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  • Title: Congenital scalp and calvarial deficiencies: principles for classification and surgical management.
    Author: Perlyn CA, Schmelzer R, Govier D, Marsh JL.
    Journal: Plast Reconstr Surg; 2005 Apr; 115(4):1129-41. PubMed ID: 15793456.
    Abstract:
    Congenital defects of the scalp and skull present a challenge for care providers because of a combination of their rarity and the magnitude of potential morbidity. Recent advancements in autogenous and alloplastic cranioplasty and scalp reconstruction techniques argue for a comprehensive consideration of this problem. This article (1) reviews the causes of congenital scalp and calvarial defects; (2) proposes a classification system based on defect type, similar to the tumor-node-metastasis classification, in that defect location, defect size, and extent of neuromeningeal involvement are the critical variables; and (3) presents algorithms for care based on the defect classification. A set of management principles on which treatment plans can be based for these unique problems is provided.
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