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Journal articles on the topic 'Scalp defect'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Ghoncheh, Mahdi, and Forood Salehi. "Repair of a Scalp Defect with Punctate Skull Fenestration and Skin Grafting." Journal of Advances in Medical and Biomedical Research 30, no. 143 (2022): 566–69. https://doi.org/10.30699/jambs.30.143.566.

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<strong>Abstract</strong> Reconstructing scalp defects can be challenging for a plastic surgeon. For this purpose, different procedures such as primary repair and coverage with skin grafts or flaps can be considered. Sometimes, the external table of the skull can be removed completely to the diploic space. At the same time or after the formation of granulation tissue, the diploic space can be covered with split-thickness skin grafting. In this article, we have reported the reconstruction of a traumatic scalp defect in a one-year-old baby. There was a large defect in the left temporoparietal ar

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2

Mueller, Cornelia Katharina, Rolf-Dieter Bader, Christian Ewald, Rolf Kalff, and Stefan Schultze-Mosgau. "Scalp Defect Repair." Annals of Plastic Surgery 68, no. 6 (2012): 594–98. http://dx.doi.org/10.1097/sap.0b013e318218f32a.

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3

Mendoza Velez, Maria de los Angeles, Gabriel Sandoval Macias, and Liliana Aguirre Cazares. "Orticochea flap for a massive scalp defect closure in a pediatric patient: literature review and case report." International Journal of Research in Medical Sciences 9, no. 8 (2021): 2489. http://dx.doi.org/10.18203/2320-6012.ijrms20213106.

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Scalp defects are still challenging to the surgeon because of the poor elasticity of the soft tissue overlying the calvarium. Defect size, location, and skin characteristics rule the reconstructive options available. Orticochea flap is an excellent option for scalp defects reconstruction. We present a case of a pediatric patient with a massive occipital scalp defect following an animal aggression that was successfully reconstructed with an Orticochea modified flap.

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4

An, Jung Kwon, Seong Oh Park, Lan Sook Chang, Youn Hwan Kim, and Kyunghyun Min. "Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report." Archives of Craniofacial Surgery 24, no. 3 (2023): 129–32. http://dx.doi.org/10.7181/acfs.2023.00129.

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Scalp defects necessitate diverse approaches for successful reconstruction, taking into account factors such as defect size, surrounding tissue, and recipient vessel quality. This case report presents a challenging scenario involving a temporal scalp defect where ipsilateral recipient vessels were unavailable. The defect was effectively reconstructed utilizing a transposition flap and a latissimus dorsi free flap, which was anastomosed to the contralateral recipient vessels. Our report underscores the successful reconstruction of a scalp defect in the absence of ipsilateral recipient vessels,

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Srivastava, Saket, and Pradeep Gupta. "Reconstruction of scalp with local axial flaps." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 9 (2020): 1692. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203575.

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<p><strong>Background:</strong> The scalp is a unique part of the human body and various etiological factors, such as tumour extirpation, infection, burns, or trauma, can lead to scalp defects. Primary closure, skin grafting, local flaps, tissue expansion or free tissue transfer are modalities available for scalp reconstruction. In this article, the authors share their institutional experience using various local flaps concerning the size, location, depth of defect and the quality of surrounding tissue.</p><p><strong>Methods:</strong> From September 20

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Kim, Jin Woo, and Do Hun Kim. "Sternocleidomastoid Myocutaneous Flap for Scalp Reconstruction." Plastic Surgery Case Studies 5 (January 1, 2019): 2513826X1982879. http://dx.doi.org/10.1177/2513826x19828792.

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Scalp defects may occur due to various causes, such as head trauma. For reconstruction of the defect, a primary closure process, skin grafting, or local flap use are the foremost choices when the defect area is not wide. However, repair is difficult when the wound condition further deteriorates due to chronic inflammation. In this condition, free tissue transfer or a pedicled flap is required to restore normal blood supply. The sternocleidomastoid (SCM) flap is conventionally raised as a superiorly or inferiorly based pedicled flap, easily harvested to rectify a nearby scalp defect; additional

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Sokoya, Mofiyinfolu, Emily Misch, Aurora Vincent, et al. "Free Tissue Reconstruction of the Scalp." Seminars in Plastic Surgery 33, no. 01 (2019): 067–71. http://dx.doi.org/10.1055/s-0039-1678470.

