title: Options for the management of forehead and scalp defects.
abstract: 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.
authors.affiliation: Department of Otolaryngology/Head & Neck Surgery, Oregon Health & Science University, Portland, 29239, USA. angelosp@ohsu.edu
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Angelos
authors.forename: Brian W
authors.initials: BW
authors.lastname: Downs
mesh_terms: 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