3,007 results match your criteria Scalp Reconstruction


Reconstruction of Anterior Skull Base Fracture Using Autologous Fractured Fragments: A Simple Stitching-Up Technique.

Korean J Neurotrauma 2021 Apr 14;17(1):25-33. Epub 2021 Apr 14.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Objective: A displaced fracture in the anterior cranial base may be complicated by cerebrospinal fluid (CSF) rhinorrhea and enophthalmos. This study introduces a reconstruction technique with direct dural repair and reduction and fixation of the autologous fractured fragments.

Methods: Displaced fractures in the anterior cranial base were reconstructed using a stitching-up technique: A bicoronal scalp incision and frontal craniotomy was performed and the displaced bone was withdrawn. Read More

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Longitudinal infant fNIRS channel-space analyses are robust to variability parameters at the group-level: an image reconstruction investigation.

Neuroimage 2021 Apr 26:118068. Epub 2021 Apr 26.

Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, United Kingdom.

The first 1,000 days from conception to two-years of age are a critical period in brain development, and there is an increasing drive for developing technologies to help advance our understanding of neurodevelopmental processes during this time. Functional near-infrared spectroscopy (fNIRS) has enabled longitudinal infant brain function to be studied in a multitude of settings. Conventional fNIRS analyses tend to occur in the channel-space, where data from equivalent channels across individuals are combined, which implicitly assumes that head size and source-detector positions (i. Read More

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Revisiting the Pericranial Flap for Scalp Reconstruction.

J Craniofac Surg 2021 May;32(Suppl 3):1275-1280

Division of Plastic, Aesthetic and Reconstructive Surgery, University of Miami, Miami, FL.

Abstract: Soft tissue deficits of the scalp due to trauma, infection, or tumor resection present a unique challenge to the reconstructive surgeon whose goal is to achieve excellent cosmesis in a hair bearing area without compromising coverage. While extensive undermining for large rotation flaps or free tissue transfer can provide necessary coverage, the pericranial flap is an excellent alternative for less ideal surgical candidates who cannot tolerate more extensive interventions or for patients who require long-term cancer surveillance. Elevation of the pericranial flap limits the need for back cuts through the skin and uses blunt dissection to preserve overlying hair follicles. Read More

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Scalp Reconstruction after Mohs Cancer Excision: Lessons Learned from More Than 900 Consecutive Cases.

Plast Reconstr Surg 2021 May;147(5):1165-1175

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Background: Scalp reconstruction has evolved over time. Given the large surface area, location, and high likelihood of sun exposure, the scalp is particularly prone to sun damage and skin cancer. Resection of scalp cancers often leaves a large defect that can be challenging for reconstruction. Read More

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A Strategy for Integrative Reconstruction of Midface Defects Using an Extended Forehead Flap.

Facial Plast Surg Aesthet Med 2021 Apr 20. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Midface reconstruction is challenging because the structures and deformities involved are complicated. In this study, we present a strategy for integrally reconstructing nasal and midface defects, including hair-bearing defects, using extended forehead-expanded flaps. From 2015 to 2018, a total of 22 patients with midface defects underwent reconstruction with extended forehead-expanded flaps. Read More

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Vacuum-Assisted Closure with Temporalis Muscle Reconstruction for Recurrent Scalp Erosion Following Deep Brain Stimulation: A Case Report.

J Parkinsons Dis 2021 Apr 2. Epub 2021 Apr 2.

Department of Neuroscience, Graduate School, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea.

Background: Scalp erosion is not an uncommon complication of deep brain stimulation (DBS) surgery. Although various methods have been proposed to prevent and manage complications, there are still challenges. We introduce a case of recurrent scalp erosion after DBS surgery treated with vacuum-assisted closure. Read More

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Closure of Challenging Pediatric Scalp Wounds by a Tension-Relief System.

J Craniofac Surg 2021 Apr 5. Epub 2021 Apr 5.

Plastic Surgery and Burns Unit, Schneider Children's Medical Center of Israel Department of Plastic Surgery and Burns, Rabin Medical Center, affiliated with the Sackler Faculty of Medicine, Petah Tikva, Israel.

Abstract: Pediatric scalp defects may be challenging, due to their variant tension level and specific etiologies. Tissue characteristics and pre- and post-management considerations may pose difficulties to reconstruction in the pediatric patient. Primary closure is the preferred surgical technique but is not always possible. Read More

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Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience.

Authors:
Wael H Mahmoud

World J Plast Surg 2021 Jan;10(1):30-36

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: We aimed to review the treatment and outcome of patients' undergone reconstruction of large full thickness scalp defects with exposed calvarium after oncologic resection with the combined local flap and split-thickness skin graft (STSG) technique.

