Application of skin and soft tissue expander in reconstruction of large scalp defect with skull exposure

VernacularTitle:皮肤软组织扩张术在头皮缺损伴颅骨外露修复中的应用
Author: Xianglin DONG ; Tao QIN ; Xing QIAO ; Hao WEN ; Shaolin MA
Publication Type:Journal Article
Keywords: Skin and soft tissue expansion; Scalp defect; Granulation tissue wound; Skull exposure
From: Chinese Journal of Medical Aesthetics and Cosmetology 2013;(3):174-176
CountryChina
Language:Chinese
Abstract: Objective To investigate reconstructive repair methods of a large scalp defect with the granulation tissue wounds and skull exposure caused by the trauma.Methods Skin and soft tissue expansion technique was used to repair eight patients with a large scalp defect with the granulation tissue wounds and skull exposure caused by the trauma.The skin and soft tissue expanders were embedded under normal epicranial aponeurosis after the formation of fresh granulation tissue wound.Strict aseptic technique as well as water injection was done in the expansion process and moderate expansion to maintain rich blood circulation in the expansive parts.Results 12 skin and soft tissue expanders were implanted in 8 patients and the scalp wounds were completely repaired.No infection was detected after surgery and injection expansion process.Conclusions The skin and soft tissue expansion can be used to reconstruct post-traumatic scalp defect with granulation tissue wound and skull exposure.