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Reconstruction of full-thickness scalp defects is critical to avoid calvarial desiccation, sequestration, and sepsis.1 When a surgeon is faced with a scalp defect caused by a malignant tumor, several factors must be considered during a planned reconstruction, including the location of the defect, pathologic features of the tumor, margin status, and the patient’s comorbidities. However, these factors may preclude use of a large local flap or free tissue transfer, and an alternative method of reconstruction should be considered.2
Sand JP, Diaz JA, Nussenbaum B, Rich JT. Full-Thickness Scalp Defects Reconstructed With Outer Table Calvarial Decortication and Surface Grafting. JAMA Facial Plast Surg. Published online October 06, 2016. doi:10.1001/jamafacial.2016.1168