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AbstractReconstruction of scalp defects can be accomplished by many methods, but larger defects, especially those in which the periosteum is absent or calvarial defects are present, require free tissue transfer. Various methods of scalp reconstruction, as guided by the defect components and size, are presented herein, with a focus on free tissue transfer. Different free flaps for scalp reconstructed are described with a comparison of their advantages and disadvantages. Overall, free tissue transfer for scalp defects provides a reliable, durable, and cosmetically adequate reconstructive option.

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8

Nangole, F. W., and S. O. Khainga. "Pedicle Temporalis Fascial Flap with Axial Scalp Flap Obviates Need of Free Flap in Extensive Scalp Wound." Case Reports in Surgery 2017 (2017): 1–3. http://dx.doi.org/10.1155/2017/4821329.

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Extensive scalp defect with exposed bone is best reconstructed with flaps. Majority of these wounds are now routinely reconstructed with free flaps in many centers. Free flaps however require lengthy operative time and may not be available to all patients, where possible less extensive options should thus be encouraged. A sixty-eight-year-old patient presented to us with a Marjolin’s ulcer on the vertex of the scalp. After wide local excision a defect of about 17 cm and 12 cm was left. The defect was successfully covered with a combination of an ipsilateral pedicle temporalis fascial flap and

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9

Pratama, Yanuar Ari, Iswinarno Doso Saputro, and Zin Mar Aung. "Reconstruction of Defects on Post Electric Burn Injury Scalp with Bone Exposed: Case Series." Biomolecular and Health Science Journal 6, no. 2 (2023): 152–56. http://dx.doi.org/10.4103/bhsj.bhsj_38_23.

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Electrical burns typically result in severe tissue damage at a localized area, where the generated heat can lead to necrosis of one or both calvarial tables. This study reports four cases with scalp defects due to electrical burns reconstructed. In all cases, the scalp was the entrance site. A local flap and a skin graft were used to cover scalp defect and secondary defect, respectively. At 5–7 days postoperative, the flap survived with no necrosis or complications; satisfactory cosmesis and preservation of scalp contour were achieved. Successful scalp reconstruction requires meticulous preope

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Dzinotyiwei, Daniel, Kazadi Kalangu, Nathaniel Zimani, and Maximilian Dzowa. "OTHR-11 A CASE SERIES OF OUTER TABLE CALVARIAL DECORTICATION AS A VIABLE OPTION TO ACHIEVE SKULL COVER AFTER RESECTION OF LARGE SCALP TUMORS." Neuro-Oncology Advances 6, Supplement_2 (2024): ii6. http://dx.doi.org/10.1093/noajnl/vdae147.024.

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Abstract A showcase of a scalp cover technique that offers a simple solution to a unique challenge posed by excision of late presenting large scalp tumors in a third-world setting through a case series of 2 patients with extensive scalp malignancy requiring wide local excision with striping of the pericranium. Outer table skull drilling resulted in granulation tissue formation allowing for defect cover by wound contraction. Unique circumstances in a third-world setting compounded by the COVID-19 pandemic restrictions allowed for observation of the natural history of the progression of the scal

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11

Sanjay, Kumar, and Kumar Gupta Sanjay. "A Clinical Study of Various Methods of Reconstruction of Scalp Defect and its Outcomes." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1541–44. https://doi.org/10.5281/zenodo.11311998.

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<strong>Background:</strong> Scalp defects, arising from various causes, present intricate challenges in reconstructive surgery, demanding tailored approaches to restore both function and aesthetics. The aim of this study is to comprehensively evaluate and compare various techniques for reconstructing scalp defects, exploring their efficacy, safety, and cosmetic outcomes. <strong>Methods:</strong> This prospective cohort study, conducted at a tertiary care facility, evaluated and compared different scalp defect reconstruction techniques in 74 adult participants. The study incorp

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12

Petrocelli, Marzia, Giulia Togo, Silvia Ricci, et al. "Dermal Substitutes and Skin Grafts in the Reconstruction of Post-Traumatic Total Scalp Avulsion: A Case Series." Journal of Clinical Medicine 12, no. 6 (2023): 2167. http://dx.doi.org/10.3390/jcm12062167.

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Although scalp defects can vary in size and thickness, scalp avulsion represents a rare occurrence. This type of lesion may have different origins, but it is usually related to long hair being caught in agricultural machinery. The management of full-thickness scalp defects poses a challenge to the head and neck surgeon due to the possible involvement of neurovascular structures and scar retraction, which can affect the esthetic restoration of the area. Several algorithms for the choice of scalp reconstruction have been proposed in the literature and different techniques are available for exten

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Velickov, Asen, Predrag Kovacevic, Dragan Petrovic, Sladjana Petrovic, Tatjana Kovacevic, and Aleksandra Velickov. "Second look procedure for large burn defect by banana peel pericranial flap based on one artery." Srpski arhiv za celokupno lekarstvo 142, no. 3-4 (2014): 219–22. http://dx.doi.org/10.2298/sarh1404219v.

