Aesthetic reconstruction of large scalp defects by sequential tissue expansion without interval.

Abstract:

:Tissue expansion is indicated in the reconstruction of various scalp defects when there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It is the most important armamentarium for aesthetic hair-bearing scalp reconstruction in cases of congenital or required defects. This technique was used sequentially without interval to achieve scalp reconstruction for 12 patients with a defect ranging from 30% to 75% of the scalp (average, 55%). For 12 patients, 32 expansion treatments were undertaken between September 1997 and January 2002. The 12 patients included 3 women, 4 men, and 5 children with a mean age of 20 years (range, 45 days to 36 years). All patients had more than one period of treatment. The most common conditions treated were burns (n=7), trauma (n=1), congenital naevi (n=2), and male pattern baldness (n=2). Reconstruction of 12 large scalp defects has been performed with a 3.1% rate of major complications. Results show that tissue expansion is a safe and efficient but time-consuming technique for aesthetic scalp reconstruction, especially in the case of "sideburn" scenario or large defects. There was no significant alteration in ratio of complications although tissue expansions were made sequentially.

journal_name

Aesthetic Plast Surg

authors

Gürlek A,Alaybeyoğlu N,Demir CY,Aydoğan H,Bilen BT,Oztürk A

doi

10.1007/s00266-004-4008-3

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

245-50

issue

4

eissn

0364-216X

issn

1432-5241

journal_volume

28

pub_type

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