Successful calvarial bone salvage using multiple outer table perforation technique on total scalp avulsion injury

Successful calvarial bone salvage using multiple outer table perforation technique on total scalp... For centuries, cranial outer table perforations were used to treat scalp avulsions that compromised the underlying periosteum. However, its use declined with the development of newer alternatives such as free-flap transpositions and scalp replantation. We report a case of extensive scalp avulsion with a large area of bone devoid of its periosteum. Outer calvarial plate perforations were drilled to promote granulation tissue growth. Skin grafts were used as a temporary coverage. The remaining scalp was then expanded, and the flaps obtained allowed a satisfactory coverage of the area of alopecia. The objective of this report is to bring this treatment method again into the set of possibilities to be considered when planning scalp reconstruction, as it is a feasible alternative and enables good results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Successful calvarial bone salvage using multiple outer table perforation technique on total scalp avulsion injury

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Publisher
Springer Journals
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-012-0691-5
Publisher site
See Article on Publisher Site

Abstract

For centuries, cranial outer table perforations were used to treat scalp avulsions that compromised the underlying periosteum. However, its use declined with the development of newer alternatives such as free-flap transpositions and scalp replantation. We report a case of extensive scalp avulsion with a large area of bone devoid of its periosteum. Outer calvarial plate perforations were drilled to promote granulation tissue growth. Skin grafts were used as a temporary coverage. The remaining scalp was then expanded, and the flaps obtained allowed a satisfactory coverage of the area of alopecia. The objective of this report is to bring this treatment method again into the set of possibilities to be considered when planning scalp reconstruction, as it is a feasible alternative and enables good results.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jan 1, 2013

References

  • Total, nonreplantable scalp avulsion: utility of artificial dermis
    Simon, E; Sellal, S; Chassagne, JF; Stricker, M; Duroure, F

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