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Research Letter
October 06, 2016

Full-Thickness Scalp Defects Reconstructed With Outer Table Calvarial Decortication and Surface Grafting

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri
  • 2Ear, Nose & Throat Center of Utah, Salt Lake City

Copyright 2017 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Facial Plast Surg. Published online October 6, 2016. doi:10.1001/jamafacial.2016.1168

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

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