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    2445 results match your criteria Scalp Reconstruction

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    Vacuum-assisted closure therapy after resection of giant basal cell carcinoma of the scalp.
    J Surg Case Rep 2017 Jul 4;2017(7):rjx122. Epub 2017 Jul 4.
    General Surgery Service (Extradigestive Unit), Department of Surgery, Santo António Hospital-Oporto Hospital Centre, Oporto, Portugal.
    Management of complicated wounds is a challenge in head and neck reconstruction. Although the negative pressure wound therapy or wound vacuum-assisted closure has been widely used in complicated wounds and shows promising results, its application in the head and neck region after reconstruction for the head and neck cancer is rarely presented. A 77-year-old woman underwent a radical resection of an extensive basal cell carcinoma of the scalp and forehead involving the periosteum, where classic reconstruction was difficult, but successfully treated with negative pressure wound therapy. Read More

    A realistic multimodal modeling approach for the evaluation of distributed source analysis: application to sLORETA.
    J Neural Eng 2017 Jul 5. Epub 2017 Jul 5.
    Epilepsy Center, Universitaetsklinikum Freiburg, Breisacher Str 64, Freiburg, 79106, GERMANY.
    Objective: Electrical Source Localization (ESL) deriving from scalp EEG and, in recent years, from intracranial EEG (iEEG), is an established method in epilepsy surgery workup. We aimed to validate the distributed ESL derived from scalp EEG and iEEG, particularly regarding the spatial extent of the source, using a realistic epileptic spike activity simulator.

    Approach: ESL was applied to the averaged scalp EEG and iEEG spikes of two patients with drug-resistant structural epilepsy. Read More

    Scalp and Forehead Defects in the Post-Mohs Surgery Patient.
    Facial Plast Surg Clin North Am 2017 Aug 23;25(3):365-375. Epub 2017 May 23.
    Otolaryngology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
    Scalp and forehead reconstruction after Mohs micrographic surgery can encompass subcentimeter defects to entire scalp reconstruction. Knowledge of anatomy, flap design, and execution will prepare surgeons who operate in the head and neck area to confidently approach a variety of reconstructive challenges in this area. Read More

    Reconstruction Techniques of Choice for the Facial Cosmetic Units.
    Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.
    Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.
    Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

    Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

    Reconstruction of a Marjolin Ulcer Defect of the Scalp Invading Brain and Causing Brain Abscess Formation Using Free Latissimus Dorsi Flap.
    J Craniofac Surg 2017 Jul;28(5):e510-e512
    *Department of Plastic, Reconstructive & Aesthetic Surgery †Department of Neurosurgery, Mersin University Hospital, Mersin, Turkey..
    Marjolin ulcers are known as aggressive malignant tumors that mostly arise over chronic wounds and cutaneous scars. Brain abscess is a serious medical condition that requires surgical drainage along with antibiotic treatment. Here, we report a case with a Marjolin ulcer located over the right parietal bone with intracranial abscess formation along with tumor invasion into brain parenchyma. Read More

    Indications, technique, and safety profile of insular stereoelectroencephalography electrode implantation in medically intractable epilepsy.
    J Neurosurg 2017 Jun 16:1-11. Epub 2017 Jun 16.
    Epilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio; and.
    OBJECTIVE Insular epilepsy is relatively rare; however, exploring the insular cortex when preoperative workup raises the suspicion of insular epilepsy is of paramount importance for accurate localization of the epileptogenic zone and achievement of seizure freedom. The authors review their clinical experience with stereoelectroencephalography (SEEG) electrode implantation in patients with medically intractable epilepsy and suspected insular involvement. METHODS A total of 198 consecutive cases in which patients underwent SEEG implantation with a total of 1556 electrodes between June 2009 and April 2013 were reviewed. Read More

