AffiliationChristie NHS Foundation Trust
MetadataShow full item record
AbstractA patient with a narrowly excised squamous cell carcinoma on the scalp underwent a wider excision that involved burring of the underlying calvarium. The defect was reconstructed with a superficial temporal artery pedicled flap, which unfortunately failed. The patient had multiple co-morbidities, limiting reconstructive options. The failed flap was therefore maintained as a 'biological dressing' for several weeks. During this time, the patient was reviewed regularly in the dressing clinic and did not develop a wound infection. Six weeks later, he was taken back to theatre and the flap was debrided under local anaesthesia. Beneath the flap, there was sufficient healthy granulation tissue over the site of previous bony debridement to permit split skin grafting. We advocate this technique as a useful method for managing difficult wounds in complex patients with multiple co-morbidities where other reconstructive techniques are limited.
CitationThe use of a failed flap as a biological dressing. 2015:e1-e3 Ann R Coll Surg Engl
JournalAnnals of the Royal College of Surgeons of England
- [Local flaps in the treatment of full thickness scalp defects secondary to advanced cutaneous malignancy. About 21 clinical cases].
- Authors: Belmahi A, Oufkir AA
- Issue date: 2007 Dec
- Reconstruction of scalp wounds with exposed calvarium using a local flap and a split-thickness skin graft: case series of 20 patients.
- Authors: Aldabagh B, Cook JL
- Issue date: 2014 Mar
- Simplified Calvarial Reconstruction: Coverage of Bare Skull With GammaGraft Promotes Granulation and Facilitates Skin Grafting.
- Authors: Sivak WN, Bourne DA, Miller MP, Manders EK
- Issue date: 2016 Oct
- [Surgical treatment of scalp malignant tumor].
- Authors: Qing Y, Cen Y, Wang H, Liu Y
- Issue date: 2008 Jan
- [In situ re-grafting of the scalp skin flap after its covering of the exposed devitalized skull following electrical injury].
- Authors: Peng Y, Hu J, Yuan Z, Ai S
- Issue date: 2002 Dec