Technical Aspects of Prolonged Scalp Expansion

    April 1994 in “ Archives of Otolaryngology-head & Neck Surgery ”
    Shan R. Baker, Timothy M. Johnson, Bruce R. Nelson
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    TLDR Scalp expansion is an effective way to reconstruct the scalp with good cosmetic outcomes.
    The document from 1994 details the use of prolonged scalp expansion as a reconstructive technique for large scalp defects, emphasizing its ability to provide hair-bearing tissue with unchanged hair growth patterns and follicle structure. It outlines the necessity of two surgeries, the potential for a 50% reduction in hair density before it becomes noticeable, and the occurrence of temporary head deformity. The paper describes the surgical process, including expander implantation and inflation, and stresses the importance of preoperative planning and postoperative care. Three case studies illustrate the successful application of this method in patients with large scalp lesions. The document concludes that scalp expansion is an effective reconstructive method for the scalp, offering superior cosmetic results compared to other surgical options.
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