    On optimal spatial filtering for the detection of phase coupling in multivariate neural recordings.
    Neuroimage 2017 Jun 13;157:331-340. Epub 2017 Jun 13.
    Neurophysics Group, Dept. of Neurology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany; Max-Planck-Institute for Human Cognitive and Brain Sciences, Stephanstraße 1a, 04103 Leipzig, Germany; Centre for Cognition & Decision Making, National Research University Higher School of Economics, 46B Volgogradskiy Prospekt, Moscow, Russian Federation.
    Introduction: Neuronal oscillations synchronize processing in the brain over large spatiotemporal scales and thereby facilitate integration of individual functional modules. Up to now, the relation between the phases of neuronal oscillations and behavior or perception has mainly been analyzed in sensor space of multivariate EEG/MEG recordings. However, sensor-space analysis distorts the topographies of the underlying neuronal sources and suffers from low signal-to-noise ratio. Read More

    Recurrence case of rare scalp dermatofibrosarcoma protuberans: Two case reports of a wide radical excision, craniectomy bone involvement followed by cranioplasty and reconstruction.
    Surg Neurol Int 2017 26;8:82. Epub 2017 May 26.
    Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia.
    Background: Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade sarcoma of the fibroblast originating from the dermal layer of the skin, characterized by a locally aggressive growth and high rate of local recurrence.

    Case Description: Two patients underwent a wide radical excision of recurrent scalp DFSP which was reconstructed with translational skin flap and split-thickness skin graft. We described above cases several years ago with a local excision of the tumor; recently, they developed local recurrence of DFSP with calvarial involvement. Read More

    Free Vastus Intermedius Muscle Flap: A Successful Alternative for Complex Reconstruction of the Neurocranium in Preoperated Patients.
    J Craniofac Surg 2017 Jul;28(5):1308-1310
    *Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital †Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
    The reconstruction of large cranial and scalp defects is a surgical and esthetic challenge. Single autologous tissue transfer can be insufficient due to the defect size and the anatomic complexity of the recipient site. Alloplastic patient-specific preformed implants can be used to recover hard tissue defects of the neurocranium. Read More

    Negative Pressure Wound Therapy to the Dura.
    J Burn Care Res 2017 May 19. Epub 2017 May 19.
    From the *University of Birmingham Medical School, United Kingdom; †FY2 MOD, Burns and Plastic Surgery, Queen Elizabeth Hospital Birmingham, United Kingdom; and ‡Consultant Burns and Plastic Surgeon, Queen Elizabeth Hospital Birmingham, United Kingdom.
    Negative-pressure wound therapy is historically contraindicated in patients with osteomyelitis or exposed dura. The authors present a case of a complex reconstruction of an infected full thickness scalp burn, where negative-pressure wound therapy was successfully used over the dura. Read More

    Infantile cranial fasciitis: case-based review and operative technique.
    Childs Nerv Syst 2017 Jun 27;33(6):899-908. Epub 2017 Apr 27.
    Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa city, IA, 52242, USA.
    Background: Cranial fasciitis (CF) is an uncommon benign primary lesion of the skull that typically affects the pediatric age group. Due to the rarity of CF, no prospective studies exist. Earliest description of this condition dates to 1980. Read More

    Surgical Techniques for Closure of a Scalp Defect After Resection of Skin Malignancy.
    Dermatol Surg 2017 Apr 12. Epub 2017 Apr 12.
    *All authors are affiliated with the Department of Head and Neck Cancer, Maria Skłodowska Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland.
    Background: Surgery for scalp malignancies is aimed at the complete resection and a good aesthetic outcome. The goal was to develop an algorithm for scalp reconstruction based on the authors' surgical experience.

    Methods: This is a retrospective analysis of 123 procedures of scalp malignancies in 105 patients. Read More

    Surgical Techniques for Closure of a Scalp Defect After Resection of Skin Malignancy.
    Dermatol Surg 2017 May;43(5):715-723
    *All authors are affiliated with the Department of Head and Neck Cancer, Maria Skłodowska Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland.
    Background: Surgery for scalp malignancies is aimed at the complete resection and a good aesthetic outcome. The goal was to develop an algorithm for scalp reconstruction based on the authors' surgical experience.

