Scalp Reconstruction

    December 2021
    Margaret Luthringer, Jerette J. Schultz, Zachary Gala, Mark S. Granick, Jonathan D. Keith
    TLDR Scalp reconstruction uses different methods to restore hair and skin, depending on the defect size.
    The document discussed the challenges and methods of scalp reconstruction, focusing on both functional and cosmetic outcomes, particularly the restoration of hair-bearing skin. For small to mid-size defects, the authors preferred using SkinTE™, which can regenerate hair follicles. For larger, complex defects, they recommended temporary wound stabilization with a skin graft followed by tissue expansion for hair restoration. In specific cases like hidradenitis, split thickness skin grafting was suggested as a definitive solution, while free flap coverage was preferred when skin grafting was not feasible. The chapter included case examples to illustrate these approaches.
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