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Introduction. Scalp and calvarial defects may result from trauma, thermal or electrical burns, resection of benign or malignant tumors, infections or radionecrosis. Reconstruction of large scalp defects is a demanding procedure. The reconstructive ??ladder?? are applicable to scalp and calvarial defects reconstruction. Case Outline. A 68-year-old female was admitted to our clinic due to the nine-day old scalp burn wound, incurred under unclear circumstances. Third degree burn wound affected the left frontal-parietal, temporal and part of the occipital region with carbonification of the whole l

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14

N, Priscilla Valentin, and Iswinarno Doso Saputro. "Multiple Burr Hole as an Alternative Treatment for Large Scalp Defect." Jurnal Rekonstruksi dan Estetik 4, no. 1 (2021): 32. http://dx.doi.org/10.20473/jre.v4i1.24353.

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Background: Scalp defect with exposed bones is a serious injury that is often occurred after electrical burn injury. The coverage treatment may vary from local flap to free flap. Coverage becomes a major problem when flaps fails or is contraindicated and resulting in further morbidity. In this paper we report 1 patient with large scalp defect after electrical burn injury.Methods : In this study, we report 1 patient with large scalp defect after electrical burn, which treated in our department. Fourteen days after the electrical burn injury, surgical debridement was done by the plastic surgeon,

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15

Le, Brian H., Lauren L. Anthony, and M. Beatriz S. Lopes. "NEONATE WITH OCCIPITAL SCALP DEFECT." Brain Pathology 18, no. 4 (2008): 616–18. http://dx.doi.org/10.1111/j.1750-3639.2008.00214.x.

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16

Cox, Artemus J., Tom D. Wang, and Ted A. Cook. "Closure of a Scalp Defect." Archives of Facial Plastic Surgery 1, no. 3 (1999): 212–15. http://dx.doi.org/10.1001/archfaci.1.3.212.

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17

Ratnam, Bandikatla Venkata. "A simple external tissue expansion technique based on viscoelastic properties of skin to attain direct closure of a large scalp defect: A case report." Indian Journal of Plastic Surgery 48, no. 03 (2015): 309–12. http://dx.doi.org/10.4103/0970-0358.173137.

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ABSTRACT Background: Direct closure of large scalp defects is not an easy task. Complicated flap designs or staged surgeries over a period of 6 months are often required. A case of a large scalp defect that was closed directly in 3 months by applying a simple external tissue expansion technique is presented in this report. Patient Profile: A 28-year-old male patient presented with a painful swelling of about 13 cm × 14 cm, on frontoparietal scalp. A biopsy done elsewhere reported it to be a neurofibroma. He sought tumour excision and scalp defect coverage by hair-bearing scalp in a period of l

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18

Varnalidis, Ioannis, Angelos Mantelakis, Harry Victor Michael Spiers, and Athina N. Papadopoulou. "Application of the pinwheel flap for closure of a large defect of the scalp." BMJ Case Reports 12, no. 8 (2019): e229420. http://dx.doi.org/10.1136/bcr-2019-229420.

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A 74-year-old man had a resultant large oval scalp defect of 12×6 cm (72 cm2) following an excision of a stage IIIA melanoma. We decided to cover the defect with the pinwheel flap, with the aim to provide a good cosmetic result, preservation of hair follicles and minimal donor-site morbidity. This local flap has been traditionally used for much smaller defects. Four L-shaped flaps were designed at equal distances on the vertical and horizontal axes of the defect. The L-shaped flap had a length of 1.5 times the half diameter of the defect (4.5 cm). The incision was made through galea aponeurosi

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19

Anuradha, Kishor, and Nandkumar Deshpande Omkarnath. "A Comparative Analysis of Different Scalp Reconstruction Techniques and Their Results." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1516–20. https://doi.org/10.5281/zenodo.11305452.

