{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:08:42Z","timestamp":1751342922780,"version":"3.41.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Vascular malformations are very difficult to treat and usually require a multidisciplinary approach. We report a case of a giant facial and scalp vascular malformation resection and large defect reconstruction with the use of artificial dermis and hair follicle transplantation. In total, 3 surgeries were performed with in-between periods of 6 weeks. Firstly, the giant malformation was resected, and the defect was reconstructed using a dermal matrix and expander implantation. During the second surgery, expander was reintroduced, skin flaps were readvanced and hair follicle transplantation to the dermal matrix zone was performed for enhancing reepithelization and wound contraction by second-intention healing. During the third surgery the tissue expander was removed and skin grafts were placed in small non-transplanted areas. This strategy resulted in complete defect reepithelization without the need of skin grafting and a good aesthetic (with hair growth) and functional results were obtained, however, further studies are necessary.<\/jats:p>","DOI":"10.1097\/scs.0000000000011188","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T17:01:20Z","timestamp":1740589280000},"page":"e536-e538","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Giant Vascular Malformation of the Face and Scalp: Resection and Innovative Reconstruction"],"prefix":"10.1097","volume":"36","author":[{"given":"Ricardo","family":"Horta","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto; Portugal. Faculty of Medicine, University of Porto (FMUP); Portugal. Alameda Professor Hern\u00e2ni Monteiro. 4202-451 Porto, Portugal"}]},{"given":"Medein\u0117 \u0160ilen\u0117","family":"Markevi\u010di\u016bt\u0117","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania"}]},{"given":"Lisandra","family":"Morgado","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto; Portugal. Faculty of Medicine, University of Porto (FMUP); Portugal. Alameda Professor Hern\u00e2ni Monteiro. 4202-451 Porto, Portugal"}]},{"given":"Margarida","family":"Mendes","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto; Portugal. Faculty of Medicine, University of Porto (FMUP); Portugal. Alameda Professor Hern\u00e2ni Monteiro. 4202-451 Porto, Portugal"}]}],"member":"276","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"R1-20250630","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3340\/jkns.2024.0032","article-title":"A review of the current state and future directions for management of scalp and facial vascular malformations","volume":"67","author":"Hartman","year":"2024","journal-title":"J Korean Neurosurg Soc"},{"key":"R2-20250630","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.wneu.2020.07.101","article-title":"Reconstruction of complex scalp defect after cirsoid aneurysm resection: a multidisciplinary approach","volume":"143","author":"Ung","year":"2020","journal-title":"World Neurosurgery"},{"key":"R3-20250630","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1097\/SCS.0000000000008977","article-title":"Successful Surgical Resection and Reconstruction of a Giant Facial Vascular Malformation in an Elderly Patient","volume":"34","author":"Horta","year":"2023","journal-title":"J Craniofac Surg"},{"key":"R4-20250630","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1089\/wound.2019.1139","article-title":"Hair follicle transplantation for wound repair","volume":"10","author":"Nuutila","year":"2021","journal-title":"Advances in Wound Care"},{"key":"R5-20250630","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/01.sap.0000263323.65563.e7","article-title":"Hair-bearing scalp reconstruction using a dermal regeneration template and micrograft hair transplantation","volume":"59","author":"Spector","year":"2007","journal-title":"Annals of Plastic Surgery"},{"key":"R6-20250630","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S1085-5629(03)00079-8","article-title":"Skin grafting","volume":"22","author":"Ratner","year":"2003","journal-title":"In Seminars in cutaneous medicine and surgery"},{"key":"R7-20250630","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1097\/00000637-200206000-00006","article-title":"Free flaps in the treatment of locally advanced malignancy of the scalp and forehead","volume":"48","author":"McCombe","year":"2002","journal-title":"Annals of Plastic Surgery"},{"key":"R8-20250630","doi-asserted-by":"crossref","first-page":"e1074","DOI":"10.1097\/GOX.0000000000001074","article-title":"Integra-based reconstruction of large scalp wounds: a case report and systematic review of the literature","volume":"4","author":"Johnson","year":"2016","journal-title":"Plastic and Reconstructive Surgery - Global Open"},{"key":"R9-20250630","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.3390\/jcm12062167","article-title":"Dermal substitutes and skin grafts in the reconstruction of post-traumatic total scalp avulsion: a case series","volume":"12","author":"Petrocelli","year":"2023","journal-title":"JCM"},{"key":"R10-20250630","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1111\/j.1524-4725.2011.02025.x","article-title":"Hair transplantation for reconstruction of scalp defects using artificial dermis","volume":"37","author":"Narushima","year":"2011","journal-title":"Dermatologic Surgery"}],"container-title":["Journal of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000011188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T13:02:47Z","timestamp":1751288567000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000011188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/scs.0000000000011188","relation":{},"ISSN":["1049-2275","1536-3732"],"issn-type":[{"type":"print","value":"1049-2275"},{"type":"electronic","value":"1536-3732"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-11-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}