Deep wounds of the scalp of various origins (mechanical trauma, animal bites, burns) are quite common in pediatric practice. Defects of soft tissues, the bottom of which has open bones, are a particular difficulty. This clinical observation describes a method of surgical treatment of a deep wound of the scalp using the tissue expansion, which leads at one time to the complete closure of the soft tissue defect in combination with an excellent cosmetic result. The relative simplicity and safety of the technique can cause its widespread use in pediatric reconstructive surgery and burn surgery.

Total deep facial burns represent one of the most complex clinical tasks for a surgeon. A child’s quality of life and complexity of subsequent treatment stages depends on effective surgical tactics used during the acute period of a burn trauma. The article describes the use of full-thickness graft preliminarily stretched with an endoexpander when treating deep facial burns in a child with the total burns involving 60% of body surface and thermoinhalation lesion. The surgery was done on the 36th day of staying at the hospital in spite of the patient’s severe condition.