CLINICAL FEATURES OF MAJOR SCALP DEFECTS AT MILITARY CENTRAL HOSPITAL 108

Abstract

Objectives: describe the clinical features of major scalp defects requiring surgery.  Materials and methods: The above cross-sectional descriptive study included 16 patients with major scalp defects who received surgery at Center of Craniofacial and Plastic Surgery, Military Central Hospital 108 from September 2016 to April 2021. Participants were taken medical history, received clinical examination, and measured their defect sizes to record research indices. Results: Participants had an average age of 61 years old, male/female ratio = 1/1; 81.25% of them had comorbid chronic systemic diseases.  The most common cause of the defects was scalp cancer, which accounted for 75%. The defects had an average area of 84.4cm² and mainly located in the occipital region which occurred in 87.5% of patients, alone or combined with other regions, 100% of patients had to been removed the periosteum.  Conclusions: Major scalp defects were mainly seen in elderly people with an average age of 61 years old, the ratio of male to female was equal.  Chronic diseases accounted for 81.25%, the main cause was scalp cancer and accounted for 75%, common clinical symptoms were vegetations, ulcers, periosteal loss and defects mainly occurred in compression regions.