Reconstruction of extensive scalp defects with anterolateral thigh flap.

BACKGROUND: Extensive scalp defects caused by various etiologies often require free-tissue transfer. We aimed to review our experience in the reconstruction of extensive scalp defects with free anterolateral flaps.

METHODS: A retrospective analysis was performed on all patients with extensive scalp defects that were reconstructed with free anterolateral thigh flaps from November 2007 to April 2015. Eleven patients with a mean age of 44 years were included in this study.

RESULTS: Eleven free-tissue transfers were used to reconstruct the extensive scalp defects. The flaps were 7-14 cm in width and 10-34 cm in length.

CONCLUSION: Microvascular free-tissue transfer is the mainstay for the treatment of extensive scalp defects. We recommend anterolateral thigh free flap use for challenging and complex cases, given the method's numerous advantages, including reliability and safety.