Abstract
Scalp defects can have multiple etiologies, including but not limited to trauma, infection, burns, and malignancy. Scalp defects can be classified based on their total area, with less than 2 cm2 typically designated as small, 2–50 cm2 as medium, and greater than 50 cm2 as large. The scalp is composed of five layers, often denoted by the mnemonic “SCALP.” From most superficial to deep, the layers consist of Skin or cutaneous surface, subCutaneous tissue, Aponeurosis of the galea which can be continuous with other muscular fascia (e.g., temporalis, frontalis, occipitalis), Loose areolar tissue, and Periosteum of the skull or pericranium.
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Bradford BD and Lee JW. Reconstruction of the forehead and scalp. Facial Plast Surg Clin N Am 2019;27:85–94.
Cha YH, Nam W, Cha I, Kim HJ. Revisiting radial forearm free flap for successful venous drainage. Maxillofacial Plast Reconstr Surg 2017; 39(1):1–4.
Clark JM, Rychlik S, Harris J, Seikaly H, Biron VL, O’Connell DA. Donor site morbidity following radial forearm free flap reconstruction with split thickness skin grafts using negative pressure wound therapy. J Otolaryngol Head Neck Surg 2019;48:21.
Fowler NM and Futran ND. Achievements in scalp reconstruction. Curr Opin Otolaryngol Head Neck Surg 2014,22:127–130.
Hekner DD, Abbink JH, van Es RJ et al. Donor-site morbidity of the radial forearm free flap versus the ulnar forearm free flap. Plast Reconstr Surg 2013;132:392–393.
Kovar A, Choi S, Iorio ML. Donor site morbidity in Phalloplasty reconstructions: outcomes of the radial forearm free flap. Plast Reconstr Surg Glob Open 2019;7:e2442–7.
Niu Z, Chen Y, Li Y et al. Comparison of donor site morbidity between anterolateral thigh and radial forearm free flaps for head and neck reconstruction: a systematic review and meta-analysis. J Craniofac Surg 2021;32:1706–11.
Richardson D, Fisher SE, Vaughan ED, et al. Radial forearm flap donor-site complications and morbidity: a prospective study. Plast Reconstr Surg 1997;99:109–15.
Sokoya M, Misch E, Vincent A et al. Free tissue reconstruction of the scalp. Semin Plast Surg 2019;33:67–71.
Sweeny L, Eby B, Magnuson JS, Carroll WR, Rosenthal EL. Reconstruction of scalp defects with the radial forearm free flap. Head Neck Oncol 2012;4(21):1–8.
Taranto GD, Chen S, Elia R et al. Outcomes following head neck free flap reconstruction requiring interposition vein graft or vascular bridge gap. Head Neck 2019;41:2914–20.
Vidrine DM, Kaler S, Rosenthal EL. A comparison of negative-pressure dressings versus bolster and splinting of the radial forearm donor site. Otolaryngol Head Neck Surg 2005;133:403–6.
Wax MK, Rosenthal EL, Winslow CP, Bascom DA, Andersen PE. The ulnar fasciocutaneous free flap in head and neck reconstruction. Laryngoscope 2002;112:2155–2160.
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Chen, B.Y., Javadi, P. (2023). Scalp Reconstruction with Fasciocutaneous Radial Forearm-Free Tissue Transfer. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_11
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DOI: https://doi.org/10.1007/978-3-031-24981-5_11
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