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Keywords = scalp avulsion

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7 pages, 3410 KiB  
Case Report
Pediatric Reconstruction of Full-Thickness Dog Bite Scalp Avulsion with a Combination of Acellular and Matrix Products: A Case Report
by Francesca Grussu, Guido Ciprandi, Federico Lo Torto, Diego Ribuffo and Mario Zama
Medicina 2024, 60(11), 1838; https://doi.org/10.3390/medicina60111838 - 8 Nov 2024
Viewed by 1846
Abstract
The reconstruction of large full-thickness scalp injuries represents a great challenge in pediatric plastic surgery. Epidermal–dermal substitutes come to the rescue when traditional surgical strategies are not suitable. Recently, the new Integra MicroMatrix UBM particulate has arisen on the market. This is an [...] Read more.
The reconstruction of large full-thickness scalp injuries represents a great challenge in pediatric plastic surgery. Epidermal–dermal substitutes come to the rescue when traditional surgical strategies are not suitable. Recently, the new Integra MicroMatrix UBM particulate has arisen on the market. This is an extracellular matrix derived from the porcine urinary bladder matrix (UBM) in which the particulate structure provides close contact to the wound bed. We present the concomitant application of Integra DRT and MicroMatrix for the reconstruction of a full-thickness subtotal scalp defect in a child mauled by a dog. Full article
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8 pages, 1505 KiB  
Brief Report
Dermal Substitutes and Skin Grafts in the Reconstruction of Post-Traumatic Total Scalp Avulsion: A Case Series
by Marzia Petrocelli, Giulia Togo, Silvia Ricci, Flavia Zeneli, Sebastiano Cutrupi, Annamaria Baietti, Paola Bonavolontà, Luigi Califano, Luigi Angelo Vaira, Alfonso Scarpa, Arianna Di Stadio and Giovanni Salzano
J. Clin. Med. 2023, 12(6), 2167; https://doi.org/10.3390/jcm12062167 - 10 Mar 2023
Cited by 5 | Viewed by 2510
Abstract
Although scalp defects can vary in size and thickness, scalp avulsion represents a rare occurrence. This type of lesion may have different origins, but it is usually related to long hair being caught in agricultural machinery. The management of full-thickness scalp defects poses [...] Read more.
Although scalp defects can vary in size and thickness, scalp avulsion represents a rare occurrence. This type of lesion may have different origins, but it is usually related to long hair being caught in agricultural machinery. The management of full-thickness scalp defects poses a challenge to the head and neck surgeon due to the possible involvement of neurovascular structures and scar retraction, which can affect the esthetic restoration of the area. Several algorithms for the choice of scalp reconstruction have been proposed in the literature and different techniques are available for extensive scalp defect reconstruction (local soft tissue flap, microvascular free flap, and skin graft combined with dermal substitutes), based upon the scalp defect type. Here we describe six cases of patients with total scalp avulsion, which required a combined reconstruction with a split-thickness skin graft (STSG) and Integra® matrix immediately after the trauma. Full article
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