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Novel method for full thickness scalp reconstruction shows promise
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A novel method for full thickness scalp reconstruction was associated with a success rate higher than 85%, according to recent findings.
The researchers described 21 patients who underwent 22 full thickness scalp reconstructions using a large local flap or free tissue transfer after primary tumor excision. The data set includes a follow-up duration of 402 days for procedures with a mean defect size of 43 cm2 (range, 1.8-145 cm2). The most common defect was the scalp vertex.
The success rate for the procedure was 86%. The average healing time was 104 days (range, 27-233 days).
In the three patients who failed, a history of scalp radiotherapy was reported. However, head and neck radiotherapy was also reported in three patients who underwent successful procedures. The researchers concluded that reconstruction of full-thickness scalp defects may be approached in an algorithmic fashion but that when the defect is unable to be closed primarily, a simple surgical procedure is preferable.
The method requires prolonged wound care time. – by Rob Volansky
Disclosure: The researchers report no relevant financial disclosures.
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Sand JP, et al. JAMA Facial Plast Surg. 2017;doi: :10.1001/jamafacial.2016.1168.
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