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<strong>Background</strong><strong>:</strong> Scalp defects, arising from various causes like trauma or burns, pose significant challenges in reconstructive surgery due to the complex nature of the scalp. This study aims to enhance understanding of different scalp reconstruction techniques, their efficacy, outcomes, and complications. <strong>Methods:</strong> A prospective interventional study was conducted at E.S.I.C. Andheri, Mumbai, over a period of 24 months (2021-2023), involving 30 patients aged 0-70 years with non-malignant scalp defects. Data on demographics, defect cha

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Chen, Fanfan, Hongbin Ju, Anfei Huang, et al. "Treatment of Large and Complicated Scalp Defects with Free Flap Transfer." BioMed Research International 2020 (January 10, 2020): 1–6. http://dx.doi.org/10.1155/2020/2748219.

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Background. Large scalp defects, especially those complicated by calvarial defects, titanium mesh exposure, or cerebrospinal fluid (CSF) leak, pose a challenge for the neurosurgeon and plastic surgeon. Here, we describe our experience of reconstructing the complex scalp defect with free flap transfer. Methods. From October 2012 to September 2017, 8 patients underwent free flap transfer for the reconstruction of the scalp or complicated scalp and calvarial defects. Five patients presented with scalp tumor and the other 3 patients with scalp necrosis or ulceration (2 patients with titanium plate

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21

Shah, Md Shahin, Md Abdul Hamid, and Md Hamidul Islam. "Geometric Design and Outcome of Transposition Flaps for Scalp Reconstruction." Journal of Rangpur Medical College 7, no. 2 (2022): 52–57. http://dx.doi.org/10.3329/jrpmc.v7i2.62646.

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Background: The scalp is a unique part of the human body and various etiological factors, such as tumor extirpation, avulsion, infection, burns, or trauma, can lead to scalp defects. Primary closure, skin grafting, local flaps, tissue expansion or free tissue transfer is modalities available for scalp reconstruction. Local flap coverage is best option for full thickness loss with exposed bone. Among various local flap transposition flap is reasonable and flexible option with good outcome for scalp reconstruction. Objective: The purpose of this study was to evaluate the geometric design o

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Shashi, Kapur, Ahmed Meraj, Siddique Sadaf, and Choudhary Vidyapathi. "A Comparative Analysis of Different Scalp Reconstruction Techniques and their Results." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 1743–47. https://doi.org/10.5281/zenodo.11206892.

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<strong>Background:</strong> Scalp defects, arising from various causes like trauma or burns, pose significant challenges in reconstructive surgery due to the complex nature of the scalp. This study aims to enhance understanding of different scalp reconstruction techniques, their efficacy, outcomes, and complications. <strong>Methods:</strong> A prospective interventional study was conducted at ‘Patna Medical College and Hospital’ over a period of 06 months (feb 2022-July2022), involving 30 patients aged 0-70 years with non-malignant scalp defects. Data on demographi

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Bardeeva, Ksenya A., V. V. Mishkin, A. V. Pisklakov, V. I. Ponomarev, and N. I. Pavlenko. "Surgical treatment of a newborn child with congenital aplasia of the scalp." Russian Journal of Pediatric Surgery 27, no. 5 (2023): 377–82. http://dx.doi.org/10.55308/1560-9510-2023-27-5-377-382.

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Introduction. Skin aplasia is a developmental defect represented by a skin defect of varying extent, often in combination with the defect of underlying tissues – subcutaneous fat, muscles and with various forms of dysraphy - non-closured embryonic slits. By various authors, defect frequency ranges from 1 per 1 000 to 1 per 10 000 newborns. Congenital focal aplasia of the skin and subcutaneous tissues can be located in limited areas; most often it is diagnosed on the scalp looking like single or multiple focal skin defects. Quite often, focal aplasia also affects the skin on the trunk and limbs

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Mohan, Vamsi C., Olivia G. Leonovicz, Josephine L. Schmidt, et al. "Scalp and Forehead Reconstruction following Mohs Micrographic Surgery." Seminars in Plastic Surgery 38, no. 04 (2024): 268–78. https://doi.org/10.1055/s-0044-1792105.

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AbstractFor proper reconstruction of scalp and forehead defects following Mohs micrographic surgery (MMS), knowledge of the unique anatomy and aesthetic importance of these structures is necessary to restore function and appearance. However, the inflexibility, convexity, and hair-bearing nature of the scalp and forehead can make reconstruction challenging. Detailed planning and precise management are essential to achieve adequate reconstructive results. Defect size, location, prior radiation history, and symmetry of hairlines should be taken into consideration during planning, and the simplest

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Laun, Jake, and Julian Pribaz. "637 Free Abdominal Tissue Transfer and Utilization of the Umbilical Stalk for “Tubular” Reconstruction in Ear, Nose and Throat Defects: A Case Series." Journal of Burn Care & Research 42, Supplement_1 (2021): S174—S175. http://dx.doi.org/10.1093/jbcr/irab032.287.