Methods: A retrospective review of 45 patients with scalp defects secondary to tumor extirpation was performed at the Plastic Surgery Department, Tanta University Hospital, Tanta, Egypt from Nov 2016 to Nov 2019. Patients, with large (>50 cm2) and full-thickness (exposed calvarium) scalp defects, who underwent scalp reconstruction with the combined local flap and STSG technique and had completed their medical records were enrolled. Read More

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January 2021

[Evaluation of the effects auricular reconstruction with Medpor combined with hearing rehabilitation].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):333-339

Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.

To investigate the clinical effects of single-stage auricular reconstruction and hearing rehabilitation in children with microtia and external auditory canal atresia. Sixty eight cases of microtia with external auditory canal atresia (53 males and 15 females, age from 7 to 12 years, with a median age of 8.8 years), who received operations in Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine from July 2017 to December 2019 were collected. Read More

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Digging Into Dermatillomania: Scalp Reconstruction in a Complex Patient.

Eplasty 2021 27;21:ic3. Epub 2021 Mar 27.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, IL.

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Physiological skin FDG uptake: A quantitative and regional distribution assessment using PET/MRI.

PLoS One 2021 26;16(3):e0249304. Epub 2021 Mar 26.

Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan.

Purpose: To retrospectively assess the repeatability of physiological F-18 labeled fluorodeoxyglucose (FDG) uptake in the skin on positron emission tomography/magnetic resonance imaging (PET/MRI) and explore its regional distribution and relationship with sex and age.

Methods: Out of 562 examinations with normal FDG distribution on whole-body PET/MRI, 74 repeated examinations were evaluated to assess the repeatability and regional distribution of physiological skin uptake. Furthermore, 224 examinations were evaluated to compare differences in the uptake due to sex and age. Read More

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The Kiss Flap Technique: An Alternative Concept for Reconstruction of Extensive Scalp Defects.

J Craniofac Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Oncological and Reconstructive Surgery, Maria Sklodowska-Curie Memorial National Cancer Center, Gliwice, Poland.

Abstract: The main scope of the kiss flap technique is to harvest double-skin paddle flaps, narrower than those harvested in a standard manner and rearrange them side-by-side ("kissing") in order to match the exact size and contour of the defect. Apart from the possibility of custom-designing the desired shape of soft tissue coverage, the kiss technique enables tension-free direct closure of the donor site, reducing its morbidity and improving aesthetic appearance. In this paper, two patients with severe scalp defects after cancer resections are presented. Read More

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Outside the box-Surgery for aggressive plasmacytoma in scar.

Clin Case Rep 2021 Mar 13;9(3):1325-1329. Epub 2021 Jan 13.

Department of Plastic Surgery Tel Aviv Sourasky Medical Center Tel Aviv Israel.

This report introduces the concept of large-scale surgery and reconstruction when all other medical means of treatment have failed. In select cases, this may act as a mode of buying time and allowing the patient to receive second- or third-line treatments. Read More

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Reconstruction of hand, elbow and shoulder actual and imagined trajectories in 3D space using EEG current source dipoles.

J Neural Eng 2021 Mar 22. Epub 2021 Mar 22.

State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Yingdong Building, Xinjiekouwai Street 19, Beijing Haidian, Beijing, 100875, CHINA.

Objective: Growing evidence suggests that EEG electrode (sensor) potential time series (PTS) of slow cortical potentials (SCPs) hold motor neural correlates that can be used for motion trajectory prediction (MTP), commonly by multiple linear regression (mLR). It is not yet known whether arm-joint trajectories can be reliably decoded from current sources, computed from sensor data, from which brain areas they can be decoded and using which neural features.

Approach: In this study, the PTS of 44 sensors were fed into sLORETA source localization software to compute current source activity in 30 regions of interest (ROIs) found in a recent meta-analysis to be engaged in action execution, motor imagery and motor preparation. Read More

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Measuring the cortical tracking of speech with optically-pumped magnetometers.

Neuroimage 2021 06 17;233:117969. Epub 2021 Mar 17.

Laboratoire de Cartographie fonctionnelle du Cerveau, UNI - ULB Neuroscience Institute, Université libre de Bruxelles (ULB), 808 Lennik Street, Brussels 1070, Belgium; Laboratory of neurophysiology and movement biomechanics, UNI - ULB Neuroscience Institute, Université libre de Bruxelles (ULB), Brussels, Belgium; BCBL, Basque Center on Cognition, Brain and Language, San Sebastian 20009, Spain. Electronic address:

During continuous speech listening, brain activity tracks speech rhythmicity at frequencies matching with the repetition rate of phrases (0.2-1.5 Hz), words (2-4 Hz) and syllables (4-8 Hz). Read More

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Posterior vault distraction osteogenesis: indications and expectations.

