Basal cell carcinoma of the scalp: surgical approach and reconstructive options.

Introduction: Surgical therapy of basal cell carcinomas (BCC) is based on complete excision of the neoplasm and its immediate suitable reconstruction. The aim of this work was to evaluate the possibility of creating a reconstructive algorithm in cases of scalp BCC, depending on the amplitude of the tumor.

Evidence acquisition: A literature search was carried out using the databases of PubMed, Scopus and Cochrane.

Evidence synthesis: Based on the experiences reported in the literature, it was possible to structure a decision-making algorithm that summarizes the various steps involved in the choice of the most suitable reconstructive surgical therapy.

Conclusions: The algorithm described we hope will be of reference or help to less experienced reconstructive plastic surgeons.