Extensive scalp lifting as a reconstructive tool for a large scalp defect.
Extensive scalp lifting is a relatively new technique for the treatment of alopecia. Because this technique involves the undermining of the entire occipitoparietal scalp down to the hairline of the nape, a significant anterior and medial advancement is accomplished with one operation. This case report describes a patient with a large surgically induced scalp defect that was reconstructed with the use of extensive scalp lifting in combination with coronal brow lifting--thus, the intermediate cosmetic deformity of the more commonly used tissue expansion technique was completely circumvented. Why this technique can be substituted for tissue expansion or multiple rotation-transposition flaps in certain cases in elaborated.
Brandy
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DA
The Bourse at Virginia Manor, Pittsburgh, PA 15220.
D000505:Alopecia / Q000209:etiology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005138:Eyebrows; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*