This study compared full-thickness and split-thickness skin grafts for reconstruction of scalp defects with exposed calvarium. The analysis evaluated graft survival rates, healing times, and cosmetic outcomes to guide graft selection for this challenging reconstruction scenario.

Graft selection for scalp defects with exposed calvarium depends on the vascular bed quality and defect characteristics.

Both full-thickness and split-thickness skin grafts can achieve acceptable outcomes for scalp reconstruction when the recipient bed is properly prepared.