Abstract
Background In scalp reconstruction, soft tissue and osseous defects frequently coexist. The purpose of this study was to compare outcomes of simultaneous scalp and calvarial reconstruction to scalp only reconstruction. Methods A review of microsurgical scalp reconstruction with or without cranioplasty over a 10-year period was performed. Results One hundred thirty-eight scalp reconstructions were performed, of which 48 involved concurrent cranioplasty. The overall rate of perioperative complications was 21.0%, whereas the rate of late recipient site complications was 11.6%. No significant differences in perioperative (p =.56) or late (p =.42) recipient site complications were observed between patients undergoing scalp and calvarial versus scalp only reconstruction. In terms of complications, muscle free flaps with skin grafts were as reliable as free flaps with skin paddles (p =.36). Conclusion Simultaneous scalp and calvarial reconstruction is associated with success rates equivalent to scalp only reconstruction. Muscle flaps covered with skin grafts and flaps with a skin paddle seem to be equally reliable. © 2012 Wiley Periodicals, Inc. Head Neck, 2012
Original language | English (US) |
---|---|
Pages (from-to) | 1759-1764 |
Number of pages | 6 |
Journal | Head and Neck |
Volume | 34 |
Issue number | 12 |
DOIs | |
State | Published - Dec 2012 |
Keywords
- calvarial reconstruction
- complications
- cranioplasty
- microvascular free flap
- scalp reconstruction
ASJC Scopus subject areas
- Otorhinolaryngology