skin, resulting in minimal alopecic areas.
  • The mean patient age was 74.1 years.

Conclusions:

  • The question mark reconstruction method offers excellent results for synchronous scalp defects.
  • This technique minimizes dog-ear deformities and unnecessary tissue excision.
  • It provides a "like-with-like" reconstruction, preserving aesthetic appearance.