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Optimising aesthetic reconstruction of scalp soft tissue by an algorithm based on defect size and location

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.

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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
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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