Published in European Journal of Plastic Surgery
BackgroundThe reconstruction of scalp alopecia is necessary for improvement of cosmetically displeasing scars. V-Y-C or V-Y-S plasties are simple procedures that conserve tissues in the repair of round skin defects. We aimed to review our experience with the V-Y-C and V-Y-S plasties for correction of acquired alopecia and attempted to construct a s...
Published in Aesthetic Plastic Surgery
AbstractIn the early 1970s a novel method for hair restoration was described and gained a large following: hair implantation of artificial synthetic fibers. Though popular, the procedure faced numerous criticisms from the scientific community by the early 1980s, and several major and minor complications in a large number of patients treated were re...
Published in Craniomaxillofacial trauma & reconstruction
Defects of the scalp and lateral temporal bone (LTB) represent a unique challenge to the reconstructive surgeon. Simple reconstructive methods such as skin grafts, locoregional flaps, or tissue expanders are often not feasible due to a myriad of reasons. Vascularized free tissue transfer coverage offers distinct advantages in managing these defects...
Published in World Journal of Surgical Oncology
BackgroundReconstruction of large scalp defects after tumor resection is a challenging problem. We aimed at putting an algorithm for reconstruction of those defects.MethodsForty-two patients with scalp malignancies were enrolled in this study. Tumors were resected to a 1 cm negative margin and defects were reconstructed according to their size and ...
Published in Journal of plastic, reconstructive & aesthetic surgery : JPRAS
In the scalp defect reconstructions after tumor excision, Integra allows to obtain a thicker and more durable coverage than skin graft on the skull, allowing to detect a tumor recurrence earlier than a flap reconstruction with no risk of burying an eventual underlying residual tumor. These operations are performed under local anaesthesia and are th...
Published in Journal of reconstructive microsurgery
Adequate coverage of complex, composite scalp defects in previously radiated, infected, or otherwise compromised tissue represents a challenge in reconstructive surgery. To provide wound closure with bony protection to the brain, improve cranial contour, and prevent or seal cerebrospinal fluid (CSF) leaks, composite free tissue transfer is a reliab...
Published in Neurosurgical Review
Skin erosion is a hardware-related complication commonly described after deep brain stimulation (DBS). Despite the considerable incidence reported in literature, little is written about the management of this complication. In this report, we describe a case of noninfected device extrusion through the skin; in order to prevent infection and system r...
Published in Seminars in plastic surgery
Over the past several decades, an improved understanding of the blood supply of local flaps, increased experience with tissue expansion, and the development of techniques for microsurgical transfer of distant flaps have greatly contributed to the ability of plastic surgeons to repair scalp defects. This article will review basic anatomy, principles...
Published in European Journal of Plastic Surgery
The purpose of this paper is to review the results of free latissimus dorsi transfer for scalp and cranial reconstruction in the case of large defects with exposed brain tissue, cranial bone without periosteal cover, and dura, which cannot be reconstructed with local flaps or skin grafts. Free latissimus dorsi transfer was carried out in seven pati...
Published in European Journal of Plastic Surgery
This is a review of reports of the reconstruction of scalp defects with free flaps. Most of these studies present only a small number of cases, or a mix of scalp reconstructions with free and local flaps. The goal of this review is a “meta” analysis of free flaps for scalp reconstructions. Age, sex distribution, time of reconstruction, causes of sc...
