Reconstruction of the Forehead and Scalp

Tissue inelasticity and the hair-bearing nature of the scalp and forehead pose unique challenges during reconstruction. A thorough understanding of the surgical anatomy of the scalp and forehead is paramount for optimal reconstructive outcomes. Primary wound closure is usually preferred over seconda...

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Bibliographic Details
Published inFacial plastic surgery clinics of North America Vol. 27; no. 1; p. 85
Main Authors Bradford, Benjamin D, Lee, Judy W
Format Journal Article
LanguageEnglish
Published United States 01.02.2019
Subjects
Dermatologic Surgical Procedures - methods
Dermatologic Surgical Procedures - mortality
Facial Neoplasms - pathology
Facial Neoplasms - surgery
Forehead
Humans
Scalp
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Surgical Flaps
Wound Closure Techniques
Forehead anatomy
Forehead reconstruction
Scalp anatomy
Tissue expansion
Scalp reconstruction
Microsurgery
Skin graft
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Summary:Tissue inelasticity and the hair-bearing nature of the scalp and forehead pose unique challenges during reconstruction. A thorough understanding of the surgical anatomy of the scalp and forehead is paramount for optimal reconstructive outcomes. Primary wound closure is usually preferred over secondary intention healing and skin grafting. Use of dermal alternatives and tissue expansion are adjunctive therapies to facilitate scalp wound closure. Local skin and soft tissue flaps are commonly used for most small to medium defects; however, microsurgical free tissue transfer can be considered for large full-thickness skin defects of the forehead and scalp.
ISSN:1558-1926
DOI:10.1016/j.fsc.2018.08.009