Microsurgical reconstruction of the SCALP with fasciocutaneous perforator free flaps: presentation of four cases

Introduction: Scalp is essential for the protection of intracranial contents and contributes to external aesthetic appearance; it is a unique hair-bearing surface. Total or partial lack of scalp directly affects patient’s quality of life. Case presentation: The objective of this paper is to present four cases of complex scalp wounds solved with fasciocutaneous free flaps. Microvascular free tissue transfer is associated with high success rates in scalp reconstruction (90% success rate). Microsurgery was the last step on the reconstructive ladder, nowadays with reconstructive elevator concept; microsurgery can be used as the first step in reconstruction. Conclusion: Microvascular scalp reconstruction is an invaluable part of a reconstructive surgeon since the advantages outweigh the disadvantages.