Scalp and Calvarial Reconstruction

Free flap reconstruction for complex scalp and forehead defects with associated full-thickness calvarial bone resections.

Extensive defects of the scalp and forehead associated with calvarial bone resections demand complex reconstructions. Free flaps offer vascularized tissue of excellent quality and quantity. We report six patients with extensive scalp and forehead defects associated with calvarial bone resections reconstructed with free flaps. Five patients also required a cranioplasty. The flaps used were two a...

Vascularized calvarial bone flaps and midface reconstruction.

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Identify the fascial layers of the temporalis region. 2. Understand the three-dimensional nature of the orbit and upper maxillectomy defects. 3. Understand the surgical harvest of temporalis flaps and temporoparietal flaps with vascularized bone. 4. Appreciate preoperative risk factors and postoperative compl...

Reconstruction of the scalp.

The scalp provides a relatively limited amount of excess tissue that can be used in reconstructing significant scalp defects, which arise most often from oncologic resection or traumatic loss. Scalp reconstruction encompasses a broad spectrum of flaps, grafts, and techniques that should be readily available to the facial plastic surgeon treating this patient population. Meticulous attention to ...

Scalp reconstruction pdf

Abstract: Reconstruction of Secondary Calvarial Defects with Ex-Situ Split Calvarial Bone Grafts

CONCLUSION: We could achieve complete bone healing and premorbid occlusion using microplates. The microplates are strong enough to keep comminuted mandibular fractures reduced. Their small size and malleability allow multiple fixation of comminuted bony segments in accurate-anatomical position, less periosteal stripping and self-occlusal adjustment. Therefore, microplate fixation may be one of ...