Effect of skull drilling combined with artificial dermis and vacuum sealing drainage in repairing scalp defect with skull exposure
10.3760/cma.j.issn.1671-0290.2021.03.002
- VernacularTitle:颅骨钻孔联合人工真皮及负压封闭引流修复头皮缺损伴颅骨外露的效果
- Author:
Xiaobing LI
1
;
Ting JIANG
;
Zelong YANG
;
Erchang XU
;
Hongyan LIU
;
Xiaoshu PU
;
Qiang LIU
;
Dongsheng YANG
;
Siyu HE
Author Information
1. 南充市中心医院（川北医学院第二临床学院）烧伤整形美容科，四川南充 637000
- Keywords:
Scalp;
Defect;
Skull exposure;
Skull drilling;
Artificial dermis;
Vacuum sealing drainage;
Split thickness skin transplantation;
Wound healing
- From:Chinese Journal of Medical Aesthetics and Cosmetology
2021;27(3):165-169
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effect of skull drilling and/or grinding combined with artificial dermis and vacuum sealing drainage in repairing scalp defects with skull exposure.Methods:From October 2014 to May 2018, 18 patients with scalp defect and skull exposure were treated in the Department of Burn and Plastic Surgery, the Second Clinical College of North Sichuan Medical College, including 10 males and 8 females, with an average age of 64 years (range, 34-86 years). The patients were divided into two groups: group A (by drilling skull or/and grinding combined with artificial dermis cover and vacuum sealing drainage plus two split thickness skin graft repair) and group B (by drilling skull or/andgrinding combined with artificial dermis cover plus two covering leather grinding stage split thickness skin graft repair), 9 cases in each group. The head wound granulation tissue, postoperative complications, skin graft survival rate and wound healing time were compared between the two groups. Vancouver scar assessment scale (VSS) was used to evaluate the wound healing in the two groups.Results:The time of granulation cultivation in group A and group B was (16.44±1.42) days and (29.11±13.32) days, the difference was statistically significant ( P<0.05); The wound healing time of group A and group B was (26.00±3.32) days and (40.67±14.37) days, the difference was statistically significant ( P<0.05); The postoperative complications of group A and group B were 1 case and 5 cases respectively, the difference was statistically significant ( P<0.05). The skin graft survival rates of group A and group B were (97.11±3.44)% and (95.00±4.74)%, the difference was not statistically significant ( P>0.05); The wound scar VSS scores of group A and group B were (7.67±1.32) points and (8.78±1.99) points, the difference was not statistically significant ( P>0.05). Conclusions:By drilling skull and/or grinding combined with artificial dermis cover and vacuum sealing drainage and two stage split thickness skin graft for repairing scalp defect with skull exposure wound can not only better scalp defect with skull exposure wounds, and reduce the postoperative complications, and significantly accelerate wound healing, but also can effectively improve the quality of wound healing, which is worthy of clinical application.
