Document Type : Original Article
Authors
1
Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt
2
Department of Plastic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abstract
Background: Scalp deficiencies can be caused by a number of different etiological reasons, including tumor extirpation, infection, burns, or trauma to this special region of the human body. The scalp can be reconstructed in a number of ways, including through primary closure, skin grafting, local flaps, tissue expansion, or free tissue transfer.
Aim of the work: To evaluate the various methods utilized for reconstructing scalp deformities; to get better surgical choice, through meta-analysis regarding defect size, depth, location, hair line, alopecia risk and aesthetic appearance.
Patients and Methods: Recent clinical trials or cluster trials, as well as retrospective compared cohort studies, were included in this Meta-analysis. Study was conducted on human subjects with reconstruction of scalp defects. Review of the Methods Used in Reconstructing Scalp Defects; to get better surgical choice, through meta-analysis regarding defect size, depth, location, hairline, alopecia risk and aesthetic appearance.
Results: A total of 393 cases had complete healing as regard complications founded in form of Hematoma in 18 cases, infection in 4 cases, seroma in 3 cases, wound dehiscence in 63 cases, Distal flap necrosis in 1 case, Partial flap loss in 13 cases, total Graft loss in 13 cases.
Conclusion: Using local flaps to repair scalp abnormalities is a straight forward operation that does not often require extensive postoperative care and can be completed in a short amount of time with minimal risk. A local scalp flap is the preferred method for reconstructing even a big and complex scalp defect, such as one that involves the cranium or the dura. Our findings suggest that problems from local axial flap applications were infrequent and did not significantly impact flap survival.
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