Open Wounds of the Scalp

Autor: Jurkiewicz Mj, Hill Hl
Rok vydání: 1981
Předmět:
Zdroj: The Journal of Trauma: Injury, Infection, and Critical Care. 21:769-778
ISSN: 0022-5282
DOI: 10.1097/00005373-198109000-00004
Popis: Scalp wounds attended by loss of substance are commonly managed either by direct skin grafting or a large transposition flap of adjacent scalp and skin grafting of the donor site defect. Either of these methods has all of the inherent disadvantages of the results of skin grafting: insensate, glabrous surface devoid of hair, recurrent ulceration after minor trauma, and, finally, abnormal appearance. In the past 5 years 23 patients at Emory Affiliated Hospitals have undergone a procedure whereby all existing scalp has been mobilized by fashioning arterialized flaps and the scalp reconstructed with normal hairbearing skin. Multiple relaxing incisions in the galea are requisite to the success of the method. An underlying defect in the bony calvaria can be reconstructed at a second stage by multiple split rib grafts.
Databáze: OpenAIRE