Scalp reconstruction: A 10-year retrospective study

Journal article

Publication Details

Author(s): Steiner D, Hubertus A, Arkudas A, Taeger C, Ludolph I, Boos A, Schmitz M, Horch RE, Beier J
Journal: Journal of Cranio-Maxillofacial Surgery
Publication year: 2017
Volume: 45
Journal issue: 2
Pages range: 319-324
ISSN: 1010-5182


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. The underlying entity, defect size/depth, reconstructive procedure, complications, and mean hospital stay were analyzed. In most cases, scalp reconstruction was necessary after oncologic resection (67%) or radiation therapy (16%). A total of 85 operative procedures were performed for scalp reconstruction including local flaps (n = 50), free tissue transfer (n = 18), and skin grafts (n = 17). Regarding the complication rate, we could detect an overall major complication rate of 16.5% with one free flap loss. Briefly, local flaps are an adequate and safe procedure for limited scalp defects. In the case of extensive scalp defects affecting the calvarium, prior multiple surgical interventions and/or radiation, we prefer free tissue transfer.

FAU Authors / FAU Editors

Arkudas, Andreas Prof. Dr.
Medizinische Fakultät
Boos, Anja Dr.
Plastisch- und Handchirurgische Klinik
Horch, Raymund E. Prof. Dr.
Professur für Plastische Chirurgie und Handchirurgie
Steiner, Dominik Dr. med.
Plastisch- und Handchirurgische Klinik
Taeger, Christian Dr. med.
Plastisch- und Handchirurgische Klinik

How to cite

Steiner, D., Hubertus, A., Arkudas, A., Taeger, C., Ludolph, I., Boos, A.,... Beier, J. (2017). Scalp reconstruction: A 10-year retrospective study. Journal of Cranio-Maxillofacial Surgery, 45(2), 319-324.

Steiner, Dominik, et al. "Scalp reconstruction: A 10-year retrospective study." Journal of Cranio-Maxillofacial Surgery 45.2 (2017): 319-324.


Last updated on 2019-21-07 at 08:05