The Art and Science of Neuroplastic and Reconstructive Surgery

Neuroplastic and reconstructive surgery has emerged as a distinct discipline at the intersection of neurosurgery and plastic surgery, addressing the anatomic, functional, and psychosocial consequences of central and peripheral nervous system pathology in adult patients. This educational supplement presents a comprehensive overview of the field, spanning its history and founding principles, a novel anatomically based surgical complexity classification, multidisciplinary preoperative planning, radiation-induced scalp injury and the RadioScalp staging system, the reconstructive hierarchy for scalp defects, oncoplastic neurosurgery, neurotechnology-integrated cranial implants, prevention and salvage of neurosurgical complications, and the psychological and quality-of-life dimensions of cranial reconstruction. Contributions from leading surgeons across neurosurgery, plastic surgery, and craniofacial surgery illustrate how coordinated, multidisciplinary care improves complication rates, functional outcomes, and patient dignity. Together, these chapters establish a clinical and educational foundation for neuroplastic and reconstructive surgery as a maturing surgical subspecialty.