Aesthetic and oncologic outcome after microsurgical reconstruction of complex scalp and forehead defects after malignant tumor resection: an algorithm for treatment.

摘要

I read with great interest the recent article by Dr. van Driel and colleagues in which a "three-step" algorithm for improving the aesthetic outcome of scalp and forehead reconstruction is proposed. Steps I and II address the dura and skull. Step III addresses soft-tissue coverage, matching "preferred" free flaps to recipient sites based on location and skin type. Step III does not address absolute defect size in the way that step II does for bone. In my experience, this is an equally important consideration in flap selec- tion.