医学
头皮
骨膜
植皮术
组织扩张
肉芽组织
隆突性皮肤纤维肉瘤
外科
清创术(牙科)
伤口愈合
皮肤病科
作者
Meryam Shikara,Suneet Waghmarae,Kalpesh T. Vakharia
出处
期刊:Journal of Craniofacial Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2022-08-15
卷期号:34 (1): e34-e36
被引量:2
标识
DOI:10.1097/scs.0000000000008911
摘要
The limited laxity of the scalp and hair-bearing nature makes it difficult to optimally repair. Primary closure is limited to small defects, while healing by secondary intention requires underlying periosteum. Furthermore, the use of free flaps and skin grafting can lead to unfavorable cosmetic outcomes. This report describes a patient with a large parietal scalp dermatofibrosarcoma protuberans. Multiple resections resulted in a large scalp defect with exposed calvarium. Integra was placed over the exposed calvarium after each debridement and Negative Pressure Wound Therapy (NPWT) was applied. After granulation tissue formed, 2 DermaClose continuous external tissue expansion systems were installed. Following the application and tightening of the external tissue expanders, the wound was reduced in size, facilitating primary closure of the opposing edges. This process allowed for a large area to be covered with hair-bearing scalp with good cosmetic results.
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