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Facial Plast Surg 2021; 37(04): 454-462
DOI: 10.1055/s-0041-1722914
Original Article

Scalp and Forehead Injury: Management of Acute and Secondary Defects

Arya W. Namin
1   Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri
,
Patrick T. Tassone
1   Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri
,
Tabitha L.I. Galloway
1   Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri
,
Gregory J. Renner
1   Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri
,
C.W. David Chang
1   Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri
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Abstract

The primary challenges in scalp reconstruction are the relative inelasticity of native scalp tissue and the convex shape of the calvarium. All rungs of the reconstructive ladder can be applied to scalp reconstruction, albeit in a nuanced fashion due to the unique anatomy and vascular supply to the scalp. Important defect variables to incorporate into the reconstructive decision include site, potential hairline distortion, size, depth, concomitant infection, prior radiation therapy, planned adjuvant therapy, medical comorbidities, patient desires, and potential calvarium and dura defects.

Keywords

scalp - forehead - reconstruction - trauma


Publication History

Article published online:
12 February 2021

© 2021. Thieme. All rights reserved.

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