Current techniques for the closure of scalp defects are reviewed. These include allografts, skin grafts, local flaps, regional flaps, and free flaps. Advantages and disadvantages of these procedures are pointed out in the context of the feasibility of allograft reconstruction in the form of composite tissue transplantation.
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F. Groenevelt, A. J. van Trier, Y. L. Khouw, The use of allografts in the management of exposed calvarial electrical burn wounds of the skull, Ann NY Acad Sci 888, 109–112 (1999).
S. W. Fosko, C. B. Cuono, D. J. Leffell, Allograft skin as an adjunct in the repair of radiation-compromised wound, Arch Dermatol 129(3), 293–295 (1993).
T. R. Jones, P. A. Humphrey, D. C. Brennan, Transplantation of vascularized allogeneic skeletal muscle for scalp reconstruction in a renal transplant patient, Transplantation 65(12), 1605–1610 (1998).
K. Cheng, Microsurgical replantation of the avulsed scalp: report of 20 cases, Plast Reconstr Surg 97(6), 1099–1106; discussion 1107–1108 (1996).
A. Thomas, Total face and scalp replantation, Plast Reconstr Surg 102(6), 2085–2087 (1998).
H. Q. Jiang, et al., Composite tissue allograft transplantation of cephalocervical skin flap and two ears, Plast Reconstr Surg 115(3), 31e–35e; discussion 36e–37e (2005).
J. J. Accioli de Vasconcellos, et al., The fascial planes of the temple and face: an en-bloc anatomical study and a plea for consistency, Br J Plast Surg 56(7), 623–629 (2003).
B. S. Lutz, et al., Reconstruction of scalp defects with free flaps in 30 cases, Br J Plast Surg 51(3), 186–190 (1998).
B. Lee, K. Bickel, S. Levin, Microsurgical reconstruction of extensive scalp defects, J Reconstr Microsurg 15(4), 255–262; discussion 263–264 (1999).
D. G. Pennington, H. S. Stern, K. K. Lee, Free-flap reconstruction of large defects of the scalp and calvarium, Plast Reconstr Surg 83(4), 655–661 (1989).
R. P. TerKonda, J. M. Sykes, Concepts in scalp and forehead reconstruction, Otolaryngol Clin North Am 30(4), 519–539 (1997).
H. A. Navsaria, et al., Reepithelialization of a full-thickness burn from stem cells of hair follicles micrografted into a tissue-engineered dermal template (Integra), Plast Reconstr Surg 113(3), 978–981 (2004).
E. Komorowska-Timek, et al., Artificial dermis as an alternative for coverage of complex scalp defects following excision of malignant tumors, Plast Reconstr Surg 115(4), 1010–1017 (2005).
J. S. Wilensky, et al., The use of a bovine collagen construct for reconstruction of full-thickness scalp defects in the elderly patient with cutaneous malignancy, Ann Plast Surg 54(3), 297–301 (2005).
D. L. Gonyon, Jr., M. R. Zenn, Simple approach to the radiated scalp wound using INTEGRA skin substitute, Ann Plast Surg 50(3), 315–320 (2003).
M. Orticochea, New three-flap reconstruction technique, Br J Plast Surg 24(2), 184–188 (1971).
J. L. Frodel, Jr., K. Ahlstrom, Reconstruction of complex scalp defects: the “Banana Peel” revisited, Arch Facial Plast Surg 6(1), 54–60 (2004).
L. M. Field, Hairline reconstruction utilizing modified winged V-plastic hair-bearing flaps and focal anastomotic line excisions, Dermatol Surg 22(11), 937–940 (1996).
M. A. Lesavoy, et al., Management of large scalp defects with local pedicle flaps, Plast Reconstr Surg 91(5), 783–790 (1993).
J. R. Lynch, et al., The lower trapezius musculocutaneous flap revisited: versatile coverage for complicated wounds to the posterior cervical and occipital regions based on the deep branch of the transverse cervical artery, Plast Reconstr Surg 109(2), 444–450 (2002).
M. R. Ozbek, N. Kutlu, Vertical trapezius myocutaneous flap for covering wide scalp defects, Handchir Mikrochir Plast Chir 22(6), 326–329 (1990).
M. I. Dinner, B. Guyuron, H. P. Labandter, The lower trapezius myocutaneous flap for head and neck reconstruction, Head Neck Surg 6(1), 613–617 (1983).
C. Angrigiani, et al., The dorsal scapular island flap: an alternative for head, neck, and chest reconstruction, Plast Reconstr Surg 111(1), 67–78 (2003).
A. Losken, et al., Omental free flap reconstruction in complex head and neck deformities, Head Neck 24(4), 326–331 (2002).
P. Neligan, P. Gullane, Head and neck reconstruction. In Perforator Flaps: Anatomy, Technique and Clinical Applications, ed. by Blondeel, P., et al., pp 758–774. Quality Medical Publishing, St. Louis (2006).
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Neligan, P.C. (2008). Skin Allografts in Scalp Reconstruction. In: Hewitt, C.W., Lee, W.P.A., Gordon, C.R. (eds) Transplantation of Composite Tissue Allografts. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-74682-1_26
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DOI: https://doi.org/10.1007/978-0-387-74682-1_26
Publisher Name: Springer, Boston, MA
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