    Methods: This is a retrospective analysis of 123 procedures of scalp malignancies in 105 patients. Read More

    Reconstruction of Pediatric Scalp Avulsion Injuries After Dog Bites.
    J Craniofac Surg 2017 Jul;28(5):1282-1285
    *Division of Plastic and Reconstructive Surgery †Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA.
    Dog bite injuries are common and the head and neck is most frequently involved in pediatric patients. In severe cases, the combination of crushing, tearing, and puncturing can result in scalp avulsion. Currently, microsurgical replantation of the avulsed scalp remains the gold standard but may not always be possible. Read More

    Noise-robust cortical tracking of attended speech in real-world acoustic scenes.
    Neuroimage 2017 Apr 13. Epub 2017 Apr 13.
    Hearing Systems Group, Department of Electrical Engineering, Technical University of Denmark, Ørsteds Plads, Building 352, 2800 Kgs. Lyngby, Denmark; Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Kettegaard Allé 30, 2650 Hvidovre, Denmark. Electronic address:
    Selectively attending to one speaker in a multi-speaker scenario is thought to synchronize low-frequency cortical activity to the attended speech signal. In recent studies, reconstruction of speech from single-trial electroencephalogram (EEG) data has been used to decode which talker a listener is attending to in a two-talker situation. It is currently unclear how this generalizes to more complex sound environments. Read More

    Comparing diffuse optical tomography and functional magnetic resonance imaging signals during a cognitive task: pilot study.
    Neurophotonics 2017 Jan 15;4(1):015003. Epub 2017 Mar 15.
    Universidad de La Laguna , Faculty of Health Sciences (Medicine Section), Department of Basic Medical Science (Physiology Section), Spain.
    Diffuse optical tomography (DOT) measures concentration changes in both oxy- and deoxyhemoglobin providing three-dimensional images of local brain activations. A pilot study, which compares both DOT and functional magnetic resonance imaging (fMRI) volumes through t-maps given by canonical statistical parametric mapping (SPM) processing for both data modalities, is presented. The DOT series were processed using a method that is based on a Bayesian filter application on raw DOT data to remove physiological changes and minimum description length application index to select a number of singular values, which reduce the data dimensionality during image reconstruction and adaptation of DOT volume series to normalized standard space. Read More

    Mercedes Flap With Releasing Incisions for Scalp Defects.
    Ann Plast Surg 2017 Aug;79(2):149-155
    From the Department of Dermatology, Hospital Punta de Europa. Algeciras, Cádiz, Spain.
    Introduction: The reconstruction of scalp defects is surgically challenging due to the limited distensibility in the area.

    Objectives: To describe a new variant of the Mercedes flap with releasing incisions for the reconstruction of medium-sized scalp defects.

    Materials And Methods: Pigs' feet were used as the experimental model for the design of this new variant. Read More

    Interactions between the anterior cingulate-insula network and the fronto-parietal network during perceptual decision-making.
    Neuroimage 2017 May 8;152:381-389. Epub 2017 Mar 8.
    Neuroscience Institute, Georgia State University, Atlanta, GA 30303, USA; Center for Behavioral Neuroscience, Center for Nano-Optics, Center for Diagnostics and Therapeutics, GSU-GaTech Center for Advanced Brain Imaging, Georgia State University, Atlanta, GA 30303, USA.
    Information processing in the human brain during cognitively demanding goal-directed tasks is thought to involve several large-scale brain networks, including the anterior cingulate-insula network (aCIN) and the fronto-parietal network (FPN). Recent functional MRI (fMRI) studies have provided clues that the aCIN initiates activity changes in the FPN. However, when and how often these networks interact remains largely unknown to date. Read More

    Aesthetic Eyebrow Reconstruction with an Expanded Scalp Island Flap Pedicled by the Superficial Temporal Artery.
    Aesthetic Plast Surg 2017 Jun 9;41(3):563-567. Epub 2017 Mar 9.
    Department of Plastic Surgery, The Third Hospital of Wuhan, Wuhan, Hubei, China.
    Purpose: This case study demonstrates a new operative method of eyebrow reconstruction, in which the hair density of the reconstructed eyebrow is controlled by the surgeon and is more similar to that of the uninjured side, resulting in a more natural facial expression and greater aesthetic value for our patients.

