Scalp and Calvarium Reconstruction

Ciaran Lane; Alice Lin; Neerav Goyal

doi:10.1016/j.otc.2023.04.003

Scalp and Calvarium Reconstruction

Otolaryngol Clin North Am. 2023 Aug;56(4):741-755. doi: 10.1016/j.otc.2023.04.003. Epub 2023 May 20.

Authors

Ciaran Lane¹, Alice Lin², Neerav Goyal³

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive MC H091, Hershey, PA 17033, USA. Electronic address: lanec345@myumanitoba.ca.
² Department of Clinical Sciences, Kaiser Permanente School of Medicine, 4900 Sunset Boulevard 6th Floor, Los Angeles, CA 90027, USA.
³ Department of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive MC H091, Hershey, PA 17033, USA.

PMID: 37217365
DOI: 10.1016/j.otc.2023.04.003

Abstract

Defects of the scalp and calvarium pose unique reconstructive challenges due to the importance of this area in protecting the brain and its distance from larger donor vessels for free flap transfer. The wide range and complexity of reconstructive options make this a broad topic because the simplest defects are often closed or managed in the outpatient setting and the most complex require multilayer closure in the operating room with a multidisciplinary team and intensive postoperative care. In hair-bearing individuals, the scalp is an esthetically important area due to the importance of hair to self-esteem and sexual attraction.

Keywords: Calvarium reconstruction; Cranioplasty; Microvascular reconstruction; Plastic surgery; Scalp reconstruction.

Publication types

Review

MeSH terms

Brain
Free Tissue Flaps* / surgery
Humans
Plastic Surgery Procedures*
Retrospective Studies
Scalp / surgery
Skull / surgery