Microsurgical Reconstruction of Oncological Scalp Defects in the Elderly

The incidence of scalp tumors requiring radical excision increases with age. Free-flap surgery is the standard reconstructive option for large defects, however there is ongoing uncertainty about its safety in the elderly. We conducted a review of data and report on 19 cases older than 75 and 13 younger than 75 years. Data regarding patient demographics, types of tumors, surgery, size of defect, flaps used and prevalence of complications were analyzed. The patients in the elderly group had more accompanying medical conditions and a higher ASA Score.

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