    Materials And Methods: The operation was divided into two stages: Stage 1: Implantation of a soft tissue expander into the corresponding subgaleal position of the parietal branch of the superficial temporal artery on the injured side, followed by dilation of the expander until the density of the hair on the expanded scalp reached a suitable value and was lower than that of the uninjured eyebrow. Stage 2: Harvesting of the scalp island flap pedicled by the superficial temporal artery, the end of which was attached to the expanded scalp, followed by the downward movement of the flap to the defect site of the eyebrow via a subcutaneous tunnel, resulting in new eyebrow formation. Read More

    Reconstruction of face and scalp after dog bites in children.
    Rev Col Bras Cir 2016 Dec;43(6):452-457
    Medicine School, Superior School of Health Sciences, Brasilia, Distrito Federal, Brazil.
    Objective: to evaluate the immediate reconstruction of face and scalp after canine bites in children.

    Methods: we conducted a prospective series of cases treated at the Emergency Unit of the Asa Norte Regional Hospital, Brasília - DF, from January 1999 to December 2014. At the time of patient admission to the emergency, the primary wound closure of the face and scalp bite was performed, regardless of the time or day of the event. Read More

    Graph fractional-order total variation EEG source reconstruction.
    Conf Proc IEEE Eng Med Biol Soc 2016 Aug;2016:101-104
    EEG source imaging is able to reconstruct sources in the brain from scalp measurements with high temporal resolution. Due to the limited number of sensors, it is very challenging to locate the source accurately with high spatial resolution. Recently, several total variation (TV) based methods have been proposed to explore sparsity of the source spatial gradients, which is based on the assumption that the source is constant at each subregion. Read More

    Outcomes of Melanoma In Situ Treated With Mohs Micrographic Surgery Compared With Wide Local Excision.
    JAMA Dermatol 2017 May;153(5):436-441
    Department of Dermatology, University of California, San Francisco2Dermatology Service, Veterans Affairs Medical Center, San Francisco, California.
    Importance: Melanoma in situ (MIS) is increasing in incidence, and expert consensus opinion recommends surgical excision for therapeutic management. Currently, wide local excision (WLE) is the standard of care. However, Mohs micrographic surgery (MMS) is now used to treat a growing subset of individuals with MIS. Read More

    Improving Functional and Aesthetic Outcomes in Syndromic Patients With Webbed Neck Deformity: Utilizing a Staged Endoscopic-Assisted Approach to Improve the Posterior Hairline and Decrease Scar Burden.
    J Craniofac Surg 2017 Jun;28(4):995-997
    *Division of Plastic Surgery, Albany Medical Center †Albany Medical College, Albany, NY.
    Introduction: Webbed neck deformity (WND) can have significant functional and psychosocial impact on the developing child. Surgical correction can be challenging depending on the extent of the deformity, and patients often also have low posterior hairlines requiring simultaneous correction. Current surgical techniques include various methods of single-stage radical excision that often result in visible scar burden and residual deformity. Read More

    Implantation of Thickened Artificial Bone for Reduction of Dead Space and Prevention of Infection Between Implant and Dura in Secondary Reconstruction of the Skull.
    J Craniofac Surg 2017 Jun;28(4):888-891
    Department of Plastic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
    For the treatment of skull defect compensation after neurosurgery, a customized artificial bone is often employed owing to its toughness and the relative ease of producing cosmetically good result. However, implants are vulnerable to infection and removal of implant is sometimes necessary. Several other treatment options such as autologous bone graft or free flap are likely to be considered for the secondary reconstruction to avoid reinfection; however, reimplantation of artificial bone is beneficial for the patients, being not concerned with donor site morbidity. Read More

    Current Evidence for Clinical Efficacy of Platelet Rich Plasma in Aesthetic Surgery: A Systematic Review.
    Aesthet Surg J 2017 03;37(3):353-362
    Facial Surgery Section Editor for Aesthetic Surgery Journal.
    Background: Platelet rich plasma (PRP) has attracted attention in a number of surgical fields due to a wide variety of potential clinical benefits. Yet PRP has not gained wide popularity in aesthetic surgery as a result of uncertainty surrounding objective clinical evidence.

