Options for the management of forehead and scalp defects.
Forehead and scalp reconstruction comprises a diverse and complex set of defects. Repair must be performed with minimal disturbance to surrounding structures, such as the eyelid, eyebrow, and hairline. Care must be taken to maintain symmetry between sides. This article addresses the options for the management of forehead and scalp defects, including secondary intention healing, skin grafting, local flaps, free flaps, tissue expansion, and negative pressure treatment. When possible, special consideration is given to addressing the advantages and disadvantages of each repair option, while providing a framework from which to plan scalp and forehead reconstruction.
Angelos
Patrick C
PC
Department of Otolaryngology/Head & Neck Surgery, Oregon Health & Science University, Portland, 29239, USA. angelosp@ohsu.edu
Downs
Brian W
BW
D004954:Esthetics; D005153:Facial Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005546:Forehead / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008297:Male; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012535:Scalp / Q000601:surgery; D012878:Skin Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D015996:Survival Rate; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology