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Beyond a certain size, full-thickness defects of scalp are not amenable to local flap repair. Staged distant flaps have now been virtually eliminated by free-flap reconstruction. The authors present 12 patients in whom full-thickness scalp defects with an average area of 275 cm2 were reconstructed utilizing free flaps. Nine patients had corresponding large calvarial defects. Ten patients had reconstruction with free latissimus dorsi muscle flaps and overlying skin grafts, and one patient had reconstruction with a scapular free flap. Of the 12 patients, 8 had extirpative surgery for tumor with immediate reconstruction and the remaining 4 had reconstruction for chronic radionecrosis of the scalp, usually associated with infected osteoradionecrosis of the calvarium. Of this latter group, 2 patients underwent simultaneous acrylic cranioplasty. The technique and results are discussed.
D G Pennington, and
H S Stern, and
K K Lee
August 2002,
Annales de chirurgie plastique et esthetique,
D G Pennington, and
H S Stern, and
K K Lee
October 2008,
Medicina oral, patologia oral y cirugia bucal,
D G Pennington, and
H S Stern, and
K K Lee
December 1989,
Plastic and reconstructive surgery,
D G Pennington, and
H S Stern, and
K K Lee
May 2012,
Head & neck oncology,
D G Pennington, and
H S Stern, and
K K Lee
August 2023,
Otolaryngologic clinics of North America,
D G Pennington, and
H S Stern, and
K K Lee
January 2006,
Microsurgery,
D G Pennington, and
H S Stern, and
K K Lee
June 1984,
No shinkei geka. Neurological surgery,
D G Pennington, and
H S Stern, and
K K Lee
January 2020,
BioMed research international,
D G Pennington, and
H S Stern, and
K K Lee
January 2024,
BioMed research international,
D G Pennington, and
H S Stern, and
K K Lee
January 2004,
Head & neck,
