Reconstruction of tissue defects developing after excision of non-melanoma malignant skin tumors in scalp and forehead regions

Abstract

AIm:The scalp and forehead are the anatomical regions where non-melanoma malignant skin tumors are commonly seen due to direct sun exposure. After surgery for non-melanoma malignant skin tumors located in the scalp and forehead, many complex defects can develop, ranging from sole skin defects to deep defects in which bone and dura mater are opened. results: In order to accomplish satisfactory results these patients have to be carefully assessed with specific parameters while performing the reconstruction of the defect and reconstruction should be planned. Patients with local invasion may need adjuvant radiotherapy postoperatively and reconstruction with free flaps is reliable in the prevention of the possible comorbid problems due to radiotherapy.COnClusIOn: Multidisciplinary approach is needed and the treatment should be managed with neurosurgical team, radiation oncologists and medical oncologists.

Does preoperative imaging for scalp non‐melanocytic skin cancer accurately predict invasion of the cranial vault? A systematic review and meta‐analysis

“…[7][8][9] Particular clinical benefit is anticipated in the more efficient utilization of healthcare resources and the reduced surgical morbidity associated with more judicious selection of patients for full thickness craniectomy. [23][24][25][26] However, the low incidence of NMSCs that progress to significant invasion in the developed world impedes meaningful statistical analysis by limiting the existing data to single institution reports with small patient populations. 6,8 To our knowledge, the current study represents the only systematic review of the literature in this area and the first attempt to collate these isolated reports through meta-analysis to derive statistical conclusions.…”

“…Evaluating the correlation between preoperative imaging and histopathological evidence of bone involvement in scalp NMSCs is essential to guide multi‐disciplinary tumour management 7–9 . Particular clinical benefit is anticipated in the more efficient utilization of healthcare resources and the reduced surgical morbidity associated with more judicious selection of patients for full thickness craniectomy 23–26 . However, the low incidence of NMSCs that progress to significant invasion in the developed world impedes meaningful statistical analysis by limiting the existing data to single institution reports with small patient populations 6,8 .…”

Rotation Flap Closure of Moderate Size Scalp Defects – Technique and Outcome

“…Reconstruction with free flaps has been described in such cases. Multidisciplinary approach will be required in such cases [5].…”

Nonmelanoma Facial Skin Cancer: A Review of Diagnostic Strategies, Surgical Treatment, and Reconstructive Techniques

“…70 For extensive defects necessitating free flaps, thin fasciocutaneous flaps such as the radial forearm or lateral arm flaps are frequently used as forehead skin is much thinner than nearby scalp skin. 71…”