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Scalp reconstruction
Author(s) -
Mehrara Babak J.,
Disa Joseph J.,
Pusic Andrea
Publication year - 2006
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20487
Subject(s) - medicine , scalp , surgery , ablation , cerebrospinal fluid leak , craniotomy , resection , cerebrospinal fluid , pathology
Scalp reconstruction after oncologic resection can be challenging. Wide surgical resections, in combination with co‐morbid conditions such as infected alloplastic material, cerebrospinal fluid (CSF) leak, or devascularized bone after craniotomy necessitate healthy, vascularized tissues for reconstruction. Although primary closure is feasible in some cases, the mainstay of treatment involves local tissue rearrangement with or without split thickness skin grafting. In addition, free tissue transfer is an important adjunct to therapy in patients with poor local tissues. Careful analysis of the defect and local tissues can help tailor the method of reconstruction and result in satisfactory closure in a majority of patients. Current techniques used for scalp reconstruction after surgical ablation are the subject of this review. J. Surg. Oncol. 2006;94:504–508. © 2006 Wiley‐Liss, Inc.