Reconstruction of Large Acquired Scalp Defects: Ten-Year Experience.
OBJECTIVE
The method of choice for reconstruction of large acquired scalp defects depends on numerous factors. The aim of our study was to analyze reconstructions of large acquired scalp defects performed on 135 patients in the period of 10 years.


METHODS
We have monitored the factors with an impact on the reconstruction method, complications, and the achieved results. Skin grafts, local, regional and free flaps, have been applied for reconstruction of defects.


RESULTS
The depth, size, defect localization, condition of surrounding tissue, co-morbidities and causes of occurrence of defect have an impact on the method of choice for defect reconstruction.


CONCLUSIONS
Acquired scalp defects are the most frequent in the older population and, in most cases, occur upon the surgical removal of malignant tumors. Local fasciocutaneous flaps are the method of choice for small and acquired scalp defects of medium size while free flaps are the best solution for reconstruction of the large full-thickness scalp defects. Frequency of severe complications is significantly higher in the patients who undergo craniotomy, or those with liquorrhea.
University of Belgrade, School of Medicine, Clinical Center of Serbia, Clinic for Burns, Plastic and Reconstructive Surgery, Belgrade, Serbia.
Milan
M
Stojicic
Milan
M
Jovanovic
Lukas
L
Rasulic
Filip
F
Vitosevic
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods*; D012535:Scalp / Q000601:surgery*