ArticleHead & neck oncology2012
Reconstruction of scalp defects with the radial forearm free flap.
Article in Head & neck oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 49 citations in OpenAlex.
- Second or subsequent microvascular free flaps in head and neck reconstructive surgery: a narrative review.Annals of medicine and surgery (2012) · 2026Article
- Novel Use of Chimeric Serratus Anterior Fascia-Latissimus Dorsi Flap for Composite Cranial Defect.Archives of plastic surgery · 2026Article
- Double free flap reconstruction using the piggyback technique for multifocal scalp radiation necrosis: a case report.Archives of craniofacial surgery · 2026Article
- Algorithmic Approach to Management of Complex Scalp and Calvarial Burn Injuries.Annals of plastic surgery · 2026Review
- Reconstruction of Extensive Scalp and Skull Defects with Dural Exposure: Report of a Series of Cases and Literature Review.Plastic and reconstructive surgery. Global open · 2024Article
- Squamous Cell Carcinoma of Scalp: Our Experience in a Single Tertiary Care Centre.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Six-years experience in major scalp defect reconstruction with free flap: analysis of the results.Acta bio-medica : Atenei Parmensis · 2022Article
- Extended Scalp Flaps for Extensive Soft Tissue Scalp Defects as a Day Surgery Procedure Under Local Anesthetic: A Single Centre Experience.Journal of neurological surgery. Part B, Skull base · 2021Article
- Microvascular reconstruction for maxillofacial defects: a retrospective analysis of outcomes and complications in 121 consecutive cases.Maxillofacial plastic and reconstructive surgery · 2020Article
- An algorithm for one-stage malignant oncologic scalp reconstruction.Annals of translational medicine · 2020Article
- Free Tissue Reconstruction of the Scalp.Seminars in plastic surgery · 2019Review
- Scalp Rotation Flap for Reconstruction of Complex Soft Tissue Defects.Journal of neurological surgery. Part B, Skull base · 2016Article
- Lessons Learned in Scalp Reconstruction and Tailoring Free Tissue Transfer in the Elderly: A Case Series and Literature Review.Craniomaxillofacial trauma & reconstruction · 2015Article
- Cranioplasty for large-sized calvarial defects in the pediatric population: a review.Craniomaxillofacial trauma & reconstruction · 2015Article
- Article
- Pedicled Radial Forearm Flap in Reconstruction of Complex Defects in the Craniofacial Region.Journal of the West African College of SurgeonsArticle
- Free tissue flaps in head and neck reconstruction: clinical application and analysis of 93 patients of a single institution.Brazilian journal of otorhinolaryngologyArticle
Corrections and comments
- Expression of concern
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdvanced and recurrent cutaneous squamous cell carcinoma of the scalp and forehead require aggressive surgical excision often resulting in complex defects requiring reconstruction. This study evaluates various microvascular free flap reconstructions in this patient population, including the rarely utilized radial forearm free flap. PATIENTS AND
methodsA retrospective review of patients undergoing free flap surgeries (n = 47) of the scalp between 1997 and 2011 were included. Patients were divided primarily into two cohorts: a new primary lesion (n = 21) or recurrence (n = 26). Factors examined include patient demographics, indication for surgery, defect, type of flap used, complications (major and minor), and outcomes.
resultsThe patients were primarily male (n = 34), with a mean age of 67 years (25-91). A total of 58 microvascular free flap reconstructions were performed (radial forearm free flap: n = 28, latissimus dorsi: n = 20, rectus abdominis: n = 9, scapula: n = 1). Following reconstruction with a radial forearm free flap, duration of hospitalization was shorter (P = 0.04) and complications rates were similar (P = 0.46). Donor site selection correlated with defect area (P < 0.001), but not with the extent of skull defect (P = 0.70). Larger defect areas correlated with higher complications rates (P = 0.03) and longer hospitalization (P = 0.003). Patients were more likely to require multiple reconstructions if referred for a recurrent lesions (P = 0.01) or received prior radiation therapy (P = 0.02).
conclusionAdvanced and recurrent malignancies of the scalp are aggressive and challenging to treat. The radial forearm free flap is an underutilized free flap in the reconstruction of complex scalp defects.
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Registered trials
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