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An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes. | LitMetric

AI Article Synopsis

  • Scalp reconstruction involves understanding scalp anatomy and having a variety of surgical options available to achieve the best outcomes for patients.
  • An algorithmic approach and guidelines are proposed to assist surgeons in selecting the most effective surgery based on the defect's location, size, and local anatomy, while also considering other complicating factors like bone exposure.
  • Ultimately, the choice of reconstructive techniques should be tailored to individual scalp defects to optimize both cosmetic appearance and functional results.

Article Abstract

Background: Scalp reconstruction requires knowledge of scalp anatomy and reconstructive options. Advances in the field have led to numerous procedures being at the disposal of the reconstructive surgeon, expanding treatment options for patients.

Objective: To provide an algorithmic approach and general guidelines to consider when deciding on which scalp surgery will optimize cosmetic and functional outcomes.

Methods & Materials: Previous literature was searched for the last 20 years to provide an updated guide.

Results: Taking into consideration the location, size and local scalp anatomy of a presenting defect will lead to optimal surgical outcomes. Other confounding factors such as bone exposure and extremely large defects will affect decision making. An algorithmic approach has been provided in this review.

Conclusion: While many reconstructive surgical options are available, the best ones will depend on individual presentation of scalp defects. Location and size are first line considerations while local scalp anatomy will allow for tailoring of reconstructive options. This will help to maximize cosmetic and aesthetic considerations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058610PMC
http://dx.doi.org/10.1007/s00403-024-02896-3DOI Listing

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