Split Skin Graft From Scalp to Scalp for Repairing Large Surgical Defects

The document describes a dermatosurgical technique for repairing large surgical defects on the scalp, particularly useful for older patients with androgenetic alopecia who develop skin cancer. The procedure involves resecting malignant tumors and using a split skin graft "from scalp to scalp" as a repair method. The supraauricular area of the scalp is used as the donor site for the graft, which offers several advantages, including faster reepithelialization (5-7 days) compared to thigh grafts (14-21 days), and the hair regrowth at the donor site makes it invisible in 95% of cases. The grafting technique results in aesthetically acceptable outcomes, with the donor site healing quickly and becoming invisible due to hair regrowth. The document emphasizes the importance of ensuring the donor site is not affected by field cancerization and notes that the aesthetic results of this method are comparable to conventional grafting from the thigh, with the added benefit of avoiding a second surgical site.