Scalp reconstruction with expanded flap

• Published in: Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery
• Main Authors: Daniel Nowicki Kaam, André Coelho Nepomuceno, Larissa Cassemiro da-Silva, José Luiz Braga de Aquino, Juliana Gulelmo Staut, Fernando Giovanetti Morano, Juliano Pereira, Rodrigo Pinto Gimenez
• Format: Article in Journal/Newspaper
• Language: English; Portuguese
• Published: Sociedade Brasileira de Cirurgia Plástica 2021
• Subjects: hemangioendothelioma; hemangioma; plastic surgery; surgical pathology; neoplasms of vascular tissue; Surgery; RD1-811; SCAR
• Online Access: https://doi.org/10.5935/2177-1235.2021RBCP0018; https://doaj.org/article/73656efe251147cdbbc470f639684347

Introduction: The presence of extensive scalp defects is a major reconstructive challenge for the plastic surgeon. These defects have a vast etiology, such as traumatic, thermal or electrical burns, benign and malignant or congenital tumor resections, radiotherapy treatments sequelae, and infections. Noting that injuries such as scalping and burns (thermal or electrical), generate significant repercussions such as severe tissue loss, chronic osteomyelitis or minor sequelae such as scar alopecia. This study aims to report a case of late scalp reconstruction with a tissue expander and posterior advancement flap, due to cicatricial alopecia, in an 11-year-old female, victim of scalding by hot water in the right frontotemporal region. Methods: It was performed a retrospective analysis of the patient's medical record. The present work follows the standards of the Helsinki ethics committee. Conclusion: The scalp tissue expansion technique by stages and subsequent scalp advancement flap performing proved to be effective in restoring the patient's hair structure and hairline with minimal local distortion, restoring the scalp's shape and aesthetics of the patient.