DOI: 10.36347/sjams.2017.v05i03.088

Pages: 1177-1193

Scalp occupies the most prominent body part and possesses unique anatomical & aesthetic features. Scalp defects are scary to the novice to look at and to reconstruct. Gracefully guidelines do exist to accomplish this difficult task. Various Factors that influence the choice of reconstruction Careful analysis of the defect and local tissues can help to tailor the method of reconstruction and result in satisfactory closure in a majority of patients. To study the various scalp defects in terms of their clinical presentation, management and their outcome & comparison of our findings with others and our experience of reconstruction of scalp defects at our Institute. This prospective study includes 72 cases of scalp defects admitted to the department of Plastic and Reconstructive surgery, Osmania General Hospital, Hyderabad, Telangana during period from 2011 to 2015. Detailed analysis of these 72 cases with scalp defects is done in terms of 1.Age, 2.Sex, 3.Etiology, 4.Time of presentation, 5.Site of the defect, 6.Size of the defect, 7.Side of the defect, 8. Associated injuries, 9.Procedures done, 10.Timing of surgery, 11.Complications. 12.Duration of the hospital stay. Out of 72 cases of Scalp defects reconstructed male (88%) are more than female 12%, incidence is more in 21 -30 year group – 31%, Commonest cause is trauma RTA– 61%, Commonest site being – temporoparietal region – 45%, Commonest procedure done is local flap - 92%. One patients developed osteomyelitis of underlying bone which is managed by sequestrectomy and flap adjustment. Successful reconstruction of scalp requires detailed knowledge of scalp anatomy, skin biomechanics, the variety of available local tissue rearrangements etc. careful preoperative planning and precise execution.