2020
DOI: 10.21037/atm.2020.03.221
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An algorithm for one-stage malignant oncologic scalp reconstruction

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Cited by 15 publications
(14 citation statements)
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“…The method is preferred in case of malignancy, osteomyelitis, and deficiency of local tissue. 27 In our study, none of the patients had major complications, hematoma or seroma formation. Minor complications like wound dehiscence were seen in 2 patients and minimal graft loss occurred in 2 patients which was managed conservatively with regular dressings.…”
Section: Discussionmentioning
confidence: 48%
“…The method is preferred in case of malignancy, osteomyelitis, and deficiency of local tissue. 27 In our study, none of the patients had major complications, hematoma or seroma formation. Minor complications like wound dehiscence were seen in 2 patients and minimal graft loss occurred in 2 patients which was managed conservatively with regular dressings.…”
Section: Discussionmentioning
confidence: 48%
“…Numerous algorithms have been previously published in literature with recommendations on how to reconstruct large and/or fullthickness scalp defects. Prior literature has suggested free tissue transfer [Figure 6] with defects larger than 100 cm 2 and previously irradiated scalps [32] , defects > 100 cm 2 wanting single stage reconstruction [33] , size > 8 cm [18] , and large scalp defects defined as > 90 cm 2 whether they are partial or full-thickness [34] .…”
Section: Discussionmentioning
confidence: 99%
“…72 A wide variety of both musculocutaneous and fasciocutaneous free flap options have been described for scalp reconstruction, with the most commonly described being the latissimus dorsi muscle flap, the anterolateral thigh flap, and the radial forearm free flap. [73][74][75][76][77] Many other options exist, and the choice of flap reconstruction seems to be based largely on surgeon preference. [78][79][80] Our preference is to use muscle flaps, as we feel they contour nicely to the shape of the skull, as the muscle undergoes some atrophy with time.…”
Section: Special Considerationsmentioning
confidence: 99%