    Objectives: We aim to describe the current applications, define preparation and activation, explore effectiveness, and propose a classification system to facilitate comparisons across studies. Read More

    Clinical application of scalp markers and three-dimensional sliced computer tomography reconstructions of the skull transverse-sigmoid sinus groove in the retrosigmoid approach.
    Turk Neurosurg 2017 Jan 17. Epub 2017 Jan 17.
    GuiZhou Provincial People's Hospital, Department of Neurosurgery, GuiYang, China.
    Aim: To explore the clinical value of bone flap creation and the sinus protection in the approach of retrosigmoid keyhole craniotomy with the guidance of three-dimensional (3D) sliced computer tomography (CT) reconstruction of the skull transverse sinus and sigmoid sinus groove.

    Material And Methods: The scalp tracings of the transverse sinus and sigmoid sinus groove of 108 posterior fossa lesion patients were delineated by gentian violet, which relies on the relationship between its 3D reconstruction location and scalp marker. The craniotomy was executed with the guidance of its surface tracings. Read More

    Sebaceous Carcinoma Treated With Mohs Micrographic Surgery.
    Dermatol Surg 2017 Feb;43(2):281-286
    *Department of Dermatology, Roswell Park Cancer Institute, Buffalo, New York;†Division of Dermatology, Washington University School of Medicine, St. Louis, Missouri.
    Background: Sebaceous carcinoma is a rare and potentially aggressive adnexal neoplasm with historic data indicating high rates of recurrence, metastasis, and cancer-specific mortality.

    Objective: To evaluate the incidence of local recurrence, metastasis, disease-specific mortality, and all-cause mortality and to identify work-up approaches.

    Patients And Methods/materials: Retrospective review of patients with sebaceous carcinoma treated with Mohs micrographic surgery between 2001 and 2013 at one institution. Read More

    Error-related negativity in the skilled brain of pianists reveals motor simulation.
    Neuroscience 2017 Mar 30;346:309-319. Epub 2017 Jan 30.
    Milan Center for Neuroscience, University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, 20126 Milan, Italy.
    Evidences have been provided of a crucial role of multimodal audio-visuomotor processing in subserving the musical ability. In this paper we investigated whether musical audiovisual stimulation might trigger the activation of motor information in the brain of professional pianists, due to the presence of permanent gestures/sound associations. At this aim EEG was recorded in 24 pianists and naive participants engaged in the detection of rare targets while watching hundreds of video clips showing a pair of hands in the act of playing, along with a compatible or incompatible piano soundtrack. Read More

    Response to Letter: The Use of Integra Dermal Regeneration Template versus Flaps for Reconstruction of Full-Thickness Scalp Defects Involving the Calvaria: A Cost-Benefit Analysis.
    Aesthetic Plast Surg 2017 Apr 31;41(2):474. Epub 2017 Jan 31.
    Istituto di Igiene ed Epidemiologia Clinica, Azienda Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy.

    Face Transplant in an Advanced Neurofibromatosis Type 1 Patient.
    Ann Transplant 2017 Jan 31;22:53-57. Epub 2017 Jan 31.
    Department of Oncological and Reconstructive Surgery, Cancer Center, Institute of Maria Skłodowska-Curie in Gliwice, Gliwice, Poland.
    BACKGROUND The human face is a one-of-a-kind structure with unique morphology, complexity, and function, in which different subunits are not even similar to other parts of the body. Therefore, extended complex deficits of the face are usually difficult to reconstruct, and autologous tissue restoration is generally not able to give a satisfactory aesthetic and functional outcome. The main goal of face allotransplantation is to restore symmetry, contour, and appearance as well as function of the face, especially control of orbicularis oculi and oris muscle physiology. Read More

