Open Wounds of the Scalp
Autor: | Jurkiewicz Mj, Hill Hl |
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Rok vydání: | 1981 |
Předmět: |
Adult
Male medicine.medical_specialty Skin Neoplasms Open wounds medicine.medical_treatment Ribs Calvaria Critical Care and Intensive Care Medicine Surgical Flaps Galea Methods medicine Humans Rib cage Scalp integumentary system biology business.industry Skin Transplantation biology.organism_classification Surgery medicine.anatomical_structure Minor trauma Child Preschool Skin grafting Female Burns business |
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 |
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