头皮是一种发生在过度率和与较差结果相关的一系列肿瘤的栖息地。其独特的解剖学构成了手术挑战，其中一种是在切除这些病变时清楚的深部边缘。对于延伸至围骨膜的恶性肿瘤，外层颅骨的切除是一种理想且常规的方法，可通过镗孔实现。本综述旨在通过调查文献来确认这种技术的效用和安全性，同时强调证据上的空白。通过系统地使用MEDLINE、Embase和PubMed进行文献检索。对纳入的文章进行审查，并分析符合研究设计、患者和干预细节、以及结果测量的合格研究。没有进行正式的统计分析。原始检索结果共得到1506个独特的结果，符合纳入标准的研究共有8个：4个病例系列、2个回顾性记录分析、2个病例报告。确定了多种肿瘤类型，但所有研究中所使用的镗孔方法都是一致的。尽管特别是在局部控制率方面令人放心的一次性结果，但由于所包含研究的性质，整体证据质量有限。有报道的不良事件很少。关于头皮骨镗孔治疗的肿瘤学疗效的证据仍然有限。尽管这种技术似乎相对安全，但还需要进一步研究其效用和缺点。未来的研究应该致力于报告更多的技术细节和更多的结果信息。同时，也值得将镗孔与其他方法（如外层颅骨分离、刮除和高剂量治愈性放射治疗）进行比较。版权所有©2023作者，由Wolters Kluwer Health, Inc.代表美国整形外科医师学会出版。

The scalp harbors a range of neoplasms occurring at inordinate rates and associated with poorer outcomes. Its unique anatomy poses surgical challenges, including clear deep margins when resecting these lesions. For malignancies extending to the pericranium, removal of outer cortical cranial bone is ideal and routinely achieved with a burr. This review aims to investigate the literature to ascertain the utility and safety of this technique while highlighting evidence gaps.A literature search was conducted systematically using MEDLINE, Embase, and PubMed. Articles were reviewed for inclusion, and eligible studies were analyzed for study design, patient and intervention details, and outcome measures. A formal statistical analysis was not conducted.The original search yielded 1506 unique results, and eight studies met the inclusion criteria: four case series, two retrospective analysis of records, two case reports. A number of tumor types were identified, but the burring method used was consistent in all studies. Despite reassuring primary outcome measure results, specifically in terms of local control rates, the overall evidence quality is limited by the nature of the included studies. Few adverse events were reported.Evidence for the oncological efficacy of scalp bone burring remains limited. Although the technique seems relatively safe, further investigation is required into its utility and drawbacks. Future studies should aim to report more technical details and more information about outcomes. It may also be worth comparing burring to alternatives such as outer cortical splitting, curettage, and high-dose curative radiotherapy.Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.