Childs Nerv Syst 2021 Mar 20. Epub 2021 Mar 20.

Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Cranial vault remodeling (CVR) in patients with craniosynostosis serves to correct abnormal skull morphology and increase intracranial volume to prevent or treat pathologic increases in intracranial pressure (Taylor and Bartlett, Plast Reconstr Surg 140: 82e-93e, 2017). Distraction osteogenesis is a well-established technique for bony repositioning and growth stimulation in the facial and long bones, in which the gradual separation of bony segments at an osteotomy site results in generation of new bone and subsequent bone lengthening (Greene, 2018). While initially described in the orthopedic literature, the relevance and applicability of distraction osteogenesis to craniofacial surgery has been well-studied and is now well-established (Steinbacher et al. Read More

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Early auditory-evoked potentials in body dysmorphic disorder: An ERP/sLORETA study.

Psychiatry Res 2021 May 8;299:113865. Epub 2021 Mar 8.

First Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, 74 Vas. Sophias Ave., 11528, Athens, Greece; University Mental Health, Neurosciences and Precision Medicine Research Institute "COSTAS STEFANIS", (UMHRI), Athens, Greece.

Body dysmorphic disorder (BDD) is characterized by excessive preoccupation with imagined or slight physical defects in appearance. BDD is associated with cognitive impairments (attention, visual processing). Our study aims to evaluate the early neural responses (N100, P200) to prepulse inhibition (PPI) and prepulse facilitation (PPF), to investigate attentional processing of BDD in the auditory domain. Read More

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[Flap design and preliminary clinical experience of the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Mar;35(3):349-355

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P.R.China.

Objective: To explore the reliability and effectiveness of soft tissue defect reconstruction using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle.

Methods: Between December 2014 and December 2019, 13 patients underwent the reconstruction of soft tissue defects in various sites using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle. There were 10 males and 3 females, with an average age of 52. Read More

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Aesthetic Reconstruction Of Post-Burn Eyebrow Alopecia With A Superficial Temporal Island Scalp Flap: A Case Report And Review Of The Literature.

Ann Burns Fire Disasters 2020 Dec;33(4):329-333

Hassan II University, IBN ROCHD Teaching Hospital, Casablanca, Morocco.

Eyebrows have a critical functional and aesthetic role on the face. Alopecia on the eyebrows has multiple origins, including scars formed after deep burns on the head and neck region. Reconstruction of the eyebrows represents a challenge for plastic surgeons due to their particular anatomical structure and variations inside of genders. Read More

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December 2020

Aesthetic Reconstruction After Removal of Huge Epidermal Cyst Involving the Calvarium and Dura on the Scalp.

J Craniofac Surg 2021 Mar-Apr 01;32(2):591-593

Department of Plastic and Reconstructive Surgery.

Abstract: Epidermal or epidermoid cysts are one of the most frequent benign masses at the subepidermal level. They are typically smooth, movable, and fluctuant masses covered with stratified squamous epithelium. They rarely grow to a huge size, and only a few cases have been reported. Read More

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Unexpected death of an infant suffocated in the course of breastfeeding when the mother fell asleep.

Med Leg J 2021 Mar 10:25817220980677. Epub 2021 Mar 10.

Medicolegal Institute, Ibn Rochd University Hospital, Casablanca, Morocco.

Death following accidental suffocation due to overlaying is often overlooked, and still attributed to Sudden Infant Death Syndrome (SIDS). We report a case of sudden infant death following accidental suffocation due to breast overlaying during breastfeeding. We report the death of a two-month-old male baby, without medical history, who was found lifeless wedged under his mother's breast. Read More

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Scalp Reconstruction in Delayed Diagnosed Dermal Leiomyosarcoma Mimicking Keloid Scar.

J Craniofac Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Plastic and Reconstructive Surgery, Korea University Hospital, Seoul, South Korea.

Abstract: Leiomyosarcoma (LMS) of the skin is a rare smooth muscle neoplasm of all soft tissue sarcoma. Because of its prognostic importance, early diagnosis is critical for successful treatment. Since several features and clinical manifestations are similar to those of a keloid scar, the differential diagnosis between these two diseases is difficult, especially in the early stages of cancer that do not show any remarkable features in appearance, or when the patient has a history of previous wounds or surgery. Read More

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Keystone Flaps for Coverage of Defects in the Posterior Neck and Lower Occipital Scalp: A Retrospective Clinical Study.

