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The posterior scalp skin thickness is 1.48 mm; [3] the temporal scalp is 1.38mm; [3] and the anterior scalp thickness is 1.18 mm. [3] The scalp contains approximately 100.000 hairs. [citation needed] Hair lines make scalp reconstruction difficult because the hair lines must be respected to attain a satisfying aesthetic result. [4]
During the surgery, the excess forehead and/or scalp is excised and the scalp is advanced to the new hairline. The incisions are made in such a manner (trichophytic) so that hair regrows through and in front of the eventual hairline scar making it undetectable. [4] The scalp has to be separated from the skull going far back almost to the neck. [3]
Before surgery all important landmarks and reference points must be identified and marked. Important landmarks are the hairline, frown lines, location of the supratrochlear vessels, outline of the defect, nasal and lip subunits. [1] Then templates are made using the intact side of the nose to make a precise symmetric reconstruction of the nose.
The incidence of Mohs surgery increased significantly over the decade between 2004 and 2014. In a sample of 100 Mohs surgeries, the total cost ranged from US$474 to US$7,594, with the higher costs for hospital-based complex procedures. In Australia, the direct out of pocket cost to patients may vary from $0 to $4000.
Flap surgery is a technique in plastic and reconstructive surgery where tissue with an intact blood supply is lifted from a donor site and moved to a recipient site. Flaps are distinct from grafts , which do not have an intact blood supply and relies on the growth of new blood vessels.
Cranioplasty can restore the normal shape of the skull and prevent other complications caused by a sunken scalp, such as the "syndrome of the trephined". [3] Cranioplasty is a risky operation, with potential risks such as bacterial infection and bone flap resorption .
Other requirements to qualify for the surgery include a short and immobile or easily fatigued palate (Mazaheri et al., 1994). The patient’s pattern of VP closure is one aspect that is taken take into consideration by doctors in deciding whether pharyngeal flap surgery is the appropriate method of treatment (Armour et al., 2005). A variety of ...
34 surgical staples closing scalp following craniotomy Projectional radiograph of surgical staples. Surgical staples are specialized staples used in surgery in place of sutures to close skin wounds or to resect and/or connect parts of an organ (e.g. bowels, stomach or lungs). The use of staples over sutures reduces the local inflammatory ...
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