title: Surgical strategies for cutaneous neoplasm of the scalp. State of art.
abstract: OBJECTIVE
  Scalp reconstruction has always been a challenging task, in particular after oncological demolition and this article gives an overview on the state of the art in scalp reconstruction strategies.
  
  
  METHODS
  We elaborated a systematic algorithm for scalp reconstruction based on location and size defects, presence or absence of periosteum, bone involvement, the quality of surrounding scalp tissue, the presence or absence of hair, location of the hairline, patient comorbidities and different procedures commonly used in plastic surgery.
  
  
  RESULTS
  Our algorithm allows plastic surgeons to perform scalp reconstruction after the most devastating of defects.
  
  
  CONCLUSIONS
  Successful reconstruction of the scalp requires careful preoperative planning and detailed knowledge of scalp anatomy, hair physiology, variety of available local tissue and plastic surgery procedures as well as synthetic substitutes or products provided by tissue engineering.
  
  
  CONCLUSIONS
  However, the challenge today is to do so with excellent cosmetic results.
authors.forename: Tiziana
authors.initials: T
authors.lastname: Vitagliano
authors.forename: Manfredi
authors.initials: M
authors.lastname: Greco
authors.forename: Luca Andrea
authors.initials: LA
authors.lastname: Dessy
authors.forename: Matteo
authors.initials: M
authors.lastname: Atzeni
authors.forename: Antonio Greto
authors.initials: AG
authors.lastname: Ciriaco
authors.forename: Diego
authors.initials: D
authors.lastname: Ribuffo
mesh_terms: D000465:Algorithms; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D012535:Scalp / Q000473:pathology / Q000601:surgery*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome