Reconstruction of Scalp and Forehead Defects: Options and Strategies

    July 2023 in “ Cureus ”
    Deepak Krishna, Manal M Khan, Rahul Dubepuria, Gaurav Chaturvedi, Ved Prakash Rao Cheruvu
    Image of study
    TLDR Local flaps are effective for covering small to large scalp and forehead defects with good cosmetic results.
    The document is a retrospective study of 54 patients who underwent reconstruction of scalp and forehead defects at the All India Institute of Medical Sciences, Bhopal, from 2016 to 2021. The study found that the most common cause of these defects was trauma (29.6%). The reconstruction aimed to achieve coverage with well-vascularized soft tissue that is cosmetically acceptable with minimal donor site morbidity. The choice of coverage technique was determined by factors such as size, location, need for radiation, and the potential for hairline distortion. Small defects were typically closed primarily, medium-sized defects were managed with different types of flaps, large defects were managed by transposition flaps, and for defects larger than 200 cm2, free tissue transfers were used. Most scalp defects could be managed with local scalp flaps with or without skin grafting at the donor site. The study concluded that local flaps could be utilized in the coverage of small to large scalp defects with a good cosmetic outcome.
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