Interesting Case Series Total Scalp Excision and Reconstruction Using a Free Omental Flap

scalp excision from the supraorbital ridge to the occiput. Figure 2. Halo in position on day 27 after the original surgery, 3 days after regrafting for areas of graft loss. Figure 3. Preoperative (left) and postoperative (right) images. DESCRIPTION An 84-year-old man with extensive sun-damaged skin on his scalp underwent a subtotal scalp excision for squamous cell carcinoma after 5 prior incomplete resections. The large scalp defect was reconstructed with a free omental flap and skin grafts. Mayfield pins and halo were used for positioning postoperatively. QUESTIONS 1. Where can omental free flaps be utilized? 2. What are the advantages and disadvantages of the omental free flap? 3. How do you manage postoperative positioning and flap monitoring? 4. Why was the omental free flap the reconstructive option of choice for this case