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Technical Nuances During Reconstruction of a Complex Scalp Defect: a Pictorial Essay

  • Surgical Techniques and Innovations
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Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Scalp region is a common site of cutaneous squamous cell carcinoma (SCC). Surgical excision with reconstruction is the primary treatment. Lesions that infiltrate the dura resulting in large composite defects pose technical challenge. A 53-year-old gentleman presented with an ulcero-proliferative growth on the scalp. Imaging revealed an 8 × 7 cm mass on the left temporo-parietal region, breaching calvarium and infiltrating dura. The biopsy was suggestive of SCC. Resection resulted in a large composite scalp defect which was reconstructed with tensor fascia lata, titanium mesh and occipital artery-based transposition flap. We highlight the technical intricacies that need consideration and optimum reconstruction options for composite scalp defects. An occipital artery-based flap is a technically easy and reliable option with satisfactory aesthetic outcomes. Enhanced post-operative recovery and adequate defect coverage permit timely adjuvant treatment.

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Authors and Affiliations

  1. Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Achyuth Panuganti, Pallvi Kaul, Abhinav Thaduri, Mahendra Pal Singh & Pankaj Kumar Garg

  2. Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Jitender Chaturvedi

Authors
  1. Achyuth Panuganti
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  2. Pallvi Kaul
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  3. Abhinav Thaduri
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  4. Mahendra Pal Singh
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  5. Jitender Chaturvedi
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  6. Pankaj Kumar Garg
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Correspondence to Pankaj Kumar Garg.

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Panuganti, A., Kaul, P., Thaduri, A. et al. Technical Nuances During Reconstruction of a Complex Scalp Defect: a Pictorial Essay. Indian J Surg 83, 1547–1551 (2021). https://doi.org/10.1007/s12262-021-02746-w

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  • DOI: https://doi.org/10.1007/s12262-021-02746-w

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