J Craniofac Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Abstract: The coverage of the posterior neck and lower occipital scalp defects should be approached carefully. Thick, stiff, and inelastic skin properties of these areas tend to make coverage of even small defects difficult. Herein, the authors present a retrospective review of our experience with posterior neck and lower occipital scalp reconstruction using the keystone flap (KF) and describe the expanding versatility of KF reconstruction. Read More

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Combination of Extended Paramedian Forehead Flap and Laser Hair Removal in the Reconstruction of Distal Nasal Defect.

Ann Plast Surg 2021 03;86(3 Suppl 2):S293-S298

From the Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, PR China.

Aim: The study sought to determine whether extended forehead flap by using part of the scalp combined with laser hair removal is a practical approach when repairing distal nasal defect.

Methods: A retrospective study was conducted with 6 patients who underwent reconstruction of nasal defects with extended forehead flaps (including scalp combined with subsequent laser hair removal) at Shanghai Ninth People's Hospital between June 2016 and December 2018. Surgical data collected included age, causes of defects, sizes of defects, invaded nasal subunits, implantation of tissue expander, time elapsed between the formation of defects and surgical treatments, sessions of laser hair removal, and follow-up results. Read More

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Use of Novel Decellularized Cadaveric Dermis (DCELL) in Single-Stage Resection and Reconstruction of Nonmelanomatous Skin Cancer of the Head and Neck.

Facial Plast Surg 2021 Mar 1. Epub 2021 Mar 1.

Deparmnet of ENT and Facial Plastic and Reconstructive Surgery, Lewisham and Greenwich NHS Trust, London, United Kingdom.

Reconstructive options in nonmelanomatous skin tumors of the head and neck region are limited in the frail, elderly patient group, where split skin thickness or full thickness grafts may not be a viable option. This study examines the use decellularized cadaveric dermis (DCELL), an acellular dermis product produced in the United Kingdom for the reconstruction of these skin defects. This was a single-center, prospective study of patients undergoing single stage wide local excision of nonmelanomatous skin cancer and reconstruction with decellularized dermis. Read More

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Novel skin graft donor site for the scalp transposition flap.

Ann R Coll Surg Engl 2021 Mar;103(3):e106-e108

Department of Plastic Surgery, Derriford Hospital, Plymouth, UK.

Transposition scalp flaps are a versatile solution for soft-tissue cover in a multitude of scalp defects. They are frequently used to reconstruct larger skin cancers that involve the outer table of the cranium in addition to covering neurosurgical bony defects and hardware. The transposition flap requires the donor site to be grafted using a split-thickness graft, which results in a secondary wound elsewhere on the body, commonly the lateral thigh. Read More

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The Role of Pedicled Latissimus Dorsi Flap in Scalp Defect Reconstruction Following Tumour Excision.

Indian J Otolaryngol Head Neck Surg 2021 Mar 24;73(1):129-132. Epub 2020 Aug 24.

Department of Head and Neck Surgery, Mahavir Cancer Sansthan, Patna, Bihar India.

Scalp is a common site for skin tumors mainly squamous cell carcinoma and basal cell carcinoma. It is always challenging to reconstruct the scalp defect following tumor excision. Conventional methods of skin grafting or rotation flap is not always feasible for large scalp defect. Read More

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Sun Protection Behavior Following Skin Cancer Resection and Reconstruction.

J Cancer Educ 2021 Feb 21. Epub 2021 Feb 21.

Department of Plastic and Reconstructive Surgery, Catharina Hospital, Eindhoven, the Netherlands.

Increased exposure to ultraviolet radiation (UVR) is associated with an increased risk of nonmelanoma skin cancer. Cutaneous surgery can be negatively influenced by UVR, causing delayed wound healing, hyperpigmentation of the scar, and an increased incidence of additional skin cancers. By changing sun protection behavior, these risks can be limited. Read More

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February 2021

Dermal Regeneration Template and Staged Skin Grafting for Extirpative Scalp Wound Reconstruction: A 14-Year Experience.

Otolaryngol Head Neck Surg 2021 Feb 16:194599820986582. Epub 2021 Feb 16.

Department of Plastic and Reconstructive Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.

Objective: Dermal regeneration template and staged split-thickness skin grafting may mitigate the need for flap coverage of postoncologic scalp defects. This technique has been studied previously in small case series. We examine the effect of risk factors, surgical technique, irradiation, and dressing modalities on reconstructive outcomes in a highly comorbid patient cohort. Read More

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February 2021

Scalp and Forehead Injury: Management of Acute and Secondary Defects.

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

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February 2021