Scalp, Skull, Orbit, and Maxilla Reconstruction and Hair Transplantation

The article from 2013 reviewed the methods for reconstructing defects in the scalp, skull, orbit, and maxilla, and the principles of hair transplantation for hiding scars from such reconstructions. It emphasized the importance of thorough preoperative assessments, including CT scans, to plan the reconstruction. Autologous reconstruction methods were preferred for larger defects, and the article detailed the selection of flaps based on criteria like pedicle length and donor-site morbidity. It discussed specific flaps for different defects, including the fibula osteoseptocutaneous flap and the anterolateral thigh flap. The Cordeiro classification system for orbitomaxillary defects was mentioned, as well as the potential for soft-tissue-only reconstructions in some cases. For hair transplantation, the document highlighted the importance of identifying follicular stem cells and described various harvesting methods, including the strip method and follicular unit extraction. It also presented a case where 2214 grafts were successfully transplanted using the strip harvest method in a patient with cicatricial alopecia, resulting in a good appearance after one year.