Immediate Coverage of Exposed, Denuded Cranial Bone With Split-Thickness Skin Grafts

Pitkänen, Jaakko; Al-Qattan, M. M.; Russel, N A

doi:10.1097/00000637-200045020-00003

Cited by 26 publications

(28 citation statements)

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“…The principle is not crossing the internal table to limit the infectious and vascular risks. The disadvantage of this technic is the long delay before obtaining granulation tissue which exposes to infections and long term hospitalization [21].…”

Section: Discussionmentioning

confidence: 99%

Technique of Granulation Tissue Genesis from Diploe

Kpelao¹,

Moumouni²,

Anthony³

et al. 2018

MPS

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Section: Discussionmentioning

confidence: 99%

Technique of Granulation Tissue Genesis from Diploe

Kpelao¹,

Moumouni²,

Anthony³

et al. 2018

MPS

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“…Speedy closure with a flap and/or skin graft is commonly considered the preferred treatment [10], although this may involve problems arising from donor site mobility, duration of the surgical procedure, and later on absence of hair regrowth, especially in free flap reconstruction. Skin grafts require a vascularized wound bed which, in case of exposed bone, usually requires drilling holes …”

Section: Discussionmentioning

confidence: 99%

A Plant-Derived Wound Therapeutic for Cost-Effective Treatment of Post-Surgical Scalp Wounds with Exposed Bone

et al. 2014

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Background: To evaluate efficacy and cost-effectiveness of a plant-derived wound dressing (ONE), a mixture of hypericum oil (Hypericum perforatum L.) and neem oil (Azadirachta indica A. Juss.), in scalp wounds with exposed bone. Patients and Methods: All patients with scalp wounds with exposed bone, following the excision of skin tumors, and treated with ONE in 2011 were included. Time of healing, wound size, area of exposed bone, ease of handling, pain, and complications were evaluated. Costs of dressings and nursing time were compared with those cited in literature for other treatment modalities. Results: Fifteen consecutive patients with a mean age of 76.87 ± 10.3 years (59-90 years) were analyzed. The mean wound size was 10.9 ± 6.84 cm² (0.4-22.6 cm²) with 4.8 ± 5.9 cm² (0.3-20.7 cm²) of exposed bone. The time of complete healing by secondary intention was 8.1 (4-20) weeks. Rapid formation of granulation tissue was observed which after 4 weeks covered the entire exposed bone surface in 11 of 15 cases (73%). Dressing change was simple with no pain reported; no infections or other complications occurred. Using ONE for a mean healing time of 56.7 days resulted in mean costs of EUR 423.73, which is substantially lower than those published for fascia lata, negative pressure therapy, or collagen matrix followed by skin grafting (EUR 1,612.82, EUR 4,411.80 and EUR 1,503.72, respectively). Conclusion: This retrospective, non-controlled analysis supports ONE as a simple-to-use and safe treatment option for scalp wounds with exposed bone. Treatment costs compare favorably to those published for other treatment modalities.

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“…But, these would usually result in alopecia because of the concomitant destruction of hair follicles in the scalp. [2][3][4] The first successful replantation of the scalp was reported by Miller et al in 1976. 1 Literature about successful microsurgical scalp replantation is usually limited to sporadic case reports.…”

Section: Discussionmentioning

confidence: 99%

Replantation of Total Avulsed Scalp With Microsurgery: Experience of Eight Cases and Literature Review

Yin

Matsuo

Hsieh

et al. 2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Successful replantations can achieve the best esthetic and functional results compared with other procedures. Scalp amputations sustained from sharp cuts seem to be quite as common as hair traction injuries. Such amputation injuries were more common in male patients with short hair. The manner of injury often will influence planning during replantation. Even if the amputated scalp was crushed or contaminated, such as those sustained from animal bites, replantation should still proceed, unless a greater contraindication exists.

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Immediate Coverage of Exposed, Denuded Cranial Bone With Split-Thickness Skin Grafts

Cited by 26 publications

References 0 publications

Technique of Granulation Tissue Genesis from Diploe

Technique of Granulation Tissue Genesis from Diploe

A Plant-Derived Wound Therapeutic for Cost-Effective Treatment of Post-Surgical Scalp Wounds with Exposed Bone

Replantation of Total Avulsed Scalp With Microsurgery: Experience of Eight Cases and Literature Review

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