A Staged Approach for Complex Scalp Defects Using Titanium Mesh and Anterolateral Thigh Flaps: Two Case Reports

    Daniel O. Otieno, Nelson Oduor Ouma, Janan Hania Malik, Ferdinand Nang'ole
    TLDR Using titanium mesh and thigh tissue is effective for complex scalp reconstruction.
    The document discusses a staged approach for reconstructing complex scalp defects using titanium mesh and anterolateral thigh (ALT) flaps, as demonstrated in two case reports. Free flaps, particularly the ALT-free tissue transfer, are highlighted as safe and reliable methods for significant scalp defects that necessitate both scalp and calvarial reconstructions. The ALT-free tissue transfer provided predictable results in both clinical cases, underscoring its effectiveness in such complex reconstructive procedures.
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