ArticleCraniomaxillofacial trauma & reconstruction2015
Lessons Learned in Scalp Reconstruction and Tailoring Free Tissue Transfer in the Elderly: A Case Series and Literature Review.
Article in Craniomaxillofacial trauma & reconstruction, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Salvage reconstruction of an irradiated and infected scalp-calvarial defect following recurrent atypical meningioma: recipient-vessel strategy and multidisciplinary decision-making.Case reports in plastic surgery & hand surgery · 2026Article
- The Adjunctive Applications of IntegraInternational medical case reports journal · 2025Article
- Utility of synthetic hybrid-scale fiber matrix in dermatologic wounds.JAAD case reports · 2023Article
- Long-term Effect of Cranioplasty on Overlying Scalp Atrophy.Plastic and reconstructive surgery. Global open · 2020Article
- A Standard Algorithm for Reconstruction of Scalp Defects With Simultaneous Free Flaps in an Interdisciplinary Two-Team Approach.Frontiers in oncology · 2019Article
- The Effect of Age on Outcome in Excision of Chronic Osteomyelitis with Free Muscle Flap Reconstruction.Journal of bone and joint infection · 2019Article
- [Gigantic exophytically growing tumor of the occipital scalp : A complex diagnostic and reconstructive challenge].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
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Authors and funding
6 authors.
Funding
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Abstract
This article aims to demonstrate an individualized approach to an elderly patient requiring scalp reconstruction, to describe the methodology in flap selection, lessons learned, and report outcomes. A retrospective review of a single surgeon's experience of scalp reconstruction (E. D. R.) using free tissue transfer from 2005 to 2011, in patients older than 70 years, was completed. A total of eight patients met the inclusion criteria, five males and three females, with a mean age of 80.4 years (range, 73-92). Free tissue transfer achieved 100% soft tissue coverage. Six of the eight patients required cranioplasty. The mean size calvarial defect was 92 cm(2) (range, 35-285 cm(2)). The mean flap size was 117.6 cm(2) (range, 42-285 cm(2)). Free flaps included three ulnar, three anterolateral thigh, one latissimus dorsi, and one thoracodorsal perforator flap. The mean follow-up time was 18.4 months (range, 3-46 months). Donor site morbidity was minimal. Mortality was 0%. Immediate flap failure was 0%. Other complications occurred in six of the eight patients. Mean revisionary procedures were 1.25 procedures per patient. It was concluded that chronological age does not increase mortality or catastrophic flap complications; however, morbidity is increased in the elderly and revisionary surgery is likely.
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