    The Anterolateral Thigh Flap as the Flap of Choice for Scalp Reconstruction.
    J Craniofac Surg 2017 Mar;28(2):472-476
    Department of Plastic and Reconstructive Surgery, The Cleveland Clinic Foundation, Cleveland, OH.
    Introduction: Large scalp soft tissue defects can present difficulties with reconstruction. The ideal flap for scalp reconstruction has yet to be described although the latissimus dorsi flap is frequently referred to as the first choice in this setting.

    Patients And Methods: Following institutional review board approval, the authors reviewed their experience in scalp reconstruction for the past 4 years. Read More

    Laparoscopic Free Omental Flap for Craniofacial Reconstruction: A Video Article Demonstrating Operative Technique and Surgical Applications.
    J Craniofac Surg 2017 Mar;28(2):311-313
    *Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS †Department of Surgery, University of South Carolina School of Medicine, Columbia, SC.
    The omental flap is a well described pedicled flap for surgical reconstruction of multiple body locations. As a laparoscopically harvested free flap, the omentum offers a minimally invasive solution to many reconstructive problems including extremity and head and neck wounds. This video article highlights the operative technique involved in flap harvest and inset for a cranial defect. Read More

    Broader Practice Indications for Mohs Surgical Defect Healing by Secondary Intention: A Survey Study.
    Dermatol Surg 2017 Mar;43(3):415-423
    *Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, New York, New York; †Eisenhower Medical Center, Rancho Mirage, California; ‡Laser and Skin Surgery Center of New York, New York, New York.
    Background: Recent reports have indicated secondary intention (SI) healing utilization for Mohs surgical defects beyond conventionally accepted indications.

    Objective: To characterize potentially more expansive guidelines for when SI healing is indicated or appropriate in dermatologic surgery.

    Methods: A survey study was e-mailed to the American College of Mohs Surgery in 2015. Read More

    Recalcitrant Invasive Skin Cancer of the Scalp: Combined Extirpation and Microsurgical Reconstruction Without Cranioplasty.
    J Craniofac Surg 2017 Mar;28(2):325-330
    *Division of Plastic and Reconstructive Surgery, Department of Surgery †Department of Neurological Surgery, University of California San Francisco, San Francisco, CA.
    Background: Recurrent invasive skin cancer of the scalp and calvarium is a difficult problem for which universally accepted treatment protocols have not been established. The authors present their 10-year experience with treatment of this specific subset of scalp reconstruction patients and present a successful treatment algorithm that is well suited to this patient population.

    Methods: The authors retrospectively reviewed all patients of microsurgical scalp reconstruction performed from 2005 to 2015 that involved invasive cutaneous malignancies of the scalp and calvarium. Read More

    Scalp reconstruction: A 10-year retrospective study.
    J Craniomaxillofac Surg 2017 Feb 7;45(2):319-324. Epub 2016 Dec 7.
    Department of Plastic and Hand Surgery (Head: Univ. Prof. Dr. med. Dr. h.c. R. E. Horch), University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Erlangen, Germany. Electronic address:
    Scalp reconstruction is a challenging task for the reconstructive surgeon. In consideration of the anatomical and cosmetic characteristics, the defect depth and size, an armamentarium of reconstructive procedures ranging from skin grafts over local flaps to free tissue transfer has been described. In this 10-year retrospective study, 85 operative procedures for scalp reconstruction were performed at our department. Read More

    Primary cutaneous melanoma of the scalp: Patterns of recurrence.
    J Surg Oncol 2017 Mar 30;115(4):449-454. Epub 2016 Dec 30.
    Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
    Introduction: Patients with primary melanoma of the scalp have been reported to have worse disease-related outcomes compared with other anatomical regions. There are few studies in the literature specifically addressing recurrence patterns and treatment outcomes for primary scalp melanoma as a discrete anatomical sub-region. We sought to identify key features adversely influencing disease control and survival and to clarify the role of resection plane, margin, and method of reconstruction in the management of this disease process. Read More

