Insights into Scalp Reconstruction: An In-depth Analysis of Demographic Profiles, Surgical Strategies, and Patient Satisfaction Outcomes from a 6-year Clinical Study

Abstract

Background: The incidence of scalp tumors is on the rise, driven by changing external factors. Predominantly located in the frontal and temporal regions, these tumors, especially in individuals aged 65 and above, are often benign, with trichilemmal cysts being the most common. While only 1%12% are malignant, basal cell carcinoma (BCC) is the primary culprit, diagnosed definitively through biopsy. Surgical excision is the most common treatment, tailored based on various factors, and reconstruction of the resulting defect is a key component. Methods: Our study scrutinized 100 cases undergoing scalp reconstruction at our hospital between December 2016 and February 2022. Detailed inquiries were made regarding patients’ gender, age, comorbidities, smoking history, and defect localization. Physical examinations recorded lesion localization and tumor size. This study is retrospective in nature. Results: Sixty-nine percentage of patients were male and 31% were female, with an average age of 67.57 ± 14.33. The most common tumor histopathology was BCC (48%). The parietal region was the most frequent site for reconstruction (35%). Smoking was reported by 39% of patients. Surgical method varied, with graft being the most common (48%). Postreconstruction, 46% expressed dissatisfaction with the treatment. Conclusion: In summary, our scalp reconstruction study provides a comprehensive insight into demographic, surgical, and patient-related aspects. The correlation between surgical satisfaction and methods underscores the importance of patient-centered care, guiding future strategies in scalp reconstruction for optimal outcomes.

Keywords

• defect
• flap
• graft
• reconstruction
• scalp