Multidisciplinary scalp reconstruction in covid pandemic

Background: With the appearance of covid-19 pandemic and his sooner and directly relationship with respiratory tract infection, surgical procedures were significantly reduced (1) over all the emergency surgeries for several trauma. These procedures are prolonger/ time consumer and usually require general anesthesia, which generated high rate risk of contamination by the spread of the virus covid-19(2). Scalp/ skull injuries has been always a challenge for plastic surgeon, head and neck surgeon and neurosurgeon. Despite the reduction in accidents due to the pandemic covid 19, in our hospital we have had many cases of patients with severe trauma in lower limb and head. When the injury is not deeper and didn`t have bone defect we can perform skin graft, acellular matrix or tissue expanders. (4). if the defect allows it, we can perform a local flap. in complex defect with bone exposition, we evaluated that the use of microsurgeries flaps will allow bone protection, very good soft tissue coverage and aesthetic results (5). Keywords: Scalp reconstruction, COID-19