    Treatment Options for Exposed Calvarium Due to Trauma and Burns.
    J Craniofac Surg 2017 Mar;28(2):318-324
    *Division of Plastic Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Miami †Tampa Bay Craniofacial Center, Tampa, FL.
    Wounds involving the calvarium secondary to trauma or burns are rare. However, they can present with challenging potential clinical sequelae. A wide variety of reconstructive options have evolved over the last century. Read More

    The Visor Flap: A Novel Design for Scalp Wound Closure.
    J Craniofac Surg 2017 Mar;28(2):e146-e148
    *University of Illinois at Chicago †Feinberg School of Medicine, Northwestern University, Chicago, IL.
    Full-thickness scalp defects pose a reconstructive problem in the setting of infection, radiation, and underlying calvarial defects. Current options include dermal matrices, skin grafts, and local fasciocutaneous flaps. Free tissue transfer is frequently required when scalp-based flaps fail or the wound is significantly large or complex. Read More

    Orbitocranial Fibrous Dysplasia: Outcome of Radical Resection and Immediate Reconstruction With Titanium Mesh and Pericranial Flap.
    J Craniofac Surg 2016 Nov;27(8):e719-e723
    *Neurosurgery Department†Maxillofacial Surgery Unit, Faculty of Medicine, Sohag University, Sohag, Egypt.
    Introduction: Fibrous dysplasia (FD) is a non-neoplastic developmental fibro-osseous disease. It represents 2.5% of all bone tumors and 5% to 7% of the benign bone tumors. Read More

    Management of the Repeatedly Failed Cranioplasty Following Large Postdecompressive Craniectomy: Establishing the Efficacy of Staged Free Latissimus Dorsi Transfer/Tissue Expansion/Custom Polyetheretherketone Implant Reconstruction.
    J Craniofac Surg 2016 Nov;27(8):1971-1977
    *Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA†Walter Reed National Military Medical Center, Bethesda, MD‡Department of Neurosurgery, University of Washington, Seattle, WA.
    Background: Postdecompressive craniotomy defect management following failed prior cranioplastyis challenging. The authors describe a staged technique utilizing free muscle transfer, tissue expansion, and custom polyetheretherketone (PEEK) implants for the management of previously failed cranioplasty sites in patients with complicating local factors.

    Methods: Consecutive patients with previously failed cranioplasties following large decompressive craniectomies underwent reconstruction of skull and soft tissue defects with staged free latissimus muscle transfer, tissue expansion, and placement of custom computer-aided design and modeling PEEK implants with a 'temporalis-plus' modification to minimize temporal hollowing. Read More

    Reconstruction with soft tissue free flaps for large defects after the resection of giant facial neurofibroma.
    Int J Oral Maxillofac Surg 2017 Apr 18;46(4):440-446. Epub 2016 Dec 18.
    Department of Oral & Maxillofacial - Head & Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:
    Giant facial neurofibroma leads to disfigurement and functional and neurological deficits. Surgical resection is the mainstay of treatment and poses a great challenge to the surgeon with regard to the restoration of the defects arising from tumour resection. The cases of three male and three female patients diagnosed with giant facial neurofibroma, who underwent radical resection and reconstruction with soft tissue free flaps between 2008 and 2015, were analyzed retrospectively. Read More

    A Technically Simple and Safe Method for Preparing an Anterior Pericranial Flap Using Saline Injection into the Subgaleal Space: A Technical Note.
    World Neurosurg 2017 Mar 18;99:336-339. Epub 2016 Dec 18.
    Department of Neurosurgery, College of Medicine, Kyung Hee University, Seoul, Korea.
    Background: Cranial defects following anterior cranial base surgery have been frequently reconstructed using the pericranial flap.

    Methods: We present a simple technique for preparing the flap using injection of saline into the subgaleal space.

