Facial Plast Surg 2021 Feb 12. Epub 2021 Feb 12.
Department of Otolaryngology, Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri.
The primary challenges in scalp reconstruction are the relative inelasticity of native scalp tissue and the convex shape of the calvarium. All rungs of the reconstructive ladder can be applied to scalp reconstruction, albeit in a nuanced fashion due to the unique anatomy and vascular supply to the scalp. Important defect variables to incorporate into the reconstructive decision include site, potential hairline distortion, size, depth, concomitant infection, prior radiation therapy, planned adjuvant therapy, medical comorbidities, patient desires, and potential calvarium and dura defects. Read More