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Abstract Introduction Head and neck defects, whether from burns or cancer resections, are complex and often require free flap reconstruction. Radial forearm and anterolateral thigh (ALT) flaps are commonly used due to their thin and versatile nature. However, abdominal based free tissue transfer is one valuable alternative that can cover large defects and may become a more appropriate option on the reconstructive ladder when the defect includes reconstruction of a tubular structure, such as the external auditory canal, a neck tracheostomy/stoma site or an external nasal opening. We present a n

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Gupta, Nidhi, Anurag Sharma, Sachin Gupta, Gaurav Kakkar, S. R. Meghraj, and Arun Sharma. "Term Neonate with a Scalp Defect." NeoReviews 25, no. 9 (2024): e589-e593. http://dx.doi.org/10.1542/neo.25-9-e589.

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Kumar Gang, R., A. Lal Soni, and R. M. Z. Alsawan. "Congenital scalp defect: Adams-Oliver syndrome." European Journal of Plastic Surgery 22, no. 7 (1999): 331–34. http://dx.doi.org/10.1007/s002380050275.

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Vishwanath, Karthik, Nikhil Shetty, and Satadru Roy. "Use of Rotational Flap for Reconstruction of Scalp Avulsion Defect - A Case Report." Journal of Health and Allied Sciences NU 07, no. 02 (2017): 063–65. http://dx.doi.org/10.1055/s-0040-1708714.

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AbstractReconstruction of scalp defects is required for acute trauma, tumor extirpation, radiation necrosis, and the repair of traumatic alopecia or cosmetically displeasing scars. The proper choice of a reconstructive technique is affected by several factors—the size and location of the defect, the presence or absence of periosteum, the quality of surrounding scalp tissue, the presence or absence of hair, location of the hairline, and patient comorbidities.Cosmetic scalpreconstruction requires restoration and preservation of normal hair patterns and hair lines.The scalp vertex is an area of l

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De Angelis, Barbara, Pietro Gentile, Eleonora Tati, et al. "One-Stage Reconstruction of Scalp after Full-Thickness Oncologic Defects Using a Dermal Regeneration Template (Integra)." BioMed Research International 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/698385.

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The use of Dermal Regeneration Template (DRT) can be a valid alternative for scalp reconstruction, especially in elderly patients where a rapid procedure with an acceptable aesthetic and reliable functional outcome is required. We reviewed the surgical outcome of 20 patients, 14 (70%) males and 6 (30%) females, who underwent application of DRT for scalp reconstruction for small defects (group A: mean defect size of 12.51 cm2) and for large defects (group B: mean defect size of 28.7 cm2) after wide excision of scalp neoplasm (basal cell carcinoma and squamous cell carcinoma). In group A, the ex

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Shahnawaz, Anees, Choudhary Vidyapati, Kumar Ajoy, and Raman Radha. "Comparative Analysis of Scalp Defect Reconstruction Methods and Their Clinical Outcomes: A Prospective Study." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1553–56. https://doi.org/10.5281/zenodo.11312079.

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<strong>Background:</strong> Scalp defect reconstruction is a challenging aspect of reconstructive surgery, necessitating careful consideration of various surgical techniques to address the unique anatomical and aesthetic aspects of the scalp. This study aims to provide a comprehensive evaluation of different methods employed for scalp defect reconstruction, including primary closure, skin grafting, local flaps, microsurgical free flaps, and tissue expanders, to assess their clinical outcomes, efficacy, and patient satisfaction levels. <strong>Methods:</strong> A prospective stu

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Seretis, Konstantinos, Nikos Bounas, and Efstathios G. Lykoudis. "Reconstruction of Scalp Defects with Rotational Flaps: Where Is the Limit?" Surgeries 6, no. 1 (2025): 18. https://doi.org/10.3390/surgeries6010018.

