Ooi, Adrian SH;
Kanapathy, Muholan;
Ong, Yee Siang;
Tan, Kok Chai;
Tan, Bien Keem;
(2015)
Optimising aesthetic reconstruction of scalp soft tissue by an algorithm based on defect size and location.
Annals, Academy of Medicine, Singapore
, 44
(11)
pp. 535-541.
10.47102/annals-acadmedsg.V44N11p535.
Text (Accepted manuscript)
Kanapathy_AnnalsSgScalp16Mar15.pdf Access restricted to UCL open access staff until 28 February 2025. Download (216kB) |
Abstract
Introduction: Scalp soft tissue defects are common and result from a variety of causes. Reconstructive methods should maximise cosmetic outcomes by maintaining hair-bearing tissue and aesthetic hairlines. This article outlines an algorithm based on a diverse clinical case series to optimise scalp soft tissue coverage.// Materials and Methods: A retrospective analysis of scalp soft tissue reconstruction cases performed at the Singapore General Hospital between January 2004 and December 2013 was conducted.// Results: Forty-one patients were included in this study. The majority of defects <100 cm2 were reconstructed with local flaps and were subdivided by location. Methods included rotation, transposition and free flaps. The most common type of reconstruction performed for defects ≥100 cm2 was free flap reconstruction. Multistage reconstruction using tissue expanders aided in optimising cosmetic outcomes. There were no major complications or flap failures.// Conclusion: Forty-one patients were included in this study. The majority of defects <100 cm2 were reconstructed with local flaps and were subdivided by location. Methods included rotation, transposition and free flaps. The most common type of reconstruction performed for defects ≥100 cm2 was free flap reconstruction. Multistage reconstruction using tissue expanders aided in optimising cosmetic outcomes. There were no major complications or flap failures.
Type: | Article |
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Title: | Optimising aesthetic reconstruction of scalp soft tissue by an algorithm based on defect size and location |
Location: | Singapore |
DOI: | 10.47102/annals-acadmedsg.V44N11p535 |
Publisher version: | https://doi.org/10.47102/annals-acadmedsg.V44N11p5... |
Language: | English |
Additional information: | This version is the author-accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
Keywords: | Flaps, reconstruction algorithm, scalp |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci |
URI: | https://discovery.ucl.ac.uk/id/eprint/1500608 |
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