Scalp Lipofibromatosis - A case report on comprehensive management in a two-year-old child from Pakistan.

Lipofibromatosis is a rare benign soft tissue tumor that primarily affects children. There is limited cytological description and management of this rare condition in the literature which leads to misdiagnosis. The two years old patient first presented with a big, non-tender swelling on the scalp's right temporoparietal area.

Depilation Before, During, or After Scalp Flap Expansion for Facial Reconstruction Using a Long-pulse 800-nm Diode Laser.

Following facial reconstruction with a scalp flap, unwanted hair is a common esthetic problem. Reports on the safety, effectiveness, and differences in laser hair removal before, during, and after tissue expansion are lacking. The authors aimed to assess the efficacy of 800-nm diode laser hair removal before, during, and after flap expansion.

Scalp and Forehead Reconstruction following Mohs Micrographic Surgery.

For proper reconstruction of scalp and forehead defects following Mohs micrographic surgery (MMS), knowledge of the unique anatomy and aesthetic importance of these structures is necessary to restore function and appearance. However, the inflexibility, convexity, and hair-bearing nature of the scalp and forehead can make reconstruction challenging. Detailed planning and precise management are essential to achieve adequate reconstructive results.

Alpha rhythm slowing in temporal lobe epilepsy across scalp EEG and MEG.

EEG slowing is reported in various neurological disorders including Alzheimer's, Parkinson's and Epilepsy. Here, we investigate alpha rhythm slowing in individuals with refractory temporal lobe epilepsy compared with healthy controls, using scalp EEG and magnetoencephalography. We retrospectively analysed data from 17 (46) healthy controls and 22 (24) individuals with temporal lobe epilepsy who underwent scalp EEG and magnetoencephalography recordings as part of presurgical evaluation.

Eyebrow reconstruction by simple elliptical excision with beveled incision - A case series of twelve patients.

Patients seeking reconstructive facial surgery desire aesthetically pleasing outcomes with minimal visible scarring. For scalp incisions, beveled angle of 45° is typically preferred to preserve hair follicles. However, no consensus exists regarding the ideal incision angle for the brow area.

Risk factors for flap dehiscence and/or necrosis following standard rotational flap in cranial vault osteomyelitis without intracranial involvement: A retrospective study.

Objectives: The study aimed to estimate the incidence of flap dehiscence and/or necrosis (FD/N) following standard rotational flap (SRF) surgery for cranial vault osteomyelitis without intracranial involvement (CVO) and to identify factors associated with these complications.

Methods: A retrospective study was conducted using chart reviews of patients who underwent SRF to cover CVO defects over a 10-year period. Twenty-one predictor variables were analysed, categorised into demographic, health status, anatomic, and surgical factors.

A Novel Approach to Aplasia Cutis Congenita With PolyNovo BTM.

Aplasia cutis congenita (ACC) is a rare congenital condition characterized by the absence of skin and subcutaneous tissue, typically affecting the scalp. This case report presents a female infant born at 38+3 weeks with a posterior midline scalp defect measuring 15×12.5 mm, involving skin, subcutaneous tissue, and calvarium.

THE AESTHETIC RECONSTRUCTION OF POST-BURN EYEBROW ALOPECIA WITH BILATERAL SUPERFICIAL TEMPORAL ARTERY ISLAND SCALP FLAP.

Plastic surgeons face unique challenges in reconstructing eyebrows due to their complex anatomy and gender variations. We report a case of a 16-year-old female who presented with post-burn bilateral eyebrow alopecia. Bilateral eyebrow reconstruction was performed with scalp island flaps based on the posterior branch of the superficial temporal artery, which showed good postoperative outcomes.

Redefining Ventricular Access Landmarks: A Novel Approach Using Magnetic Resonance Imaging and 3-Dimensional Reconstructions for Keen's Point Trajectories.

Background: Cerebrospinal fluid diversion via shunt placement is a common neurosurgical intervention. Keen's Point is a widely used landmark for accessing the trigone of the lateral ventricle; however, it lacks clinical validation. This study re-evaluates Keen's Point scalp parameters using magnetic resonance imaging (MRI) to identify an ideal shunt entry point based on 3-dimensional reconstructions.

Quantifying whole human hair scalp fibres of varying curl: A micro-computed tomographic study.

Scalp hair is a key feature of humans and its variability has been the subject of a broad range of studies. A small subset of these studies has focused on geometric quantification of human scalp hair fibres, however the use of race- and ethnicity-based classification systems makes it challenging to draw objective conclusions about fibre variability. Furthermore, sample preparation techniques for micro-imaging studies often alter the original form of hair fibres.

[Translated article] Bishop Flap and Sigma Flap to Repair Surgical Defects in High-Tension Anatomical Regions.

Background: The reconstruction of surgical defects in high-tension anatomical regions is challenging due to the ischemia and subsequent necrosis associated with tension closure. Research on new flaps capable of closing these defects exerting less tension would be a tremendous advancement in dermatological surgery.

Patients And Methods: We conducted a multicenter, retrospective study that used 2 new flaps-the bishop and the sigma ones-to repair surgical defects in high-tension regions such as the scalp, lower extremities, and the nasal pyramid.

Trapezius Muscle Flap for Posterior Neck and Shoulder Defects Following Malignant Tumor Resection-A Case Series from a Tertiary Cancer Facility.

Reconstructing defects of the shoulder and posterior scalp, arising following tumor resection, requires careful consideration of available options. While free tissue transfers and local advancement flaps have their established roles, the trapezius muscle flap offers a unique set of advantages like proximity, versatility, and reliability as it has a robust blood supply and relatively straightforward surgical technique. In this retrospective analysis, demographic and disease profiles of 10 patients with posterior scalp and shoulder defects following tumor resection, which were reconstructed with a trapezius flap between November 2020 and November 2023, were studied.

Incidence and Factors Associated With the Development of Calvarial Osteoradionecrosis in Patients Treated for Cutaneous Malignancies.

Study Design: Retrospective cohort study.

Objective: Calvarial osteoradionecrosis (ORN) is a rare but devastating complication of radiotherapy. The aim of this study was to describe the cumulative incidence of Calvarial ORN in patients in patients treated for cutaneous malignancy of the scalp.

Electroencephalography derived connectivity informing epilepsy surgical planning: Towards clinical applications and future perspectives.

Epilepsy is one of the most diffused neurological disorders, affecting 50 million people worldwide. Around 30% of patients have drug-resistant epilepsy (DRE), defined as failure of at least two tolerated antiseizure medications (ASMs) to achieve sustained seizure freedom. Brain surgery is an effective therapeutic approach in this group, hinging on the accurate localization of the epileptic focus.

Scalp Reconstruction.

This article describes the background and importance of scalp reconstruction. The relevant anatomy and neurovasculature will be discussed. Finally, the entire reconstructive ladder will be examined in its relation to scalp reconstruction and how to optimally reconstruct scalp defects.