How did the lack of resources modify the surgical practice but did not affect the outcome of immediate scalp reconstruction in a developing country?: a case series

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Background and objectives

The purpose of this study was to describe how the defect characteristics, patient medical condition, and available financial and medical resources critically refined treatment strategies used in the reconstruction of large-to-extensive-sized scalp defects for patients who had been operated in our department without jeopardizing the success of reconstruction.

Patients and methods

This prospective analysis was conducted on 50 patients with scalp surgical defects of different sizes repaired using different reconstructive techniques between 2011 and 2014.


The mean scalp defect area measured was 138.6 cm2 (range: 25–506 cm2). Reconstruction techniques were local flaps (n=29), skin grafts applied over intact periosteum (n=10), and free anterolateral thigh flaps (n=11).


All patients showed uneventful healing and rare minor complications.


In developing countries, the reconstructive modality used for a successful reconstruction of the scalp is greatly affected by the economic costs and oncological prognosis. Moreover, it is carefully tailored according to the defect characteristics and hospital resources.

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