Mohan Vamsi C, Leonovicz Olivia G, Schmidt Josephine L, Gillipelli Srinithya R, Parham Matthew J, Layon Sarah A, Dempsey Robert F
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas.
Semin Plast Surg. 2024 Dec 17;38(4):268-278. doi: 10.1055/s-0044-1792105. eCollection 2024 Nov.
For proper reconstruction of scalp and forehead defects following Mohs micrographic surgery (MMS), knowledge of the unique anatomy and aesthetic importance of these structures is necessary to restore function and appearance. However, the inflexibility, convexity, and hair-bearing nature of the scalp and forehead can make reconstruction challenging. Detailed planning and precise management are essential to achieve adequate reconstructive results. Defect size, location, prior radiation history, and symmetry of hairlines should be taken into consideration during planning, and the simplest reconstructive technique should be utilized whenever feasible. This review will discuss the reconstructive options available for acquired defects of the scalp and forehead.
为了在莫氏显微外科手术（MMS）后对头 皮和前额缺损进行适当的修复，了解这些结构独特的解剖结构和美学重要性对于恢复功能和外观是必要的。然而，头皮和前额的不灵活性、凸度以及有毛发的特性会使修复具有挑战性。详细的规划和精确的管理对于获得充分的修复效果至关重要。在规划过程中应考虑缺损大小、位置、既往放疗史和发际线的对称性，并且只要可行，就应采用最简单的修复技术。本综述将讨论头皮和前额后天性缺损可用的修复选择。
