Scalp reconstruction

Abstract

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.

Operative wound-related complications after cranial revascularization surgeries

“…Cranial bone infection was also classified as a major complication and treated by removing the infected bone flap, followed by reconstruction using either a free muscle flap or omental flap. 2,9,[15][16][17][18][19]24 When planning scalp reconstructive surgery after revascularization surgery, surgeons should consider some important points. The route of the vessel used in the primary surgery should be confirmed before surgery in order to avoid damage.…”

Reconstruction of Extensive Scalp Defects With Anterolateral Thigh Flap

“…The musculocutaneous flap has a very thick skin island, and abdominal skin does not have adequate color harmony with scalp skin. [12,13] Complications such as weakness or a hernia in the abdominal wall have been reported with the use of this flap. [14] The radial forearm flap has thin, pliable skin and usually is a suitable option for scalp reconstruction.…”

Incidence, risk factors and management of delayed wound dehiscence after craniotomy for tumor resection

“…This might require wide undermining and galeal scoring. 16 When a dehiscence occurs at the surgical site, urgent treatment is recommended due to the high risk of infection. All wounds should be cultured and the need for antibiotics should be assessed.…”