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Background/Objectives: Scalp defect reconstruction often poses a challenge due to the distinct anatomy and limited skin elasticity of the region. Rotational flaps, when properly planned, offer a superior and creative solution for effectively covering most scalp defects. The aim of this study is to present the indications, and versatile use of rotational flaps in scalp reconstructive surgery, guided by an algorithmic approach and exemplified by numerous clinical applications. Methods: An observational cohort study was conducted between 2019 and 2024. The study protocol adhered to the ethical gu

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Rajbhandari, Bikesh, Himalaya Niraula, Manish Devkota, et al. "Our experience of scalp reconstruction in a tertiary care centre of Nepal." Journal of Society of Surgeons of Nepal 24, no. 2 (2021): 46–50. http://dx.doi.org/10.3126/jssn.v24i2.42832.

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Introduction: Scalp defects are difficult to manage due to their inelastic nature, thus possess significant surgical and aesthetic concerns. The objective of the study was to analyse various scalp defects in terms of their clinical presentation, management and outcome in the context of Nepal. Methods: This was a retrospective review conducted by analysing clinical records of all the scalp reconstructions performed at Tribhuvan University Teaching Hospital (TUTH) from May 2018 to March 2021. Results: Among the 69 patients operated there were 37 females and 32 males. Most patients were in the ag

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Rasmi, Ranjan Mohanty, Mishra Rojalin, and Bhusan Nayak Bibhuti. "Study of Different Modalities of Scalp Defect Reconstructions & Devising a Treatment Protocol in a Tertiary Care Center in Eastern Part of India." International Journal of Pharmaceutical and Clinical Research 14, no. 7 (2022): 400–408. https://doi.org/10.5281/zenodo.13370152.

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<strong>Background: </strong>Various modalities for managing scalp defects have previously been described in the literature. Aims & Objective: This study estimates and describes the various causes of scalp injury and suitable method for closure of scalp defects in eastern part of India and to devise a treatment protocol for the management of scalp defects resulting from different conditions. <strong>Methods: </strong>A prospective study of patients who sustained trauma, electrical burns, marjolin᾿s ulcer of the scalp & bear mauling to the head from September 2018 to Nove

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Voorman, Matthew, John Frodel, and Chelsea Obourn. "Facial Defect Reconstruction with Scalp Skin Grafts." Facial Plastic Surgery 33, no. 04 (2017): 419–22. http://dx.doi.org/10.1055/s-0037-1603783.

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AbstractThe objective of this study is to demonstrate the benefits of scalp-based split-thickness skin grafts as a reconstructive modality for facial skin defects, noting advantages relative to traditional harvest sites. The study is presented as a case series with chart review set in a tertiary referral center. We reviewed the charts of patients with facial skin defects whose reconstruction required more skin than could be harvested with standard full-thickness skin grafting techniques and, accordingly, included a split-thickness skin graft from the adjacent scalp. Preoperative and postoperat

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Maazil, Ali Abbar, Dhiaa Jabir Aljuburi, and Alaa Jumaah Manji Nasraw. "Scalp Reconstruction after Excision of Radiation Induced Tumors." J Nat Sc Biol Med 16, no. 1 (2025): 211–17. https://doi.org/10.5281/zenodo.15384194.

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<strong>Background:</strong> Exposure of scalp tissue to radiotherapy in childhood or early adulthood period are at increased risk of developing nonmelanoma skin malignancies. The anatomical and histological changes of scalp tissue make it difficult to close large defects after excision. Skin grafting usually fails, and complex flaps or vascularized tissue may be required. <strong>Objective:</strong> To explain the risk of skin tumor in all patient who received scalp irradiation therapy in childhood and the options of reconstruction after excision. <strong>Patients and Methods:</strong> Seven

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Hindych, O. A., and K. P. Tumasova. "Features of the neutrophil granulocyte system in patients with common scalp defects." Ukrainian Journal of Clinical Surgery 91, no. 1 (2024): 43–46. http://dx.doi.org/10.26779/2786-832x.2024.1.43.

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Objective. To identify the dynamics of changes in the structure of the neutrophil granulocyte system in patients with extensive scalp defects before and after their surgical closure. Materials and methods. A computer morphometric analysis of the quantitative and qualitative characteristics of neutrophilic granulocytes of patients with common scalp defects who were treated at the Department of Microvascular Plastic and Reconstructive Surgery of the Shalimov National Scientific Centre of Surgery and Transplantation from 2017 to 2023. The main group included 15 patients with widespread defects of

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Kasper, Ekkehard M., Emily B. Ridgway, Amr Rabie, Bernard T. Lee, Clark Chen, and Samuel J. Lin. "Staged Scalp Soft Tissue Expansion Before Delayed Allograft Cranioplasty." Operative Neurosurgery 71, suppl_1 (2011): ons15—ons21. http://dx.doi.org/10.1227/neu.0b013e318242cea2.

