Closure of Chronic Ulcer Localized on the Scalp Previously Irradiated Using a Fenestration Technique

Enei, Maria Leonor; Filho, Carlos D'Aparecida Santos Machado

doi:10.1097/dss.0000000000000443

Cited by 2 publications

(1 citation statement)

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“…Scalp ulcerations often need a complex approach for closure with consideration of bony structures and soft tissue [ 13 ]. We used the rose head burr driven by a pneumatic power drill to remove necrotic bone and to expose diploic veins in the cancellous skull [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Chronic Scalp Ulcer 35 Years after Skull Trepanation Surgery and Radiotherapy for Oligodendroglioma: A Further Example of Immunocompromised Cutaneous Districts

Wollina¹,

Nowak²,

Tchernev³

et al. 2017

Open Access Maced J Med Sci

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BACKGROUND:Chronic ulcers of the scalp have a variety of underlying pathologies. In case of cancer patients, a second malignancy must be excluded.CASE REPORT:A 78-year-old female patient presented to our department with a large soft tissue defect on the frontotemporal left side. The lesion was about 3 cm in diameter with exposed bone and inflammatory soft tissue on the edges of the defect. About 35 years ago, she had undergone a combined neurosurgery with skull trepanation and radiotherapy for an oligodendroglioma. Three years ago, sandwich transplantation with the dermal template and meshed skin graft failed. Now she re-presented with inflammatory ulcer borders. A complex defect repair was performed after exclusion of a second malignancy.CONCLUSION:Chronic scalp ulcers may be the result immunocompromised cutaneous districts and need a complex reconstruction.

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Section: Discussionmentioning

confidence: 99%