Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Aldabagh, Bishr; Cook, Jonathan L.

doi:10.1111/dsu.12412

Cited by 19 publications

(13 citation statements)

References 31 publications

(114 reference statements)

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“…In a case series study by Aldabargh et al, flap and graft reconstructive technique, one staged operation for medium to large scalp defect had good aesthetic outcomes in all 20 patients. 5 In a study by Pitkanem et al, obtained coverage in a single operation by burring followed by immediate application of skin graft over the bleeding resulted in stable coverage with shortened hospital stay significantly. Also case report study by Araki et al, where there was successful replantation and grafting of an avulsed scalp without microvascular anastomosis.…”

Section: Primary Graftingmentioning

confidence: 99%

Prospective study on outcome and advantage of primary skin grafting in cases of avulsion scalp injury following trauma

Tripati

Singh

et al. 2020

Int Surg J

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Background: Traumatic avulsion injury poses severe risk as the overlying protective covering is lost and the raw tissue is exposed to the environment. Avulsion injuries involving the scalp are even more complicated to treat because of significant cosmetic concern involved. Aim of the study was to find a better solution than the existing method, we conducted a prospective study involving 13 patients with isolated traumatic scalp avulsion injury. Methods: This prospective study was conducted in Motilal Nehru Medical College and associated Swaroop Rani Nehru Hospital, Prayagraj, after taking written and informed consents from the patients, between June 2017 and June 2019.These were divided into two groups (A and B) based on whether the underlying periosteum was intact or not. Results: Patients with intact periosteum (Group A) underwent primary thin thickness skin grafting within a few hours of their admission while the other group (Group B) was treated with a traditional conservative approach. We compared the results of both the groups and found that Group A patients not only had satisfactory graft uptake (≥85 TBSA) but also had significant decreased risk of infection, lesser hospital stay, overall decreased healthcare cost, better cosmoses and early return to routine activity. Conclusions: For the surgeon, this single step procedure is safe and technically easy. Thus this approach was found to be superior than the current traditional approach.

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Section: Primary Graftingmentioning

confidence: 99%

Prospective study on outcome and advantage of primary skin grafting in cases of avulsion scalp injury following trauma

Tripati

Singh

et al. 2020

Int Surg J

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“…We have applied local flaps in combination with skin grafts in the cases when direct closure of a location where the flap was taken from was not possible (1,8,34).…”

Section: █ Conclusionmentioning

confidence: 99%

Reconstruction of large acquired scalp defects: ten-year experience

Stojičić

Jovanović²,

Rasulić³

et al. 2016

Turkish Neurosurgery

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Acquired scalp defects are the most frequent in the older population and, in most cases, occur upon the surgical removal of malignant tumors. Local fasciocutaneous flaps are the method of choice for small and acquired scalp defects of medium size while free flaps are the best solution for reconstruction of the large full-thickness scalp defects. Frequency of severe complications is significantly higher in the patients who undergo craniotomy, or those with liquorrhea.

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“…This combined local flap and graft technique is used as a single operative procedure, avoiding multiple surgeries that may have significantly higher morbidities. Moreover, it is more cosmetically appealing due to replacement "like with like" tissue 12 .…”

Section: Introductionmentioning

confidence: 99%

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

Mahmoud

2021

wjps

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BACKGROUND We aimed to review the treatment and outcome of patients’ undergone reconstruction of large full thickness scalp defects with exposed calvarium after oncologic resection with the combined local flap and split-thickness skin graft (STSG) technique. METHODS A retrospective review of 45 patients with scalp defects secondary to tumor extirpation was performed at the Plastic Surgery Department, Tanta University Hospital, Tanta, Egypt from Nov 2016 to Nov 2019. Patients, with large (>50 cm2) and full-thickness (exposed calvarium) scalp defects, who underwent scalp reconstruction with the combined local flap and STSG technique and had completed their medical records were enrolled. RESULTS Only 38 met the inclusion criteria. Thirty-three were male (86.8). The mean age was 61.5 years. The lesions removed were BCC in 30 cases (78.9%) and SCC in 8 cases (21.1%). Defect sizes ranged from 55 to 196 cm2. There was complete survival of all flaps. Complications were noticed in 5 patients (13.2%);2 developed small hematomas, 2 suffered from partial graft losses and one had wound infection. The follow-up period ranged from 6 to 27 months. Overall, 34 patients were satisfied with the functional and cosmetic results (89.5%), while 4 female patients weren't satisfied with the esthetic results (10.5%). CONCLUSION The combination of local flap and skin graft technique is highly reliable, easy to perform and safe single-stage reconstructive modality of large skull exposed scalp defects, providing durable coverage and favorable esthetic outcome.

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Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Abstract: Small sample size, descriptive study.

Cited by 19 publications

References 31 publications

Prospective study on outcome and advantage of primary skin grafting in cases of avulsion scalp injury following trauma

Prospective study on outcome and advantage of primary skin grafting in cases of avulsion scalp injury following trauma

Reconstruction of large acquired scalp defects: ten-year experience

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience

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