Evidence map›Paper›PMID 40247953›Full record

ArticleJPRAS open2025

Local and regional flaps in scalp reconstructions: A retrospective analysis.

Adam Stepniewski, Julian Daugardt, Alperen Sabri Bingoel, Jessica Hoffmann, Katharina Jäckle, Tomasz Korzeniowski, Philipp Kauffmann, Wolfgang Lehmann, Gunther Felmerer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adam StepniewskiDivision of Plastic Surgery, Department for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Julian DaugardtDepartment of Traumatology, Hand Surgery and Orthopedics, Klinikum Bremerhaven Reinkenheide, Bremerhaven, Germany.
Alperen Sabri BingoelDivision of Plastic Surgery, Department for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Jessica HoffmannDivision of Plastic Surgery, Department for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Katharina JäckleDepartment for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Tomasz KorzeniowskiDepartment of Plastic, Reconstructive Surgery and Burn Treatment, Faculty of Medicine, Medical University of Lublin, Leczna, Poland.
Philipp KauffmannDepartment of Oral and Maxillofacial Surgery, University Medical Center Göttingen, Göttingen, Germany.
Wolfgang LehmannDepartment for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Gunther FelmererDivision of Plastic Surgery, Department for Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The study demonstrates the broad applicability of local and regional flaps for the treatment of scalp defects of varying size and etiology. We aimed to verify whether the following variables correlate with the postoperative complication rate, length of hospitalization, and postoperative inpatient course, i.e., etiology of the defect, surgical technique, duration of surgery, defect size, localization, comorbidities, and neoadjuvant radiation. We examined whether the complications had an impact on the hospitalization and postoperative inpatient course. The inclusion criteria were defects in the scalp, reconstruction between 2010 and 2021, and use of local or regional fasciocutaneous flap. In this study, the following parameters were considered such as gender, age, main diagnosis, comorbidities, defect etiology, size and localization, type of surgical treatment, surgery duration, hospitalization, postoperative inpatient course, local complications, and revisions. A total of 39 patients (mean age: 56.5 ± 20.5 years) were selected. Postoperative complications did not correlate with defect etiology, surgical technique, defect size, defect localization, surgery duration, comorbidities, and local radiation. Postoperative complications, comorbidities, and neoadjuvant radiotherapy influenced the length of hospitalization. The postoperative inpatient course was influenced by the surgery duration and postoperative complications. Defect etiology, surgical technique, defect size, and defect localization had no impact on the overall hospitalization. Local and regional flaps are safe and reliable options for the treatment of scalp defects up to 80 cm². Their use in the study resulted in excellent functional and cosmetic outcomes. The risk of complications and revisions is considered as low.

Indexed as

Fasciocutaneous flapLocal flapReconstructionRegional flapScalp defect

Identifiers

PMID40247953
PMCPMC12005885

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.