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Abstract BACKGROUND: Hemicraniectomy is an established neurosurgical procedure. However, before cranial vault reconstruction, it is imperative that sufficient scalp soft tissue is available for coverage of the reconstructed skull. OBJECTIVE: To present 2 complex cases of posttraumatic patients requiring soft tissue expansion of the scalp before definite cranioplasty with use of a synthetic polyethylene graft. METHODS: Two patients underwent decompressive hemicraniectomy for trauma and required delayed cranioplasty. Both patients had developed significant scalp contraction and presented with a

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Ooi, Adrian SH, Muholan Kanapathy, Yee Siang Ong, Kok Chai Tan, and Bien Keem Tan. "Optimising Aesthetic Reconstruction of Scalp Soft Tissue by an Algorithm Based on Defect Size and Location." Annals of the Academy of Medicine, Singapore 44, no. 11 (2015): 535–41. http://dx.doi.org/10.47102/annals-acadmedsg.v44n11p535.

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Introduction: Scalp soft tissue defects are common and result from a variety of causes. Reconstructive methods should maximise cosmetic outcomes by maintaining hair-bearing tissue and aesthetic hairlines. This article outlines an algorithm based on a diverse clinical case series to optimise scalp soft tissue coverage. Materials and Methods: A retrospective analysis of scalp soft tissue reconstruction cases performed at the Singapore General Hospital between January 2004 and December 2013 was conducted. Results: Forty-one patients were included in this study. The majority of defects <100 cm2

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Cecchi, Roberto, Laura Bartoli, Luigi Brunetti, and Giovanni Troiano. "Double hatchet flap for scalp defect reconstruction." Journal of Cutaneous and Aesthetic Surgery 9, no. 1 (2016): 45. http://dx.doi.org/10.4103/0974-2077.178556.

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Ramaswamy, C. N. "CLOSING A DIFFICULT DEFECT OF THE SCALP." Plastic and Reconstructive Surgery 83, no. 2 (1989): 387. http://dx.doi.org/10.1097/00006534-198902000-00044.

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Arnaud, E., D. Marchac, and D. Renier. "Aplasia of the Vertex Without Scalp Defect." Journal of Craniofacial Surgery 8, no. 2 (1997): 146–50. http://dx.doi.org/10.1097/00001665-199703000-00016.

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Shenoy, Ashok M., Nanjundappa, Umanath K. Nayak, Asha K. Bhargava, Ibrahim A. Naganoor, and M. Vijayakumar. "Scalp flap—a utility and reconstructive option for head and neck surgeons." Journal of Laryngology & Otology 107, no. 4 (1993): 324–28. http://dx.doi.org/10.1017/s0022215100122935.

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Regional scalp flaps are invaluable in resurfacing defects resulting from resections in the area of the upper face, orbit and scalp itself. The tissue lies adjacent to the defect, is easy to harvest, and can be termed as a ‘durable one-stage’ procedure. Scalp defects posterior to the vertex lend themselves to resurfacing by a posterior flap based on the occipital arteriovenous system. Anterior scalp defects including upper face and orbit can be resurfaced by an anterior scalp flap based on the superficial temporal arteriovenous system. While large areas can be resurfaced and the donor site eff

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BRANDY, DOMINIC A. "Extensive Scalp Lifting as a Reconstructive Tool for a Large Scalp Defect." Journal of Dermatologic Surgery and Oncology 18, no. 9 (1992): 806–11. http://dx.doi.org/10.1111/j.1524-4725.1992.tb03038.x.

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Rashmi, Deopujari, Mangalgiri Ashutosh, Dixit Asha, and Longia G.S. "Neural Tube Defect Spectrum - Study of Craniorachischisis." PJSR 4, no. 1 (2011): 23–27. https://doi.org/10.5281/zenodo.8274290.

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Neural tube defect spectrum (NTD) includes anencephaly, spina bifida, craniorachischisis, inencephaly etc. Four cases of craniorachischisis were studied from a collection of 34 aborted fetuses. There was deficiency of scalp and cranial vault in all the four cases. In one case the defect was extending up to the cervical region, in rest of the three cases, vertebral column defect extended upto thoracic region exposing the spinal cord and spinal nerves. All the cases presented with bulging eyes, broad nose, folded ears, protruded tongue and absent neck. These defects result due to failure of clos

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Wadewale, Sanjana Narendra, Nitin Bhola, Anchal Agrawal, and Firoz Borle. "Is Scalp Flap Relevant in the 21st Century?" Journal of Datta Meghe Institute of Medical Sciences University 18, no. 4 (2023): 787–90. http://dx.doi.org/10.4103/jdmimsu.jdmimsu_435_23.

