A Comparison of the Scalp Kinetics in Scalp-Lifting with and without an Intact Occipital Neurovascular Bundle

BACKGROUND: This paper compares the scalp kinetics of the scalp-lifting procedures with and without an intact occipital neurovascular bundle. OBJECTIVE: The objective of this paper is to perform lateral scalp-lifts and observe if an intact occipital neurovascular bundle hampers the amount of scalp advancement. METHODS: Ten consecutive patients had lateral scalp-lifts performed without severing the occipital neurovascular bundle. Advancements were then measured at three points (mid-posterior, above the pinna, and at the temporal recession). The occipital neurovascular bundle was then divided, and the same measurements were made. RESULTS: An intact occipital neurovascular bundle impeded the amount of advancement that could be accomplished with scalp-lifting. The anterior vector was primarily affected. CONCLUSION: In light of the finding that an intact occipital neurovascular hampers the amount of advancement with scalp-lifting, the surgeon must weigh the advantages and disadvantages of both approaches (prior division of occipital neurovascular bundles versus leaving the bundles intact) when deciding upon the appropriate approach for the given patient.