Surgical Technique Applying Mosquito Forceps to Galeotomies for Scalp Reconstruction

Abstract

Reconstruction of scalp defects can be difficult due to the stiffness and inelasticity of the scalp, posing challenges for surgeons. Galeotomies can be applied to allow for this inelastic tissue to stretch, increasing local tissue movement and reducing tension on wound margins, but they generally require large incisions and dissections. Here, we completely repaired scalp defects by applying a surgical technique for galeotomies that only required small incisions of the scalp using simple mosquito forceps. This study included nine patients who underwent scalp reconstruction for defects due to mass excision; all surgeries were performed by the same surgeon. All surgical wounds completely recovered with a satisfactory aesthetic outcome, with no notable complications during a mean follow-up period of 21 months. Taken together, our results showed that galeotomies can be successfully performed even in a confined space using mosquito forceps, offering an effective modality for reconstruction of medium-sized scalp defects with minimal complexity.