A New Algorithm for The Surgical Management of Defects of the Scalp

Cherubino, Mario; Taibi, Dominic; Scamoni, Stefano; Maggiulli, Francesca; Giovanna, Danilo Di; Dibartolo, R.; Izzo, Matteo; Pellegatta, Igor; Valdatta, Luigi

doi:10.5402/2013/916071

Cited by 12 publications

(16 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The thought process here was that primary closure is particularly difficult for larger defects of the scalp, especially those located in the inelastic parietal and vertex regions. 42 Furthermore, the occipital hairbearing scalp does an excellent job hiding small (or regressing) SAVM lesions with minimal cosmetic morbidity. This provides an opportunity to trial embolization without surgical resection, potentially controlling recurrence in a less invasive manner.…”

Section: Discussionmentioning

confidence: 99%

“…We were less aggressive with our decision to proceed with surgical resection for SAVMs of the parietal, occipital, and vertex regions of hair-bearing scalp than for the frontal, temporal, and forehead regions. The thought process here was that primary closure is particularly difficult for larger defects of the scalp, especially those located in the inelastic parietal and vertex regions 42 . Furthermore, the occipital hair-bearing scalp does an excellent job hiding small (or regressing) SAVM lesions with minimal cosmetic morbidity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Combined Treatment of High-Flow Scalp Arteriovenous Malformations

Janssen

Taub

Marayati

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Introduction: Appropriate treatment of scalp arteriovenous malformations (SAVMs) remains largely unclear given the rarity of reported cases. This single-institution case series presents consecutive patients with extracranial SAVMs and longterm follow up.The primary aim of this study was to review treatment decisions, evaluate clinical outcomes, and compare our experience to available literature in order to better understand SAVMs and improve future outcomes. Materials and Methods: A retrospective review of consecutive patients with extracranial SAVMs between January 2015 and December 2019 was performed. Treatment factors of interest included embolization method, embolic agents, and decision to proceed with surgical resection. Relevant clinical outcomes included recurrence rates, cure rates, and complications. Results: Seven patients were included in the present series. Satisfactory outcomes were ultimately achieved for all 7 patients using embolization with or without combined surgical resection. Embolizations performed in combination with resection were curative in 4 of 4 cases (100%). Embolizations performed without resection were curative in 0 of 4 cases (0%), satisfactory in 2 of 4 cases (50%), and unsatisfactory in 2 of 4 cases (50%). Discussion: All SAVM patients in this series were treated satisfactorily using embolization with or without operative resection. This study strongly suggests that embolization combined with surgical resection during the same admission yields the best treatment outcomes for SAVMs, specifically demonstrating lower rates of recurrence and embolization-related complications. Decisions on whether or not to proceed with resection should be made by the interventional radiologist, the plastic surgeon, and the patient together.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combined Treatment of High-Flow Scalp Arteriovenous Malformations

Janssen

Taub

Marayati

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…As the scalp tissue has limited elasticity, usually defects less than 5 cm 2 (equivalent at less 2,5 cm of diameter) are supposed for direct primary closure. 8 Local flaps are the first choice for the repair of defects involving skin, galea, and pericranium. With consideration of the aesthetic aspects of reconstruction, the local flaps might be preferable in most cases of small defects.…”

Section: Discussionmentioning

confidence: 99%

Scalp Reconstruction among Neurotrauma Patients: Presentation, Management and Outcome- Single Center Study

Thapa¹

2020

Eastern Green Neurosurg.

View full text Add to dashboard Cite

Background: Scalp laceration is common findings among patients with head injury. It may present with simple laceration, laceration with loss of tissue or degloving type of injury. This study was conducted to observe the different techniques or wound management and fate of thus reconstructed scalp lacerations. Methods and materials: This is a cross-sectional analytical study which was conducted in B&C Medical College Teaching Hospital, Jhapa, Nepal. Patients presented with major scalp lacerations needing repair in Operation Theatre between June 2017 to May 2019 were included. Age, gender, mode of injuries, severity of the injury, various types of management and complicationswere studied and thus collected data were analyzedin IBM SPSS version 23. Results: There were 53 cases of scalp injuries with male(75%) predominance and mean age of 31.51 (SD 15.218) yearsin this study. Road traffic accident was the major cause of injury 28(53%), followed by physical assault 16(30%), fall injury 7(13.2%) and burn injury 2(3.7%).Primary closure was possible in 29(54.7%), advancement flap in15(28.3%), flap rotation in 7(13.2%) and split thickness skin graft was in 2(3.8%) patients. Wound infection was seen among 6(11.3%) patients, wound break down in 2(3.7%) and flap failure with dehiscence was observed in 1(1.9%) patient needing secondary healing and closure. Conclusion: Scalp laceration is commonly seen in neurotrauma patients with or with-out intracranial injury. Road traffic accidents top the chart in our part of world.All kinds of scalp laceration can be managed well with different types of surgical techniques.

show abstract

“…[1] Scalp defect wounds with edges >2.5 cm are difficult to suture because the scalp is close to the skull, and there is less subcutaneous soft tissue and poor mobility. [2] Numerous treatment protocols are currently available for scalp defect reconstruction. According to previous studies, small to moderate scalp defects (≤20 cm 2 ) can be repaired with local flap transfer, and large ones (>20 cm 2 ) can be covered with a free anterolateral femoral flap.…”

Section: Introductionmentioning

confidence: 99%

Platelet-rich gel versus external tissue expansion technique in treating scalp defects: A retrospective study

Ai,

Wang,

2023

Medicine

View full text Add to dashboard Cite

Reconstruction of scalp defects is a complicated and challenging procedure for reconstructive surgeons. This retrospective observational study assessed the effectiveness of using platelet-rich gel (PRG) versus the external tissue expansion technique (TET) in reconstructing scalp defects. The clinical data of 24 patients with scalp defects treated with PRG or external TET were collected from September 2018 to March 2022. Data on the wound characteristics, wound healing time, cost of treatment, visual analog scale, and observed wound healing status were collected. The mean wound healing times in the PRG and TET groups were 25.00 ± 5.77 and 13.58 ± 9.68 days, respectively (P < .05). The PRG group was significantly more cost-effective than the TET group (P < .05). TET treatment significantly increased patients’ postoperative pain, which decreased over time (P < .05), while PRG treatment caused no significant change in pain (P > .05). The 2 groups showed no tissue depression or color change after wound healing at follow-up, but the hair growth in the TET group was significantly better than that in the PRG group (P < .05). Compared with TET treatment of scalp defects, PRG is not only simple and painless but also has a low treatment cost and, more importantly, does not involve the risk of surgery and anesthesia. However, using TET to treat scalp defects requires the careful selection of appropriate cases.

show abstract

A New Algorithm for The Surgical Management of Defects of the Scalp

Cited by 12 publications

References 11 publications

Combined Treatment of High-Flow Scalp Arteriovenous Malformations

Combined Treatment of High-Flow Scalp Arteriovenous Malformations

Scalp Reconstruction among Neurotrauma Patients: Presentation, Management and Outcome- Single Center Study

Platelet-rich gel versus external tissue expansion technique in treating scalp defects: A retrospective study

Contact Info

Product

Resources

About