Keywords
wounds
scalp defect
calvarium
revasculization
reconstruction
plastic surgery
How to Cite
Abstract
Reported is the experience of using the two-staged option for restoration of scalp defect with prolonged bone exposure for delayed (at the average per 27,3 days) reconstruction of posttraumatic full-thickness soft-tissue scalp defects of the 4 patients. At first, the osteoperforation or (and) tangential necrectomy was carried out with the purpose of bone state evaluation. At the second stage, the transfer of periosteocutaneous composite axial flap was performed at the same time, if the wound was not infected and diploe of osteoperforation sites was bleeding, and as a delayed operation, in ease debrided wound was infected and additional cleaning was necessary. There was no critical postoperative complication or flap failure. The reconstructive aims of resurfacing and revascularization of the calvarium were achieved in all patients.References
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