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    The use of a failed flap as a biological dressing.

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    Authors
    Chadwick, S
    Kosutic, Damir
    Affiliation
    Christie NHS Foundation Trust
    Issue Date
    2015-12-16
    
    Metadata
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    Abstract
    A 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.
    Citation
    The use of a failed flap as a biological dressing. 2015:e1-e3 Ann R Coll Surg Engl
    Journal
    Annals of the Royal College of Surgeons of England
    URI
    http://hdl.handle.net/10541/593007
    DOI
    10.1308/rcsann.2016.0025
    PubMed ID
    26673051
    Type
    Article
    Language
    en
    ISSN
    1478-7083
    ae974a485f413a2113503eed53cd6c53
    10.1308/rcsann.2016.0025
    Scopus Count
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