Extensive scalp soft-tissue reconstruction with free flaps: A simplified therapeutic algorithm for donor site selection based on a retrospective analysis
2024

Simplified Guide for Scalp Reconstruction with Free Flaps

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): Martínez Peral Raúl, Roca Mas Josep Oriol, Soroa Moreno Gonzalo Joaquín, Álvarez Río Adela, Ansó Jiménez Antonio, Navarro Sánchez Daniel, Monge Castresana Ivan, Estrada Cuxart Jaime

Primary Institution: Hospital Universitario Son Espases, Palma de Mallorca, Balearic Islands, Spain

Hypothesis

Can a simplified algorithm improve donor site selection for free flaps in scalp reconstruction?

Conclusion

A tailored approach to selecting free flaps can enhance clinical outcomes in scalp reconstruction.

Supporting Evidence

  • The mean defect size was 110.60 cm².
  • Seven complications were reported, with partial flap loss being the most common.
  • The mean healing time for donor and recipient sites was 2.53 months and 1.8 months, respectively.
  • Five patients received adjuvant radiotherapy, which can complicate healing.

Takeaway

This study helps doctors choose the best type of flap for fixing big scalp wounds, making it easier to heal.

Methodology

A retrospective analysis of 15 patients who underwent scalp reconstruction with various free flaps.

Limitations

The sample size may limit the generalizability of the findings.

Participant Demographics

Mean age 66.2 years, 80% male, 20% female.

Digital Object Identifier (DOI)

10.1016/j.jpra.2024.11.003

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