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Abstract We evaluated the use of scalp flap in the large defect created in head-and-neck reconstruction surgeries with histopathologically confirmed oral squamous cell carcinoma. The patient had large defect after resection of the lesion, which was reconstructed with more than one flap. Scalp flap used as a second flap for extraoral lining, as it has a good blood supply from superficial temporal artery, favorable arc of rotation, and camouflage with hair-bearing skin.

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Alessandri-Bonetti, Mario, Joshua David, and Francesco M. Egro. "Pedicled Latissimus Dorsi Flap for Extensive Scalp Reconstruction in Acute Burns." Plastic and Reconstructive Surgery - Global Open 11, no. 8 (2023): e5217. http://dx.doi.org/10.1097/gox.0000000000005217.

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Summary: Extensive full-thickness head and neck burn defects represent some of the greatest challenges because of the exposure of burned calvaria and lack of good local reconstructive options. This study reports the use of a pedicled latissimus dorsi (LD) muscle flap to cover a large full-thickness scalp burn defect measuring 20 × 15 cm, including 15 × 13.7 cm of bone exposure and extending from the posterior neck to the mastoid and vertex of the scalp. The authors discuss the technique to safely maximize the reach, which includes distal dissection to the iliac crest and thoracolumbar fascia,

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Okwesili, Obinna Remigius, Uchechukwu Johnson Achebe, Okechukwu Oliver Onumaegbu, Wilfred Chukwuemeka Mezue, Mark Chukwunweike Chikani, and Ephraim Eziechina Onyia. "Scalp Reconstruction following Excision of Malignant Tumors in Southeastern Nigeria." Nigerian Journal of Medicine 32, no. 3 (2023): 309–13. http://dx.doi.org/10.4103/njm.njm_32_23.

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Abstract Background: Malignant scalp tumors are not common and constitute a small percentage of all scalp tumors. Reconstruction of the scalp defects following oncological resection presents peculiar challenges. Aim: The aim of the study is to report our experience in reconstructing scalp defect of varying sizes after the excision of malignant tumours using a variety of techniques. Materials and Methods: This was a retrospective review of patients who had scalp reconstruction after oncological resections from June 2010 to May 2014 (four years) at our teaching hospital in the South-east of Nige

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Kim, Ji Hun, Hyung Jun Min, Yang Woo Kim, Young Woo Cheon, Yu Jin Kim, and Woo Sik Pae. "Superficial Temporal Artery Based Pedicled Flap for the Reconstruction of Traumatic Complicated Scalp Defects." Journal of Wound Management and Research 16, no. 1 (2020): 49–52. http://dx.doi.org/10.22467/jwmr.2019.00773.

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Reconstruction of traumatic defects on the scalp can be challenging. In cases of skull trauma, direct incisions close to bony defects can lead to skin and soft tissue necrosis. To minimize hair damage after surgery and to achieve both reconstructive and cosmetic effects, we propose a superficial temporal artery based pedicled flap for complicated traumatic cranial defects and lacerations. In the present case, a 21-year-old woman suffered intracranial hemorrhage with multiple skin and soft tissue injuries on her scalp after a violent attack. Neurosurgeons made a bicoronal incision for intracran

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Turton, Natalie, Aaina Aggarwal, Eoin Twohig, et al. "Integra® Dermal Regeneration Template in Complex Scalp Reconstruction." Journal of Clinical Medicine 13, no. 5 (2024): 1511. http://dx.doi.org/10.3390/jcm13051511.

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Background/Objectives: The need for surgical reconstruction of scalp defects following the excision of cutaneous skin cancers is an increasingly common procedure. Particular challenges arise when considering options for reconstruction of large defects not amenable to local skin flap coverage. The use of skin grafts poses the risk of donor site morbidity. This paper investigates the emerging use of Integra®, a synthetic acellular dermal regeneration template, as an alternative or adjunct to skin grafting in scalp reconstruction. Methods: The study presents a retrospective analysis of 101 patien

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Gupta, Sachin K., Vishakha Nanda, Tessy Joseph, and Susan Echiverri. "Term Infant Who Has a Congenital Scalp Defect." NeoReviews 13, no. 3 (2012): e199-e201. http://dx.doi.org/10.1542/neo.13-3-e199.

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