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Figure 3. Comparing frequencies of reconstruction type among different scalp defect etiologies (cancer, benign tumor, wound
issues/exposed hardware, trauma). Most of the scalp defects following excision of malignancy were reconstructed with Integra (n = 15,
57.7%).

Figure 4. Comparing frequencies of reconstruction type among defect sizes (small < 3 cm, medium 3.1-6 cm, large > 6.1 cm). Large
defects were mostly reconstructed using Integra (n = 13, 59.1%).

ability to tolerate general anesthesia . Frailty can be calculated using the Modified Frailty Index, with
[41]
higher scores associated with higher complication rates and prolonged recovery [41,42] . In addition, ASA
classification is an instrument with a proven predictive value toward complication rates and peri-operative
morbidity and mortality. Thus, free tissue transfer is a viable option for reconstruction in patients who have
been risked stratified by one of these many metrics.