    Results: We inserted a 20-gauge needle perpendicular to 8-10 spots in the frontal area and injected 5-7 mL of saline at each spot 10 minutes before skin incision. Read More

    Application of extended bi-pedicle anterolateral thigh free flaps for reconstruction of large defects: A case series.
    Microsurgery 2016 Dec 19. Epub 2016 Dec 19.
    Department of Plastic Surgery, China Medical University Hospital, Taichung, 40447, Taiwan.
    Background: The anterolateral thigh flap is a workforce flap in reconstructive surgery, however, variations in it is vascular anatomy are not uncommon. These variations may affect flap design and survival, especially when large flaps are required. In some anatomical variants the anterolateral thigh flap is supplied by two separate dominant pedicles, and in these cases a bi-pedicle modification may be necessary to ensure complete flap viability. Read More

    Heterotopic Intracranial Skin Presenting as Chronic Draining Sinus After Remote Craniotomy.
    World Neurosurg 2017 Feb 27;98:882.e9-882.e14. Epub 2016 Oct 27.
    Division of Plastic Surgery, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address:
    Background: Craniotomies for trauma are associated with a significant risk of wound complications. We report a case in which a chronic nonhealing draining sinus was caused by an ectopic epidermal lining deep to the craniotomy bone flap, adherent to the underlying dura.

    Case Description: A 61-year-old man was examined for a 3-year-old, nonhealing scalp wound resulting after a traumatic brain injury. Read More

    Spatio-temporal reconstruction of brain dynamics from EEG with a Markov prior.
    Neuroimage 2017 Mar 13;148:274-283. Epub 2016 Dec 13.
    Cognitive Systems, Department of Applied Mathematics and Computer Science, Technical University of Denmark, Richard Petersens Plads, Building 324, DK-2800 Kgs. Lyngby, Denmark. Electronic address:
    Electroencephalography (EEG) can capture brain dynamics in high temporal resolution. By projecting the scalp EEG signal back to its origin in the brain also high spatial resolution can be achieved. Source localized EEG therefore has potential to be a very powerful tool for understanding the functional dynamics of the brain. Read More

    Use of anteromedial thigh perforator flap and immunological implications of Gorlin-Goltz syndrome: a case study.
    J Wound Care 2016 Dec;25(12):763-767
    Department of Plastic and Reconstructive Surgery, Politechnical University of Marche, Italy.
    Gorlin-Goltz syndrome is mainly characterised by the development of numerous multicentric and relapsing cutaneous basal cell carcinomas (BCCs). A major problem for patients with Gorlin-Goltz syndrome is the large amount of BCCs that can invade the deep underlying structures, especially the face. Here, we describe the case of a 23-year-old male affected by Gorlin-Goltz syndrome. Read More

    Influence of backscatter radiation on cranial reconstruction implants.
    Br J Radiol 2017 Feb 3;90(1070):20150537. Epub 2017 Jan 3.
    1 Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
    Objective: We aimed to evaluate backscatter dose variations in different cranial bone implant materials in an experimental model designed to simulate post-operative radiotherapy.

    Methods: We assessed the radiation backscatter doses associated with sheet- and mesh-type titanium plates and hydroxyapatite (HAP) samples (porosity: 35%, 50% and 85%). The samples were irradiated with 6- and 10-MV photon beams from a linear accelerator. Read More

    Local Coverage for Acute Severely Herniated Brain Using Scalp and Forehead Flaps in a Pediatric Patient With Head Trauma.
    J Craniofac Surg 2017 Jan;28(1):231-235
    *Division of Plastic Surgery †Department of Neurosurgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.
    A 4-year-old-boy required emergent craniectomy and drainage of a large right-sided acute subdural hematoma after head trauma, during which massive sinus hemorrhage with brain swelling occurred. Acute intraoperative management entailed dural cover using synthetic dural membrane substitute and scalp coverage over the herniated brain using acellular dermal matrix. After intensive monitoring and control of raised intracranial pressure over the next few days, the exposed brain was then covered by scalp and forehead flaps with cadaveric skin grafting to the donor site. Read More

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