Abstract
Scalp reconstruction requires keen insight into underlying anatomy and surgical armamentarium. The reconstructive surgeon must consider a plethora of complexities to devise a safe and cosmetically maximized outcome. The purpose of this article is to review scalp reconstruction techniques and the current literature in the framework of the reconstructive ladder, with special emphasis on local flap consideration, design, and execution.
Highlights
SCALP COMPLEXITIES AND THE RECONSTRUCTIVE LADDERThere are many aspects of the scalp which make reconstruction difficult
While it is logical to have a template of the many options available and a decision tree for complicating factors, a more realistic approach involves the application of a reconstructive ladder [Figure 1]
Scalp reconstruction should be approached via the reconstructive ladder, with special consideration to safety, success probability, and aesthetic optimization
Summary
SCALP COMPLEXITIES AND THE RECONSTRUCTIVE LADDERThere are many aspects of the scalp which make reconstruction difficult. The desire to save the hair-bearing scalp and maintain the integrity of a patient’s hairline poses a unique cosmetic challenge. Those challenges and others (i.e., the size of the defect, intact structures, history of radiation, etc.) have propelled many to propose algorithms on how to approach scalp defects[1,2,3,4,5,6,7,8]. While it is logical to have a template of the many options available and a decision tree for complicating factors, a more realistic approach involves the application of a reconstructive ladder [Figure 1].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
