The use of artificial dermis for reconstruction of full thickness scalp burn involving the calvaria

Yeong, Eng-Kean; Huang, Hui-Fu; Chen, Yueh-Bih Tang; Chen, Ming-Ting

doi:10.1016/j.burns.2005.08.015

Cited by 57 publications

(29 citation statements)

References 20 publications

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“…Finally, the Hulu 1 frontal bone lesion fits the pattern of changes associated with a serious burn of the scalp (Law et al, 1992;Shen et al, 1995;Gü mü s et al, 2006;Yeong et al, 2006). Such a burn can produce destruction of any hair, the scalp tissues, the external table, and even necrosis of the full calvarial thickness.…”

Section: Differential Diagnosismentioning

confidence: 87%

An ectocranial lesion on the middle Pleistocene human cranium from Hulu Cave, Nanjing, China

Shang

Trinkaus

2007

American J Phys Anthropol

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The earlier Middle Pleistocene human partial cranium from Hulu Cave, Tangshan, Nanjing (Hulu 1) exhibits an ectocranial lesion which covers most of the anterior neurocranium, largely between the temporal lines and extending from the supratoral sulcus to the anterior parietal bone. The endocranial surfaces and the remainder of the cranium (upper facial skeleton, lateral frontal bone, posterior parietal bones, and mid-occipital bone) are normal. The healed lesion exhibits both resorption and the laying down of new bone. Differential diagnosis suggests that the lesion was caused by either trauma (broad compressive trauma, tensile trauma to the scalp, or partial scalp removal) or burning (with damage to scalp and superficial neurocranium). Dietary deficiencies, infection, and neoplastic disorders do not fit the lesion characteristics. The Hulu 1 specimen therefore joins a growing sample of Pleistocene Homo remains with nonfatal and nontrivial disorders.

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Section: Differential Diagnosismentioning

confidence: 87%

An ectocranial lesion on the middle Pleistocene human cranium from Hulu Cave, Nanjing, China

Shang

Trinkaus

2007

American J Phys Anthropol

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“…Use of Integra dermal regeneration template for scalp reconstruction has been reported by several groups in various situations, ranging from coverage of a median forehead donor site 12 to closure of posttraumatic (avulsion, burn, etc) or postoncologic resection defects. 11,13 Integra has also been applied to previously radiated tissues, with some success. 14 Although application of Integra (followed by thin STSG) to scalp defects in these reports was largely successful and with minimal morbidity, there was a universally suboptimal es- Hair-Bearing Scalp Reconstruction thetic outcome since hair-bearing scalp was not being replaced with "like" tissue.…”

Section: Spector and Glatmentioning

confidence: 98%

Hair-Bearing Scalp Reconstruction Using a Dermal Regeneration Template and Micrograft Hair Transplantation

Spector

Glat²

2007

Annals of Plastic Surgery

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The scalp has traditionally presented a challenge to the reconstructive surgeon. Although a variety of techniques exists for providing stable coverage to the cranium that has become exposed secondary to trauma, infection, or surgical ablation, these techniques tend to require multiple operations and a significant time commitment on the part of the patient and the surgeon. Unfortunately, most if not all of these techniques are unable to recreate the appearance of natural-appearing hair on the reconstructed scalp. We present our unique experience utilizing a tissue-engineered dermal regeneration template for reconstruction of the traumatized scalp. Once vascularized and skin grafted, the neodermis received approximately 1600 microfollicular hair grafts, which resulted in a pleasing esthetic outcome. In this case, a 50-year-old man suffered a significant degloving of the posterior portion of the scalp. The area of exposed periosteum/galea was covered acutely with Integra dermal regeneration template, followed by skin grafting 2 weeks later. Since the patient refused tissue expansion reconstruction, a trial of hair micrografting (100 grafts) into the Integra was performed, with good results. Two subsequent sessions of 800 grafts placed also had good results. This report represents the first use of sequential hair micrografting into Integra dermal regeneration template to reconstruct hair-bearing scalp. Application of a dermal regeneration template with a thin split-thickness skin graft followed by sequential hair micrografting is a viable alternative for hair-bearing scalp reconstruction in cases where traditional methods (eg, tissue expansion, microvascular free tissue transfer) are unavailable or undesirable.

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“…Previous reports noted the injury to be secondary to high-voltage electrical injury or thermal injury (contact). [1][2][3][4][5][6] Presentation of this example is instructive for a number of reasons.…”

Section: Discussionmentioning

confidence: 99%

Fourth-Degree Burn of the Brain From Friction Burn of Scalp: An Unusual Injury From a Golf Cart

Bailey¹,

Park²,

Yakuboff³

2011

Journal of Burn Care & Research

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Intracranial injury has been reported secondary to not only blunt and penetrating trauma but also thermal and high-voltage electrical injury. Reconstruction can be challenging, especially in the face of necrosis of large areas of the cranium. The authors present a novel case of fourth-degree thermal burn to the head caused by a rotating tire. Initial wound debridement exposed dura, prompting a dural patch and Integra® for temporary coverage. Definitive coverage was accomplished with a latissimus dorsi free flap. The injury was complicated by associated neurologic defects and seizure activity. However, management was effective, and at 1 year, the patient is alive and well.

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The use of artificial dermis for reconstruction of full thickness scalp burn involving the calvaria

Cited by 57 publications

References 20 publications

An ectocranial lesion on the middle Pleistocene human cranium from Hulu Cave, Nanjing, China

An ectocranial lesion on the middle Pleistocene human cranium from Hulu Cave, Nanjing, China

Hair-Bearing Scalp Reconstruction Using a Dermal Regeneration Template and Micrograft Hair Transplantation

Fourth-Degree Burn of the Brain From Friction Burn of Scalp: An Unusual Injury From a Golf Cart

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