Table of Contents
ISRN Plastic Surgery
Volume 2013, Article ID 916071, 5 pages
Clinical Study

A New Algorithm for The Surgical Management of Defects of the Scalp

Division of Plastic and Reconstructive Surgery, University of Insubria and Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, 21100 Varese, Italy

Received 6 December 2012; Accepted 1 January 2013

Academic Editors: A. S. Halim and B. G. Ulusal

Copyright © 2013 Mario Cherubino et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Scalp reconstruction is a daily challenge for plastic surgeons. The authors propose their algorithm for reconstructive surgery after ablative surgery. They considered not only the size defect but also the anatomical defect and the clinical condition of the patient to achieve the best choice for reconstruction. During the two-year period, a total of 86 procedures were performed on 78 patients. We used five different techniques for reconstruction, including primary closure, graft, local or free flap, and a dermal regeneration template. No statistical difference of complication was observed in the different groups. We consider our algorithm a useful improvement in the management of the defect at the vertex.